Sayed Dawood, Deer Timothy R, Tieppo Francio Vinicius, Lam Christopher M, Sochacki Kamil, Hussain Nasir, Weaver Tristan E, Karri Jay, Orhurhu Vwaire, Strand Natalie Holmes, Weisbein Jacqueline Soicher, Hagedorn Jonathan M, D'Souza Ryan S, Budwany Ryan R, Chitneni Ahish, Amirdelfan Kasra, Dorsi Michael J, Nguyen Dan T D, Bovinet Christopher, Abd-Elsayed Alaa
Anesthesiology and Pain Medicine, The University of Kansas Medical Center, Kansas City, KS, USA.
Pain Services, Spine and Nerve Center of the Virginias, Charleston, WV, USA.
J Pain Res. 2024 May 3;17:1601-1638. doi: 10.2147/JPR.S464393. eCollection 2024.
Clinical management of sacroiliac disease has proven challenging from both diagnostic and therapeutic perspectives. Although it is widely regarded as a common source of low back pain, little consensus exists on the appropriate clinical management of sacroiliac joint pain and dysfunction. Understanding the biomechanics, innervation, and function of this complex load bearing joint is critical to formulating appropriate treatment algorithms for SI joint disorders. ASPN has developed this comprehensive practice guideline to serve as a foundational reference on the appropriate management of SI joint disorders utilizing the best available evidence and serve as a foundational guide for the treatment of adult patients in the United States and globally.
从诊断和治疗的角度来看,骶髂关节疾病的临床管理已被证明具有挑战性。尽管它被广泛认为是下腰痛的常见原因,但对于骶髂关节疼痛和功能障碍的适当临床管理,几乎没有达成共识。了解这个复杂的承重关节的生物力学、神经支配和功能,对于制定针对骶髂关节疾病的适当治疗方案至关重要。美国物理医学与康复学会(ASPN)制定了这份全面的实践指南,以利用现有最佳证据作为骶髂关节疾病适当管理的基础参考,并作为美国和全球成年患者治疗的基础指南。