Sacroiliac Joint Pain: Conservative Care, Injections, Denervation and Fusion

Physical therapists and physical therapist assistants who see patients with low back, buttock and pelvic girdle pain and want a current, plain-language summary of how sacroiliac joint pain is managed across the whole care pathway.

Physical therapists and physical therapist assistants in outpatient orthopaedic, spine, pain management and hospital-based settings. The material is also relevant to clinicians who coordinate care with pain specialists, rheumatologists and spine surgeons.

Intended audience

Physical Therapy

Level

Intermediate

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

Based on: Migliorini F, Lucenti L, Bardazzi T, Bell A, Cocconi F, Maffulli N. “Management of sacroiliac joint pain: current concepts.” Systematic review, published 2025. doi:10.1007/s00590-025-04308-2. Open access under a Creative Commons Attribution 4.0 International licence.

All figures, findings and conclusions in this course come from that review. No outside data have been added.

After completing this course, you will be able to:

1. Describe the range of management options for sacroiliac joint pain reported in this review, from physiotherapy and medication through image-guided injection and radiofrequency denervation to minimally invasive fusion.
2. State what the review reported about who was studied, how long patients were followed, and how the authors judged the quality of the included studies.
3. Explain the limitations the authors identified in the existing literature and the conclusions they drew about moving from less invasive to more invasive management.

1. Start Here: How This Course Works
2. Podcast: Sacroiliac Joint Pain from Conservative Care to Fusion (about ten minutes)
3. Why Sacroiliac Joint Pain Is Hard to Pin Down
4. How the Review Was Built and Who Was Included
5. What the Evidence Showed for Physiotherapy, Medication, Injections and Denervation
6. Surgical Fusion and the Limits of the Evidence
7. What This Could Mean in the Clinic
8. Key Takeaways
9. Post-Test and Course Evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 0.5 contact hours (30 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. Based on: Migliorini F, Lucenti L, Bardazzi T, Bell A, Cocconi F, Maffulli N. “Management of sacroiliac joint pain: current concepts.” Systematic review, published 2025. doi:10.1007/s00590-025-04308-2. Open access under a Creative Commons Attribution 4.0 International licence.
2. All figures, findings and conclusions in this course come from that review. No outside data have been added.