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Pain Associated With Sacroiliac Joint Region: A Malady of Common Proportions
An astute DO utilizing enhanced palpatory skill and direct testing can accurately diagnose sacroiliitis and apply multiple treatment options
By Robert A. Kominiarek, DO, FACOFP
Inflammation of the sacroiliac (SI) joint, called sacroiliitis, is a common disorder seen by primary care physicians.1 Sacroiliitis can be the primary pain generator in up to 20 percent of patients with low back pain.2 Sacroiliac pain comes from the joint in the lower part of the back made up of the articulation between the sacrum and the iliac portion of the coxal bones. The sacroiliac joint’s main function is to provide shock absorption for the spine by a gliding type motion and to support great weight. Ligaments around the joint hold these bones together.3
Hippocrates
“If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health.”
Hippocrates
“Walking is a man’s best medicine”
Desiderius Erasmus
“Prevention is better than cure”


