What is the role of physical therapy (PT) in the treatment of acute sacroiliac joint (SIJ) injuries?

Updated: Jan 16, 2019
  • Author: Andrew L Sherman, MD, MS; Chief Editor: Sherwin SW Ho, MD  more...
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Answer

The first 10 days are considered the acute phase. If symptoms do not resolve, days 10-180 are considered the subacute phase. Pain lasting longer than 6 months is considered the chronic phase.

Physical therapy

Physical therapy focuses on pain control in the acute phase. Modalities such as ultrasonography with or without phonophoresis, deep and superficial heat, and superficial cold treatments can reduce pain. Neural therapies such as deep tissue massage, myofascial release, and muscle energy stretching techniques can also help. Pelvic myofascial stretching in the neutral spine position can be used for immediate, short-term relief of discomfort. By identifying activities that aggravate the condition, the physician or therapist can have the patient avoid these activities.


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