Effectiveness of Manual Therapy in the Management of Sacroiliac Joint Pain and Disability: A Narrative Review

Background: Sacroiliac joint pain and disability is a significant and expensive condition that drives up healthcare expenses. Ten to twenty-five percent of people who suffer low back pain (LBP) have SIJ listed as a contributing factor. Objective: The purpose of this review is to investigate the use of manual therapy for the management of SIJ syndrome, identify any gaps in the literature on the topic, and offer suggestions for future research in the area. Methods: This study was conducted as a narrative review. A search for relevant studies in English has been conducted across several databases, including PubMed NCBI, Trip Medical Database as well as PEDro – Physiotherapy Evidence Database, for randomized controlled trials (RCTs) published from 1992 to July 2024. The search included the use of manual therapy in SIJ dysfunction and pain management. Results:  Nine RCTs were included. Manual therapy was shown to be the preferable course of treatment for pain and function disability when compared to alternative forms of therapy  Conclusion: All of the studies in this review demonstrated the effectiveness of manual therapy in treating SIJ patients' pain and improving their functioning.