UC San Diego School of Medicine, Continuing Medical Education
(619) 543-7602 | ocme@ucsd.edu | cme.ucsd.edu
July 2012 October 2012 October 2012 December 2012


8:00 am Breakfast and Registration
8:30 am Welcome and Introduction
8:40 am Presentation of Sacroiliac Joint Pain

  • Prevalence of SI joint pain
  • Patient history/presentation (typical onset, pain location, exacerbating activites, etc.)
  • Causes of SI joint pain/risk factors
  • Pain referral patterns
9:15 am Sacroiliac Joint Anatomy

  • Joint type
  • Function
  • Capsular anatomy and ligamentous supporting structures
  • Innervation
  • Biomechanics as a pain generator
9:50 am Break
10:05 am Diagnosis of Sacroiliac Joint Dysfunction

  • Differential diagnosis (lumbar facets, discogenic pain, myofascial pain, piriformis syndrome,¬†“lumbago”, post-laminectomy pain syndrome, sacral fracture, hip OA, iliotibial band syndrome, lumbar radiculopathy, ankylosing spondylitis, infection)
  • Diagnostic imaging studies
  • Diagnostic physical exam tests/maneuvers: ¬†pointing to PSIS, pain with SI joint palpation, shear test (sacral sulcus test), Patrick’s/Faeber maneuver, Yeoman’s maneuver, Gaenslen's maneuver
  • Diagnostic blocks: intra-articular vs MBB/LBB, ISIS guidelines
10:40 am Sacroiliac Joint Pain Treatment

  • Conservative therapy (NSAIDS, physical therapy, SI belt)
  • SI joint injections and other interventional therapies: approach, images, and evidence
  • SI joint fusion
  • Cases
11:15 am Hands-on Physical Exam

3 stations, each with a model and proctor

11:45 am Panel Discussion & Question and Answer
12:00 pm Adjourn

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UC San Diego School of Medicine, Continuing Medical Education    •    2251 San Diego Ave., A-160   •   San Diego, CA 92110-2981  
 Phone: (619) 543-7602    •    Toll-Free: (888) 229-6263    •    Fax: (619) 543-7610    •   E-mail: ocme@ucsd.edu    •   Website: cme.ucsd.edu

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