Using patient history and physical exam to find sacroiliac joint dysfunction
Datos de la Historia clínica y Del Examen físico y neurológico Que Orientan al diagnóstico de Dolor Originario en la articulación sacroilíaca
This project will test whether a short medical interview and targeted physical exam can help doctors spot sacroiliac joint–related low back or buttock pain in people with chronic symptoms.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 140 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of Valencia Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Valencia, Valencia) |
| Trial ID | NCT04381208 on ClinicalTrials.gov |
What this trial studies
This is a prospective cohort of patients with chronic low back or buttock pain seen at a single Spanish hospital. Participants receive a focused medical history and a standardized physical examination including provocative sacroiliac maneuvers, and when indicated a diagnostic sacroiliac joint block. Investigators will correlate historical features and exam findings with the outcome of the diagnostic block and other diagnostic testing. The goal is to identify key history and exam criteria that raise suspicion for sacroiliac joint pain and reduce missed diagnoses and inappropriate surgery.
Who should consider this trial
Good fit: Adults presenting with chronic low back or buttock pain, with or without leg radiation, who have not had prior surgery for the condition and do not have inflammatory disease or active cancer are ideal candidates.
Not a fit: Patients who have already had surgery for the condition, have inflammatory disorders, active cancer, or cannot attend the hospital visits are unlikely to receive benefit from this approach.
Why it matters
Potential benefit: If successful, this approach could make it easier to identify sacroiliac joint pain earlier and help avoid unnecessary imaging or surgery.
How similar studies have performed: Previous work combining history, provocative maneuvers, and confirmatory diagnostic blocks has shown mixed but generally supportive results for identifying sacroiliac joint pain.
Eligibility criteria
Show full inclusion / exclusion 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
Where this trial is running
Valencia, Valencia
- Hospital General Universitario de Valencia — Valencia, Valencia, Spain (Recruiting)
Study contacts
- Study coordinator: Vicente Vanaclocha Vanaclocha, Full Professor
- Email: vivava@uv.es
- Phone: +34669790013
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.