AOCOPM 2022 Midyear Educational Conference-217747

Video Transcription

Video Summary

Dr. Patel, a specialist in pain management, delivered a detailed presentation on diagnosing and treating SI joint pain, a common yet often overlooked cause of low back pain. Through years of experience and significant procedural accomplishments, Dr. Patel emphasized the importance of considering SI joint issues in patients with chronic back pain, particularly highlighting how a simple lidocaine injection can relieve significant pain in some cases. He shared insights into the history, physical examination, and provocative tests used to diagnose SI joint pain, such as the distraction, thigh thrust, Faber, and compression tests. Dr. Patel highlighted that many cases of low back pain could be related to SI joint problems and emphasized non-surgical interventions like physical therapy and conservative approaches before resorting to procedures. He also noted studies showing mixed results from steroid injections and radiofrequency ablations. Dr. Patel underscored the high economic impact of back pain and the importance of early detection and treatment. He encouraged considering alternative therapies like acupuncture and emphasized the need for a multidisciplinary approach in chronic cases. Audience engagement included discussions on the role of acupuncture and PRP, and evaluations of uncommon conditions like sacroiliac lipomas.

Keywords

SI joint pain

low back pain

diagnosis

treatment

non-surgical interventions

physical therapy

multidisciplinary approach

acupuncture

chronic back pain