Wednesday, September 10, 2008

HIP & SI JOINT PAIN PATTERNS

Hip joint pain referral patterns

From the study of Lesher JM we found following
The areas of pain referral in decreasing order of occurrences to Buttock in > Thigh > Groin > Lower extremity distal to the knee > Foot > Knee.
Conclusion: Lesher JM; concluded that Buttock pain was among the most common pain referral area from a symptomatic hip joint. Traditionally accepted groin and thigh referral areas were less common. Hip joint pain can occasionally refer distally to the foot. Lower lumbar spine referral did not occur.
SI joint pain referral patterns
From the study of Slipman CW we found following
The areas of pain referral in decreasing order of occurrences to Buttock in > lower lumbar pain> Groin > lower-extremity pain > leg pain distal to the knee > foot pain.
Conclusion: Pain referral from the sacroiliac joint does not appear to be limited to the lumbar region and buttock. The variable patterns of pain referral observed may arise for several reasons, including the joint's complex innervation, sclerotomal pain referral, irritation of adjacent structures, and varying locations of injury with the sacroiliac joint.

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