Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group
SIJ complex pain remains an underappreciated source of chronic low back pain, affecting between 15% and 30% of patients with axial pain predominantly below L5. Answers to many questions were limited by low-quality evidence, indicating the need for better research. SIJ complex pain is a multifarious condition (ie, pain can be from different portions of both the intra- and extra-articular components of the joint) for which an interdisciplinary, multimodal treatment plan can optimize treatment outcomes.
Authors
- Karolina M. Szadek
- María Francisca Elgueta (ORCID: https://orcid.org/0000-0001-5513-7408)
- Allen S. Chen (ORCID: https://orcid.org/0000-0003-4541-8112)
- Alison Stout
- Narayan Kissoon (ORCID: https://orcid.org/0000-0002-6686-8537)
- Timothy Dawson (ORCID: https://orcid.org/0000-0001-8017-5836)
- R. Carter Cassidy (ORCID: https://orcid.org/0000-0001-7909-3219)
- Berenice Carolina Hernández-Porras (ORCID: https://orcid.org/0000-0003-3082-2825)
- Magdalena Anițescu
- David Provenzano (ORCID: https://orcid.org/0000-0002-2147-3523)
- Anna Woodbury (ORCID: https://orcid.org/0000-0003-0644-6049)
- Jan Van Zundert (ORCID: https://orcid.org/0000-0002-5389-2036)
- José Luiz de Campos
- Robert W. Hurley (ORCID: https://orcid.org/0000-0001-6591-9390)
- Anuj Bhatia (ORCID: https://orcid.org/0000-0001-6292-8654)
- Steven Paul Cohen (ORCID: https://orcid.org/0000-0001-5928-2127)
- Nuj Tontisirin (ORCID: https://orcid.org/0000-0002-5938-8893)
- Javier De Andrés Ares (ORCID: https://orcid.org/0000-0002-4385-9056)
- Salim M. Hayek (ORCID: https://orcid.org/0000-0001-7936-017X)
- Michael Vagg
- Nathaniel M. Schuster (ORCID: https://orcid.org/0000-0002-4970-6296)
- Lynn R Kohan (ORCID: https://orcid.org/0000-0003-0407-806X)
- Arun Bhaskar (ORCID: https://orcid.org/0000-0001-6263-3936)
- Zachary L. McCormick (ORCID: https://orcid.org/0000-0002-2483-1090)
- Jee Youn Moon (ORCID: https://orcid.org/0000-0001-5551-7750)
- Donna-Ann Thomas
- Clark C Smith
- Ltc David E Reece
Institutions
- Northwestern University (US)
- University of Cruz Alta (BR)
- University of Kentucky HealthCare (US)
- Uniformed Services University of the Health Sciences (US)
- Deakin University (AU)
- Imperial College Healthcare NHS Trust (GB)
- University of California, Los Angeles (US)
- Pontificia Universidad Católica de Chile (CL)
- University of Toronto (CA)
- University of Washington (US)
- University of Utah (US)
- Mahidol University (TH)
- Toronto Western Hospital (CA)
- University Hospitals of Cleveland (US)
- University of Virginia Health System (US)
- Walter Reed National Military Medical Center (US)
- Hospital Universitario La Paz (ES)
- UC San Diego Health System (US)
- Charing Cross Hospital (GB)
- New Generation University College (ET)
- Yale University (US)
- Maastricht University (NL)
- Cleveland Clinic Lerner College of Medicine (US)
- University of Chicago (US)
- Mayo Clinic in Arizona (US)
- Sewickley Valley Hospital (US)
- Asociación Mexicana de Psicología y Desarrollo Comunitario (MX)
- Ramathibodi Hospital (TH)
- Ziekenhuis Oost-Limburg (BE)
- Atlanta VA Health Care System (US)
- Wake Forest University (US)
- Columbia University (US)
- Vrije Universiteit Amsterdam (NL)
Publication Details
- Journal
- Regional Anesthesia & Pain Medicine
- Published
- 2025-11-29
- DOI
- https://doi.org/10.1136/rapm-2025-107387
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- U.S. Department of Defense
- Australian Government
- National Institutes of Health
- Advanced Research Projects Agency
- National Institute on Drug Abuse