Sacroiliac Joint Pain 

There are some features of chronic lower back pain which suggest the pain maybe sacroiliac in origin but these are not diagnostic. 

These include:

  • pain when rising from sitting
  • pain below L5 level
  • Unilateral pain
  • 3 or more positive tests
      • a)      Distraction
      • b)      Compression
      • c)       Sacral thrust
      • d)      Thigh Thrust
      • e)      Gaenslan test positive
  • Unilateral pain below L5 and 3 positive tests (as above) 

Diagnosis is confirmed by (Sacroiliac Joint Injection) local anaesthetic intra articular joint injection under Xray imaging.