Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized left-sided low back and buttock pain, exacerbated by prolonged sitting, standing, or transitional movements such as rising from a chair. Pain is described as dull, aching, and occasionally sharp, with radiation into the left posterior thigh, stopping above the knee. No associated neurological deficits, saddle anesthesia, or bowel/bladder dysfunction reported.
Clinical Examination Findings
Physical examination reveals tenderness to palpation over the left sacroiliac joint and the left posterior superior iliac spine (PSIS). Provocative testing is positive for left-sided SI joint dysfunction, including positive FABER (Patrickโs) test, positive Gaenslenโs test, and positive Thigh Thrust test. Gait is antalgic favoring the right side. Neurological exam: motor strength 5/5 in bilateral lower extremities, sensation intact to light touch, deep tendon reflexes 2+ and symmetric.
Treatment Protocol
Treatment plan includes a course of physical therapy focusing on pelvic stabilization and core strengthening. Prescribed non-steroidal anti-inflammatory drugs (NSAIDs) for pain management. Patient advised to utilize a sacroiliac belt for support during activity. If symptoms persist, consider ultrasound-guided intra-articular corticosteroid injection into the left SI joint.