Spinal Manipulation and Dry Needling Versus Conventional Physical Therapy in Patients With Sacroiliac Dysfunction

Exclusion Criteria

• •1. Cauda Equina Syndrome
• •2. Neurologic presentation consistent with upper or lower motor neuron dysfunction due to spinal involvement (ie myelopathy or nerve compression, hyperreflexia, pathologic reflexes, depressed or absent reflexes in the lower extremities, motor weakness involving major muscle groups of lower extremity, unsteady gait, diminished or absent pin prick sensation in the legs and/or feet)
• •3. Spinal fractures
• •4. Currently pregnant
• •5. Co-existing medial problems / comorbidities (e.g., severe osteoporosis, tumors, inflammatory or infectious conditions, diabetes, angina, severe hypertension, RA, etc.)
• •6. Involvement in litigation of worker's compensation claim for low back
• •7. Physical therapy or chiropractic treatment for low back pain in the 3 months before initial examination
• •8. Any indication that might contraindicate spinal manipulative therapy.
• •9. Recent surgery to the lumbar or thoracic spine.