Sacroiliac Joint Disorder

Pain in the sacroiliac joint, with no abnormal findings detected in MRI, CT, etc.,
accompanies the tragedy in which many patients are not easily diagnosed and may
be introduced to psychiatric or psychosomatic medicine.
I first realized 23 years ago that sacroiliac joint pain was undeniably a source of
low back pain. Since then, we have treated more than 4000 patients with sacroiliac
joint pain.
However, in the beginning, most clinical opinions seemed to agree that the sacroiliac joint is not mobile and thus must not cause pain. Since we announced that
there were patients who could return to work after the fusion of the sacroiliac joint,
the number of physicians who consider the sacroiliac joint to be a source of the low
back pain has been gradually increasing.
The Japanese Sacroiliac Joint Research Society was founded in November 2009,
and we have already had seven annual meetings. Physicians including orthopedic
surgeons, neurosurgeons, pain clinicians, and medical staff who have an interest in
sacroiliac joint pain are increasing in number in Japan.
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In order to allow physicians to recognize the existence of sacroiliac joint pain, it
is most useful for them to actually experience the effect of the sacroiliac joint injection. For this purpose, my book was published in Japan in 2012 to introduce our
method of diagnosis and injection for sacroiliac joint pain.
These days, in the USA and Europe, new methods of sacroiliac joint fusion have
been developed, such as the iFuse implant system and DIANA. Furthermore, more
than 32,000 patients, mainly in the USA and Europe, have already undergone sacroiliac joint fusion using the iFuse implant system since 2009, which the North
American Spine Society (NASS) recommends. Attention paid to sacroiliac joint
pain has been increasing in the world.
Based on the idea that anywhere in the world, even at a clinic on an isolated
island, the diagnosis and treatment of sacroiliac joint pain (disorder) can be performed, while referring to this book. I set out to write this book.
I pray deeply that this book will be useful for physicians who treat patients suffering from undiagnosed low back pain and a day will come when the correct diagnosis and treatment of sacroiliac joint disorder is carried out all over the world