Medical Record, Physical and Neurological Data That Orient to the Diagnosis of Sacroiliac Joint Dysfunction

NCT04381208 | Recruiting

• 1 other identifier: 19-04-2019
• Study Type: observational
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

There are many patients coming daily to our office with the complaint of chronic lumbosacral pain radiating or not to the legs that need a proper diagnosis before any treatment is decided. The diagnosis, based mostly on radiological exams, carries a risk of failure to diagnose the sacroiliac joint as the cause of the pain. The study proposes that a quick interrogatory followed by a physical exam with the adequate provocative testing can raise the suspicion of the diagnosis that the pain is originating from the sacroiliac joint. Thereafter, a diagnostic sacroiliac joint block can be performed. The study aims to correlate findings from patient history and physical examination with eventual diagnosis.

Conditions

Sacroiliac Joint Somatic Dysfunction; Low Back Pain

Outcome Measures

Primary Outcomes (1)

• Final diagnosis

  Number of participants diagnosed with each condition of interest

  1-2 months

Study Arms (2)

Sacroiliac joint pain

Patients diagnosed with sacroiliac joint pain on the basis of history, physical examination and diagnostic sacroiliac joint block

Diagnostic Test: Complete clinical examination

Lumbar pain

Patients diagnosed with other chronic lumbar pathologies on the basis of history, physical examination and radiographic studies

Diagnostic Test: Complete clinical examination

Interventions

Complete clinical examination DIAGNOSTIC_TEST

Medical history-taking, physical examination with provocative maneuvers, radiographic imaging (if relevant), and sacroiliac joint block (if indicated), facet joint block (if indicated)

Lumbar pain; Sacroiliac joint pain

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients being evaluated in the clinic for chronic low back pain or buttocks pain with or without radiation to the legs.

You may qualify if:

• Patient being evaluated in clinic for chronic low back or buttocks pain with or without radiation to the legs

You may not qualify if:

• Patient has already undergone surgery for the condition of interest
• Inflammatory condition
• Active cancer

Sponsors & Collaborators

• University of Valencia: lead
• Hospital General Universitario de Valencia: collaborator

Study Sites (1)

Hospital General Universitario de Valencia

Valencia, Valencia, 46015, Spain

RECRUITING

Related Publications (1)

• Vanaclocha V, Jorda-Gomez P, Saiz-Sapena N, Vanaclocha L, Kennedy J. Diagnostic accuracy of clinical examination to distinguish sacroiliac joint pain as a cause of chronic low back pain. Br J Neurosurg. 2026 Feb;40(1):137-144. doi: 10.1080/02688697.2024.2433492. Epub 2024 Dec 10.

  PMID: 39654480 DERIVED

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Vicente Vanaclocha Vanaclocha, Full Professor

CONTACT

+34669790013; vivava@uv.es

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Medicine

Study Record Dates

• First Submitted: May 5, 2020
• First Posted: May 8, 2020
• Study Start: April 19, 2019
• Primary Completion: March 31, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: April 22, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)