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SI Joint Pain


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Back pain is one of the most common health complaints in America, and something that we at Remedy Pain Solutions treat every single day. While many patients have heard about disc herniations causing lower back pain or hip pain, not all are aware of a completely different condition which may actually be responsible for similar symptoms. If you are suffering with lower back pain or pain in the back of the hip, you may actually be experiencing “sacroiliitis,” or inflammation of the sacroiliac joint.

The sacroiliac (SI) joint is the place where the wing-shaped bone at the top of the pelvis, called the ilium, meets the bottom part of the spine, called the sacrum. With one joint on either side of the sacrum, these two joints move together as a single unit to provide shock absorption for the lower part of the spine. Handling such large forces on a daily basis, these joints are reinforced by strong surrounding ligaments which stabilize the joint while still allowing a small amount of movement necessary for a normal walking gait pattern. Just as you might expect with any other weight-bearing joint in the body, inflammation and wear-and-tear arthritis are common in the sacroiliac joints.

Pain caused by sacroiliac joint inflammation will present to either side of the lower spine near the waistline. When severe, the pain can radiate to the hip, groin, buttocks, and even down the back of the thigh to the knee. Pain can be caused by any asymmetric movements of the pelvis, and worsened by certain movements, exercises, or body positions. Physical therapy and oral anti-inflammatory medications may resolve pain for some patients, but others may find localized steroid injections more helpful. For those patients who continue to have pain that was not relieved by conservative treatments, surgical fusion of the sacroiliac joint can be performed by a specialist.

At Remedy Pain Solutions, our providers are extremely familiar with the diagnosis and treatment of sacroiliac joint pain. Our physicians complete sacroiliac joint injections under fluoroscopic (x-ray) guidance, making these injections very safe and accurate. Anti-inflammatory steroids are commonly used in the injection to reduce joint inflammation, while regenerative treatments such as platelet-rich plasma (PRP) or alpha-2 macroglobulin (A2M) are also options available at Remedy Pain Solutions. If you are suffering from pain in the low back near the sacroiliac joints, schedule a consultation with one of our providers at Remedy Pain Solutions to begin the journey back to a pain-free life.

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