MRI may thus be an additional diagnostic tool. Treatment involves manipulative techniques that are easily learned. Occasionally, repeat manipulations may be necessary until the joint stabilizes and the surrounding soft tissues tighten. A home program of directed stretching and strengthening is also advisable. An excellent discussion of treatment principles for pelvic joint dysfunctions is extensively covered elsewhere.
Expeditious treatment improves the clinical outcome.
Delay of diagnosis allows the joint to stay in a dysfunctional position, prolonging the attended stretch of supporting ligaments, muscles, and tendons. This leads to joint instability, muscle imbalance, and muscle weakness. Presumably, chronic inflammation and possible adhesions within the joint may also be a factor in the chronic pain and prolonged impairment that may result. Since patients presenting with pelvic joint dysfunctions do not fit the standard medical paradigms regarding low back or groin pain, this clinical picture poses a diagnostic dilemma to physicians not trained in manual medicine techniques. Misdiagnosis is common.