Your sacroiliac joints (we call them the "SI" joints) are the places where your hips meet your spine. These joints don't have a lot of flexibility, but they do move slightly as you move your body. And if SI joints become damaged or diseased, it can be painful. SI joints hurt when tiny nerves in the joints become irritated. That happens if your joint is damaged in a traumatic injury. It can happen if you have arthritis, which causes the joints to break down over time as you age. You can also feel pain in the SI joints if the supporting ligaments become irritated. That happens if you walk with a limp or have some other issue that places more stress on one hip than the other.
SI joint pain starts in your lower back and buttock. It can radiate to your hip, groin and thigh. Your leg may feel weak. It may feel numb or tingly. You may notice SI joint pain when you are sitting or lying down. You may also notice it when you are walking or climbing stairs, or when you try to stand up after sitting. Usually, SI joint pain is felt only on one side. But if both joints are affected, you may feel pain on both sides.
Often SI Joint conditions are
diagnosed with a combination of
an individual’s pain pattern history and
physical exam findings. History of lumbar
to sacrum fusion, direct trauma to the SI
joint or childbirth may help with diagnosis
Treatment depends on the cause of your pain. You
may benefit from physical therapy, or from
injections of medicine into your joint. Anti-inflammatories may help relieve pain. You may
benefit from a procedure called "radiofrequency
ablation" or SI joint intra-articular injections. If the results from the injection or radiofrequency ablation diminish, a SI Joint Fusion may be an option to stabilize your joint. The specialists at Spine Nevada
can create a plan that's right for
you. Request an appointment here.
The SI JOINT FUSION treatment
option has been around for a
few decades. Recent advances
in technology now allow an easier, safer,
and more successful approach to SI
JOINT FUSION. This new posterior approach
procedure is performed by neurological
or orthopedic surgeons, as well
as qualified pain and physical medicine &
rehabilitation interventional physicians.
Typically, one or two implants to a single
joint is needed depending on joint
stability and the individuals needs. The small implant, less than 3 cm, is made of
structural allograft bone and is placed with a
bone-like epoxy to aid in fusion. Request an appointment here.
Candidates for SI JOINT FUSION:
* Individuals with a diagnosis of
SI Joint as a source of back pain
* Individuals who’ve had at least 2
SI Joint Injections that offered 50%
or more pain relief.
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