Medical Record, Physical and Neurological Data That Orient to the Diagnosis of Sacroiliac Joint Dysfunction
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Complete clinical examination.
- Who it may be relevant to
- Registry conditions: Sacroiliac Joint Somatic Dysfunction, Low Back Pain. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Spain
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Datos de la Historia clínica y Del Examen físico y neurológico Que Orientan al diagnóstico de Dolor Originario en la articulación sacroilíaca
Overview
There are many patients coming daily to our office with the complaint of chronic lumbosacral pain radiating or not to the legs that need a proper diagnosis before any treatment is decided. The diagnosis, based mostly on radiological exams, carries a risk of failure to diagnose the sacroiliac joint as the cause of the pain. The study proposes that a quick interrogatory followed by a physical exam with the adequate provocative testing can raise the suspicion of the diagnosis that the pain is originating from the sacroiliac joint. Thereafter, a diagnostic sacroiliac joint block can be performed. The study aims to correlate findings from patient history and physical examination with eventual diagnosis.
Detailed description
This is a prospective cohort study of patients seeking care for chronic low back pain. All patients will undergo a detailed history and physical examination, followed by other indicated diagnostic testing. The analysis will correlate findings from patient history and physical examination testing with the eventual diagnosis. The goal of the study is to identify key historical and physical examination criteria that raise the suspicion for sacroiliac joint pain, which is commonly underdiagnosed. Failure to diagnose a health condition could lead to inappropriate surgery.
Interventions
- Diagnostic test Complete clinical examination
Medical history-taking, physical examination with provocative maneuvers, radiographic imaging (if relevant), and sacroiliac joint block (if indicated), facet joint block (if indicated)
Primary outcome measures
- Final diagnosis [Time frame: 1-2 months]
Eligibility criteria
Inclusion criteria
- Patient being evaluated in clinic for chronic low back or buttocks pain with or without radiation to the legs
Exclusion criteria
- Patient has already undergone surgery for the condition of interest
- Inflammatory condition
- Active cancer
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Spain · 1 center
- Hospital General Universitario de Valencia — Valencia
Publications
- Vanaclocha V, Jorda-Gomez P, Saiz-Sapena N, Vanaclocha L, Kennedy J. Diagnostic accuracy of clinical examination to distinguish sacroiliac joint pain as a cause of chronic low back pain. Br J Neurosurg. 2026 Feb;40(1):137-144. doi: 10.1080/02688697.2024.2433492. Epub 2024 Dec 10. PMID 39654480
Identifiers
NCT: NCT04381208 · 19-04-2019