Family History of Sacroiliac Joint Pain as a Risk Factor for Development of Sacroiliac Joint Pain: A Case-Control Study
Abstract
Background
Chronic lower-back pain is among the most common health problems and accounts for a significant amount of disability worldwide. Sacroiliac joint (SIJ) pain is one of the leading causes of lower-back pain; however, diagnosis of SIJ pain can sometimes be challenging. Family history is a known predictive factor for arthritis in both seropositive and seronegative arthropathies, including osteoarthritis; however, the role of family history in SIJ pain has not been studied.
Study
This case-control study examined whether family history of SIJ pain is a risk factor for developing SIJ pain.
Discussion
Results indicate that a high proportion of patients with SIJ pain reported positive family history of SIJ pain (58.6% vs 10.5%, P < .001). Cases were 6.5 times more likely than controls to report any relative with history of SIJ pain.
Conclusion
Patients with a prior family history of SIJ pain can be identified early, monitored closely, diagnosed early, and started on aggressive physical therapy and close follow-up.
How strong is the evidence?
Evidence Hub reads this as a case-control. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.
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