Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group - Takeaways - MDSpire

Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group

  • By

  • Zachary L McCormick

  • Robert W Hurley

  • Magdalena Anitescu

  • Arun Bhaskar

  • Anuj Bhatia

  • Ryan Carter Cassidy

  • Allen S Chen

  • Timothy C Dawson

  • Javier De Andrés Ares

  • José Luiz de Campos

  • Salim M Hayek

  • Berenice Carolina Hernández-Porras

  • Narayan R Kissoon

  • Lynn R Kohan

  • María Francisca Elgueta Le Beuffe

  • Jee Youn Moon

  • David A Provenzano

  • David E Reece

  • Nathaniel M Schuster

  • Clark C Smith

  • Alison Stout

  • Karolina Szadek

  • Donna-Ann Thomas

  • Nuj Tontisirin

  • Michael F Vagg

  • Jan Van Zundert

  • Anna Woodbury

  • Steven P Cohen

  • November 30, 2025

  • 0 min

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  • 1

    The development of practice guidelines for managing sacroiliac joint complex pain involved 30 partner organizations and a steering committee.

  • 2

    Consensus was achieved on 21 diagnostic and treatment questions, with formal recommendations requiring ≥75% agreement among committee members.

  • 3

    Evidence supports the efficacy of sacral lateral branch radiofrequency ablation for extra-articular pathology, providing relief for at least 6 months.

  • 4

    Intra-articular injections are valid for diagnosing SIJ pain, while evidence for imaging and non-interventional therapies remains unclear or weak.

  • 5

    Sacroiliac joint complex pain affects 15% to 30% of patients with axial pain, highlighting the need for interdisciplinary and multimodal treatment approaches.

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