Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Nov 1997
ReviewThe sacroiliac joint: a review of anatomy and biomechanics with clinical implications.
To examine the biomedical literature pertaining to the anatomy and biomechanics of the sacroiliac (SI) joint to update current concepts and treatment of SI joint dysfunctions. ⋯ Treatment of the SI articulation is difficult and all known SI joint tests have questionable validity, with the exception of pain provocation tests. Clinical treatment should be aimed at improving the stability of the surrounding soft tissues and at reducing mechanical stresses and strains from poor posture or using orthotics to level the sacral base. Much more research is needed in the treatment of this area.
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J Manipulative Physiol Ther · Nov 1997
Case ReportsManipulation under epidural anesthesia with corticosteroid injection: two case reports.
To discuss the combined use of selective epidural steroid injection (ESI) and spinal manipulative therapy (SMT) in treating recalcitrant lumbar radiculopathy. ⋯ This article discusses an integrated procedure that combines two standard treatments that may act synergistically. Our positive results are consistent with other reports, both published and anecdotal. The technique of MUEA warrants further investigation by the health care industry.