The AAO Journal, 2016/06, 26(2):7-11, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://www.academyofosteopathy.org)

Keywords:

low back pain [523]
sacroiliac joint [76]
sacroiliac joint fixation [1]
sacrum [21]
sacral base [5]
heel lift [11]
custom molded orthotics, [1]
case report [736]

Abstract:

This is a report of a case in which a 55-year-old female underwent fixation surgery to stabilize her left sacroiliac joint (SIJ) after a motor vehicle accident in 2008. She complained of persistent low back pain (LBP) resistant to conservative care until 2015 when she visited the physical medicine and rehabilitation service at the Hampton VA Medical Center in Virginia. The patient was diagnosed with an unleveled sacral base. She was treated with a 6 mm heel lift and with custom molded orthotics incorporating the lift, which leveled her sacral base. Reduced patient-reported pain scores were documented, coinciding with sacral base leveling. To the authors’ knowledge this is the first case reported involving the use of orthotics for leveling the sacral base after left SIJ fixation.