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Suspected Sacroiliac Joint Dysfunction: Modifying Examination and Intervention During Pregnancy

Cullaty, Martha MPT, MEd

Journal of Women’s Health Physical Therapy: July 2006 - Volume 30 - Issue 2 - p 18–24
Case Report

Background and Purpose: Sacroiliac joint dysfunction should be considered in the differential diagnosis of women who experience back and pelvic pain during pregnancy. Advancing pregnancy, however, presents challenges in examining and treating sacroiliac joint dysfunction in this population. The purpose of this case is to describe the modified examination method and interventions used to identify sacroiliac joint dysfunction in a woman who was pregnant.

Case Description: The patient was a 38-year-old woman who was 7 months pregnant and experienced an insidious onset of pelvic and lower extremity pain. Modified exam techniques were used and led the examiner to suspect sacroiliac joint dysfunction. A decision-making schema was used at each treatment session that included objective measures before and after treatment.

Outcome: Physical impairments improved at 4 weeks. Disability improved at 4 and 8 weeks, with greater change occurring in the first 4 weeks. Improvements were also noted in functional limitations at 8 weeks.

Discussion: This case describes a modified examination, diagnosis, and intervention technique that supported the suspected diagnosis of sacroiliac joint dysfunction.

University of Virginia-Healthsouth Charlottesville, VA

© 2006 Lippincott Williams & Wilkins, Inc.