OMT Minute  |   October 2018
An Osteopathic Approach to Diagnosis and Management of Sacroiliac Joint Dysfunction
Author Notes
  • From the Touro University College of Osteopathic Medicine–CA in Vallejo. 
  • Financial Disclosures: None reported. 
  • Support: This video was produced by the Touro University College of Osteopathic Medicine–CA. 
  •  *Address correspondence to John Glover, 1310 Club Dr, Mare Island, Vallejo, CA 94592-1187. Email: john.glover@tu.edu
     
Article Information
Neuromusculoskeletal Disorders
OMT Minute   |   October 2018
An Osteopathic Approach to Diagnosis and Management of Sacroiliac Joint Dysfunction
The Journal of the American Osteopathic Association, October 2018, Vol. 118, e92-e93. doi:10.7556/jaoa.2018.139
The Journal of the American Osteopathic Association, October 2018, Vol. 118, e92-e93. doi:10.7556/jaoa.2018.139
Diagnosis and management of sacroiliac (SI) joint dysfunction can be performed in a variety of ways and should be considered in patients who present with various symptoms, including low back pain, pelvic pain, and visceral complaints from the abdominopelvic region. 
The SI joints are 2 joints within the pelvic girdle; they provide stable support to the upper body and allow for a transfer of forces from the lower extremities during gait.2 This combination of synovial and syndesmotic joints is composed of the articulating surfaces of the S1, S2, and S3 segments and the ilium, whose surfaces are covered in fibrocartilage and hyaline cartilage, respectively.1,2 The SI joint develops from a flat, round joint, which roughens with age to an inverted, backward-facing “L” shape, with a short superior arm and a longer inferior arm.2 The capsule of the joints comprises the anterior, posterior, and interosseous SI ligaments and is supported by numerous others, including the sacrospinous and sacrotuberous ligaments.1 

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