14 Questions
What are common signs and symptoms of sacroiliac dysfunction?
All of the above
Which test is used to diagnose sacroiliac dysfunction by observing asymmetrical motion?
Gillett test
What are some common findings in the diagnosis of sacroiliac dysfunction?
All of the above
What may exacerbate the pain in sacroiliac dysfunction?
Prolonged sitting and torso rotation
What is the classic presentation of sacroiliac sprain?
Pain over one SI joint after straightening from a stooped position
How does piriformis syndrome differ from sacroiliac sprain?
Piriformis syndrome presents with buttock and posterior leg pain unrelated to trauma, while sacroiliac sprain presents with acute traumatic onset
What is a potential consequence of an acute sacroiliac sprain?
Development of lumbar radiculopathy as a chronic complication
Which movement can reproduce pain in a patient with piriformis syndrome?
Flexion, adduction, and internal rotation of the hip
How is piriformis syndrome often misdiagnosed?
As acute traumatic sacroiliac sprain
What is a suggested treatment to avoid exacerbating piriformis syndrome?
Engaging in exacerbating activities
Which test is used to elicit sciatic nerve pain from piriformis syndrome?
Bonnet's test
In chronic cases of piriformis syndrome, what may be observed in the gluteal region?
Atrophy
What type of injection is both diagnostic and therapeutic for piriformis syndrome trigger points?
Lidocaine injection
Which passive treatment is suggested for piriformis syndrome?
Use of ultrasound therapy
Study Notes
Sacroiliac Dysfunction
- Common signs and symptoms of sacroiliac dysfunction include pain, stiffness, and inflammation in the lower back and pelvis.
- The standing flexion test is used to diagnose sacroiliac dysfunction by observing asymmetrical motion.
Diagnosis of Sacroiliac Dysfunction
- Common findings in the diagnosis of sacroiliac dysfunction include tenderness, limited range of motion, and pain in the sacroiliac joint.
Exacerbating Factors of Sacroiliac Dysfunction
- Activities that exacerbate the pain in sacroiliac dysfunction include heavy lifting, bending, and twisting.
Sacroiliac Sprain
- The classic presentation of sacroiliac sprain includes pain, stiffness, and inflammation in the lower back and pelvis, which is often triggered by a traumatic event.
Piriformis Syndrome vs. Sacroiliac Sprain
- Piriformis syndrome differs from sacroiliac sprain in that it involves compression of the sciatic nerve by the piriformis muscle, whereas sacroiliac sprain involves inflammation of the sacroiliac joint.
Consequences of Sacroiliac Sprain
- A potential consequence of an acute sacroiliac sprain is chronic pain and limited mobility in the lower back and pelvis.
Piriformis Syndrome
- The pain in piriformis syndrome can be reproduced by active piriformis contraction, such as squatting or climbing stairs.
- Piriformis syndrome is often misdiagnosed as lumbar radiculopathy or herniated disk.
- A suggested treatment to avoid exacerbating piriformis syndrome is to avoid activities that trigger symptoms.
Diagnosis of Piriformis Syndrome
- The Pace sign is used to elicit sciatic nerve pain from piriformis syndrome.
Chronic Piriformis Syndrome
- In chronic cases of piriformis syndrome, atrophy of the gluteal region may be observed.
Treatment of Piriformis Syndrome
- Botulinum toxin injection is both diagnostic and therapeutic for piriformis syndrome trigger points.
- Passive treatment, such as physical therapy, is suggested for piriformis syndrome.
Test your knowledge about sacroiliac dysfunction, leg length discrepancy, scoliosis, and their relationship to pregnancy and pain symptoms. This quiz covers signs, symptoms, causes, and risk factors related to these musculoskeletal conditions.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
