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Sciatica-like pain arising in the sacroiliac joint.

Authors
  • Margules, K R
  • Gall, E P
Type
Published Article
Journal
Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases
Publication Date
Feb 01, 1997
Volume
3
Issue
1
Pages
9–15
Identifiers
PMID: 19078111
Source
Medline
License
Unknown

Abstract

Sacroiliac joint disease is an under-considered cause of sciatica-like pain. One hundred thirty-three patients studied over 14 years, with sciatica-like pain, had their sacroiliac joints instilled with a combination of lidocaine/triamcinolone acetonide under fluoroscopy. Each patient had a normal myelogram or magnetic resonance imaging (or both) of their lumbar spine before entering the series. We described a reproducible fluoroscopic technique that other rheumatologists can use, if appropriate, to instill medication into the joint. Patients with pseudosciatica arising from their sacroiliac joints found relief with correctly placed instillations. The duration of relief varied considerably. Sciatic-like pain may indeed arise in the sacroiliac joints.

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