RESEARCH ARTICLE


Sacroiliac Joint Pain: A Study of Predisposing Factors in an Indonesian Hospital



Yusak M.T. Siahaan*, Vinson Hartoyo
Department of Neurology, Siloam Hospital Lippo Villagen, Jalan Boulevard Jendral Sudirman, Tangerang 15811, Indonesia


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© 2019 Siahaan and Hartoyo.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Department of Neurology, Siloam Hospital Lippo Villagen, Jalan Boulevard Jendral Sudirman, Tangerang 15811, Indonesia; Tel: +6221 0815 8627 0028; E-mail: yusak.mangara@siloamhospitals.com


Abstract

Background:

Sacroiliac joint pain has been one of the most common causes of lower back pain, regardless of gender. Diminished pain after an anaesthetic block has been the only gold standard diagnostic procedure, making the diagnosis become challenging due to the needs of fluoroscopic procedure. Thus, a study to find predisposing factors of sacroiliac joint pain is pivotal for primary prevention and prognosis predictor.

Objective:

Our study aims to find predisposing factors of sacroiliac joint pain in Indonesian patients.

Methods:

We conducted a prospective study on patients with a chief complaint of lower back pain whose pain diminished after anaesthetic block.

Results:

We found 99 subjects, with a male to female ratio of 1:2.19, aged from 21 to 75 years old (mean: 42.88). In addition to multiparous pregnancy and obesity, office-based occupation and prolonged sitting duration are also becoming major predisposing factors of sacroiliac joint pain (50.5% and 51.51% respectively). We also found majority of the patients with a history of vertical trauma with the onset of pain 1 year post trauma.

Conclusion:

We found some factors that can be considered to trigger sacroiliac joint pain that are: female gender, advancing age, pregnancy history, long sitting duration and office worker occupation.

Keywords: Indonesia, Low back pain, Predisposing factors, Sacroiliac joint pain, Multiparous pregnancy, Vertical trauma.