Abstract：
BACKGROUND: Acute injury to the sacroiliac joint (SIJ) can result from high-energy external forces that cause a combination of axial loading and sudden rotational movements, resulting in severe pain that cannot be relieved by regular nonsteroidal anti-inflammatory drugs. The treatment includes injections of steroids and local anesthetics to reduce pain and promote healing. Here, we report the case of a patient with acute sacroiliac pain who did not respond to conventional injection therapy.
METHODS: A 58-year-old male patient who did not exercise regularly experienced pain in his left groin and difficulty walking while kicking on his right leg. He received two injections and manual therapy at a local orthopedic clinic; however, his symptoms did not improve despite taking painkillers.
METHODS: Radiographic images showed no abnormalities. After confirming the cause of onset, pain pattern, physical examination, and tenderness, the patient was diagnosed with an acute SIJ sprain (static blood).
METHODS: At the first visit, a single acupotomy was performed on the seven treatment points identified during the physical examination, and immediate improvement in symptoms was confirmed. From then on, Korean medicine (KM) treatments, such as acupuncture, cupping, chuna, and bee venom pharmacopuncture, were performed.
RESULTS: Immediately after acupotomy, groin pain improved by 80 %, gait immediately normalized, and the patient showed no symptoms at the 9th visit.
CONCLUSIONS: For SIJ-type groin pain that does not respond to existing treatments, immediate relief is achieved after a single acupotomy at the exact treatment point. Therefore, in the future, the importance of identifying a precise treatment point for SIJ pain should be recognized, and the use of Korean medicine treatment techniques, including acupotomy, should be considered.
METHODS: A 58-year-old male patient who did not exercise regularly experienced pain in his left groin and difficulty walking while kicking on his right leg. He received two injections and manual therapy at a local orthopedic clinic; however, his symptoms did not improve despite taking painkillers.
METHODS: Radiographic images showed no abnormalities. After confirming the cause of onset, pain pattern, physical examination, and tenderness, the patient was diagnosed with an acute SIJ sprain (static blood).
METHODS: At the first visit, a single acupotomy was performed on the seven treatment points identified during the physical examination, and immediate improvement in symptoms was confirmed. From then on, Korean medicine (KM) treatments, such as acupuncture, cupping, chuna, and bee venom pharmacopuncture, were performed.
RESULTS: Immediately after acupotomy, groin pain improved by 80 %, gait immediately normalized, and the patient showed no symptoms at the 9th visit.
CONCLUSIONS: For SIJ-type groin pain that does not respond to existing treatments, immediate relief is achieved after a single acupotomy at the exact treatment point. Therefore, in the future, the importance of identifying a precise treatment point for SIJ pain should be recognized, and the use of Korean medicine treatment techniques, including acupotomy, should be considered.
摘要：
背景：骶髂关节（SIJ）的急性损伤可能是由高能外力引起的，这些外力导致轴向载荷和突然的旋转运动相结合，导致严重的疼痛，不能缓解常规的非甾体抗炎药。治疗包括注射类固醇和局部麻醉剂以减轻疼痛并促进愈合。这里,我们报道了1例急性骶髂关节疼痛患者对常规注射治疗无反应.
方法：一名58岁男性患者，没有经常运动，左腹股沟疼痛，右腿踢腿时行走困难。他在当地骨科诊所接受了两次注射和手动治疗；然而，尽管服用了止痛药，但他的症状没有改善。
方法：射线照相图像显示无异常。在确认发病原因后,疼痛模式，体检,和温柔，患者被诊断为急性SIJ扭伤(静血).
方法：第一次就诊时，在体格检查过程中确定的七个治疗点进行单针刀治疗，症状立即得到改善。从那时起,韩国医学（KM）治疗，比如针灸，拔罐,Chuna,和蜂毒药物穿刺，被执行了。
结果：针刀切除术后立即，腹股沟疼痛改善80%,步态立即恢复正常，患者在第9次就诊时没有出现症状。
结论：对于对现有治疗无反应的SIJ型腹股沟疼痛，在确切的治疗点进行一次针刀切除术后，可以立即缓解。因此,在未来,应该认识到确定SIJ疼痛的精确治疗点的重要性，以及使用韩国医学治疗技术，包括针刀,应该考虑。
方法：一名58岁男性患者，没有经常运动，左腹股沟疼痛，右腿踢腿时行走困难。他在当地骨科诊所接受了两次注射和手动治疗；然而，尽管服用了止痛药，但他的症状没有改善。
方法：射线照相图像显示无异常。在确认发病原因后,疼痛模式，体检,和温柔，患者被诊断为急性SIJ扭伤(静血).
方法：第一次就诊时，在体格检查过程中确定的七个治疗点进行单针刀治疗，症状立即得到改善。从那时起,韩国医学（KM）治疗，比如针灸，拔罐,Chuna,和蜂毒药物穿刺，被执行了。
结果：针刀切除术后立即，腹股沟疼痛改善80%,步态立即恢复正常，患者在第9次就诊时没有出现症状。
结论：对于对现有治疗无反应的SIJ型腹股沟疼痛，在确切的治疗点进行一次针刀切除术后，可以立即缓解。因此,在未来,应该认识到确定SIJ疼痛的精确治疗点的重要性，以及使用韩国医学治疗技术，包括针刀,应该考虑。
