2025 Multidisciplinary International Working Group Consensus Practice Guidelines: Sacroiliac joint complex pain interpretation

Over the past two decades, significant advancements have been achieved in the diagnosis and treatment of sacroiliac joint (SIJ) complex pain. These advances include anatomical studies elucidating the neural innervation mechanisms, research clarifying the impacts of extra-articular factors on SIJ complex pain, and the clinical application of radiofrequency ablation as well as a wide spectrum of minimally invasive surgical techniques. Nevertheless, a unified standardized protocol for the diagnosis and treatment of SIJ complex pain remains to be established. In 2025, the American Academy of Pain Medicine (AAPM) and the American Society of Regional Anesthesia and Pain Medicine (ASRA-PM) convened 27 professional organizations to revise and promulgate multidisciplinary clinical practice guideline for SIJ complex pain. This article conducts a comprehensive interpretation of the aforementioned guideline, compares it with relevant expert consensus documents in China, analyzes the consistencies and divergences in their diagnosis and treatment, and provides a reference for clinical practice.

过去20年间，骶髂关节（sacroiliac joint，SIJ）复合体疼痛的诊疗水平取得了显著进展，主要体现在神经支配机制的解剖学研究、关节外因素对疼痛影响的解析，以及射频消融术与多种微创手术技术的应用。然而，目前SIJ复合体疼痛的诊疗方案尚未形成统一标准。2025年，美国疼痛医学学会（AAPM）与美国区域麻醉与疼痛医学学会（ASRA-PM）联合27家专业机构，修订发布了SIJ复合体疼痛的多学科诊疗指南。本文对该指南进行全面解读，并与中国国内相关专家共识进行对比，分析两者在疾病诊疗策略上的一致性与差异性，以期为临床实践提供参考。.