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the tests are used in combination because individually they do not discriminate.","tier":"expert","standing":null,"status":"active","source_ids":["s4"],"source_status":"sourced","posted_by":{"actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:50.603Z"},"who_claims":"webhook","edges":[{"type":"supported_by","target":"s4","source_type":"pubmed","hash":"f7cc85504efa17e3"},{"type":"posted_by","actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:50.603Z"}],"why_material":"It is checkable at the appointment: one positive test presented as a diagnosis is a reason to ask what else was done.","content_hash":null,"stable_url":"https://miscsubjects.com/i/claim/sacroiliac-joint-dysfunction/c4","machine_url":"https://miscsubjects.com/api/articles/sacroiliac-joint-dysfunction/claims/c4"},{"id":"c5","div_id":"claim:c5","kind":"claim","text":"Radiofrequency denervation and ablation for this joint are supported by systematic review and case-level evidence rather than by randomised trials specific to the sacroiliac joint.","tier":"observational","standing":null,"status":"active","source_ids":["s5","s6"],"source_status":"sourced","posted_by":{"actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:50.856Z"},"who_claims":"webhook","edges":[{"type":"supported_by","target":"s5","source_type":"pubmed","hash":"d9bb416544b6ac11"},{"type":"supported_by","target":"s6","source_type":"pubmed","hash":"1d2c7de68341fecd"},{"type":"posted_by","actor":"webhook","channel":"webhook","ts":"2026-08-05T09:19:50.856Z"}],"why_material":"The evidence tier for the procedure most often offered is lower than patients assume, and naming it is the difference between consent and assent.","content_hash":null,"stable_url":"https://miscsubjects.com/i/claim/sacroiliac-joint-dysfunction/c5","machine_url":"https://miscsubjects.com/api/articles/sacroiliac-joint-dysfunction/claims/c5"}],"sources":[{"id":"s1","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41253507/","title":"Differential Diagnosis of Posterior Buttock Pain: A Conceptual Review Based on Topographic Localization of Pain, Is It Really the Sacroiliac Joint?","quote":"A regionalized, 6-zone framework for posterior buttock pain may enhance diagnostic accuracy and guide individualized management.","summary":"International Journal of Spine Surgery 2025: sorting posterior buttock pain by exact location into six zones — above the iliac crest, the crest, the lateral hip, the gluteal region, sciatic-nerve related, and the sit bone. Where you point narrows the cause.","claim_ids":[],"hash":"13743f228211923a28bcc965295db8bfe620e9e1cdae9bf46780ff0264daf81e","prev":"genesis"},{"id":"s2","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41318933/","title":"Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group","quote":"Answers to many questions were limited by low-quality evidence, indicating the need for better research.","summary":"Pain Medicine 2025: multi-specialty consensus guidelines on sacroiliac joint complex pain, stating the quality of their own evidence base in the abstract.","claim_ids":[],"hash":"36681aabdf23a4e385f67e2569f178a3d4e844490d27233f294f88ce3868f8e2","prev":"13743f228211923a28bcc965295db8bfe620e9e1cdae9bf46780ff0264daf81e"},{"id":"s3","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41320235/","title":"Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group","quote":"SIJ complex pain is a multifarious condition (ie, pain can be from different portions of both the intra- and extra-articular components of the joint) for which an interdisciplinary, mul","summary":"Regional Anesthesia and Pain Medicine 2025: the same consensus, describing why the evidence is thin — pain can come from inside the joint or from the structures around it, and a trial that mixes them produces a muddy result.","claim_ids":[],"hash":"769662ea6f178e5b82a32d7df58ee26a6dba4b22dcf3aefacd65684692b1d5ee","prev":"36681aabdf23a4e385f67e2569f178a3d4e844490d27233f294f88ce3868f8e2"},{"id":"s4","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/42370931/","title":"An Updated (2026) Best-Evidence Synthesis Appraisal of the Diagnostic Accuracy and Utility of Facet (Zygapophysial) Joint Injections in Chronic Spinal Pain","quote":"Only diagnostic accuracy studies meeting at least 50% of the predefined inclusion criteria were included in the analysis.The strength of evidence was graded using the Grading of Recomme","summary":"Pain Physician 2026: an updated best-evidence synthesis of the diagnostic accuracy work, applying strict inclusion criteria and grading what survived.","claim_ids":[],"hash":"f7cc85504efa17e3ede3738106b66d347bd6d9cc5cf559bc3988145c67751d20","prev":"769662ea6f178e5b82a32d7df58ee26a6dba4b22dcf3aefacd65684692b1d5ee"},{"id":"s5","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/40895698/","title":"Sacroiliac Joint Radiofrequency Ablation Therapy After Sacroiliac Joint Fusion","quote":"Effective management of SIJD requires a stepwise approach, with diagnostic injections playing a key role in confirming pain sources.","summary":"Cureus 2025: the stepwise logic stated plainly — diagnostic injections confirm the source before anything irreversible is considered.","claim_ids":[],"hash":"d9bb416544b6ac114df1c3ca1f6f644013b6e22863d157b08035dd28595bd014","prev":"f7cc85504efa17e3ede3738106b66d347bd6d9cc5cf559bc3988145c67751d20"},{"id":"s6","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/42463214/","title":"Current evidence on radiofrequency denervation for chronic low back pain: a systematic review and meta-analysis","quote":"Low to moderate certainty evidence suggested small improvements in pain and function with RF denervation versus sham for facet joint pain, sacroiliac, discogenic and non-specific chroni","summary":"BMJ Open 2026: radiofrequency denervation across the conditions it is used for, sacroiliac included. 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