BMJ · 1924 · 21 citations · 0 references
MedicineOrthopaedic SurgeryAnatomic PathologyPain MedicineRheumatologyDiabetes MellitusPelvic PainPelvic Pain SyndromesClinical History AssessmentSystematic Physical Examination
This pain is commonly felt over the sacro-iliac joints, but I would again emphasize that it is not a deep pain, and a little practice will easily eniable us to discriminate betweeni this and the deep tendelness associated with paini on lateral eompl)ression of the pelvis which is characteristic of sacro- iliac disabilities. It would seem that by calling attention to suclh a imultiplicitv of possible causes of lumbo-sacral l)ackache 1 lhave but added to the difficulties of the subject, but these cases are very trying and often the trouble is of very long duration. By realizing the possible causes we may often by systematic examination and exclusion reach the correct solutioni at once, or, even if we do not do so, we may appreciate the fact that the paill is due to several of these causes combinied in a vicioIIs circle, anid we may attack the different parts of that circle seriatim and achieve a cure.