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Sacroiliac Joint Pain

“A common source of pain that can be easily overlooked in back pain and simply treated without surgery”

The sacroiliac joint transmits vertical forces from the spine to the lower extremities. It does not have muscles that cross and stabilize the joint so the ligaments that surround the joint also stabilize it. It is thought to be the cause of 15% to 30% of chronic low back pain cases but it is often not considered in the assessment. Unfortunately, one third of lumbosacral spinal fusion patients also develop sacroiliac joint pain.

Why your sacroiliac joint hurts.

Pain originating from the sacroiliac joint may be caused by inflammation, fracture, ligamentous injury, arthritis or infection. It can be very difficult to differentiate between these diagnoses.

Symptoms:

• Pain may be felt in the buttocks, lower back, groin, abdomen, lower leg and  foot
• The pain is often on one side.
• The pain is often worsened with entering or exiting a car
• Often a pop is heard that results in pain relief

If you are experiencing pain in the lower back or leg you could be suffering from a problem with the sacroiliac joint. Our expert doctors at Spine & Sports Medicine of New York use expertise in innovative assessments to accurately diagnose the cause of your pain.

Other diseases that can mimic [diagnosis] include:

• Ankylosing spondylitis
• Lumbar disc pain
• Hip osteoarthritis
• Malignancy
• Myofascial pain
• Radiculopathy
• Referred visceral pain
• Rheumatoid arthritis
• Trochanteric bursitis
• Facet joint pain

Our Board-Certified Physicians Can Accurately Diagnose the Source of Your Pain

We conduct a thorough clinical evaluation to determine if the pain is generated from the sacroiliac joint as well as other conditions that sharesimilar symptoms. We begin our evaluation of your problem with a complete medical history using detailed information gathering tools followed by a focused physical examination. We then confirm our diagnosis with specialized tests which may include x-rays, CT, electrodiagnostic (EMG) studies, ultrasonography, or MRI.

“No surgery is needed to relieve your pain caused by the sacroiliac joint”

Treatments

• Nonsteroidal anti-inflammatory medications such as naprosyn or ibuprofen
• Analgesics
• Sacroiliac joint belt, especially in pregnancy related pain
• Focus on correcting strength and muscle imbalance
• Pelvic girdle muscle strengthening
• Joint mobilization
• Fluoroscopically-guided contrast-enhanced sacroiliac joint injection
• Ultrasound-guided sacroiliac joint injections
• Radiofrequency neurotomy

Here’s what you can expect if one of our pain specialists treats your pain:

• Relief of pain to get you back to living.
• Several treatment options available to target the root of the problem
• May be accompanied by physical therapy to strengthen the pelvic girdle muscles
• Many patients gain considerable to complete relief with simple interventional procedures
• No general anesthesia, surgery or prolonged recovery periods to slow you down from your busy schedule
• Thousands of patients have been helped by our innovative approach to nerve injuries.

References

Foley BS, Buschbacher RM. Sacroiliac joint pain: anatomy, biomechanics, diagnosis,  and treatment. Am J Phys Med Rehabil. 2006 Dec;85(12):997-1006.
Panagos A. Rehabilitation Medicine Quick Reference-Spine (ed. Buschbacher R.M.)  New York: Demos Publishing; 2010. p. 136-137.

Sacroiliac joint pain- This drawing shows the front of the sacroiliac joint.

Sacroiliac joint pain- This drawing shows the front of the sacroiliac joint.

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testimonials

Really sharp. Great background and credentials. Very accommodating once he knew leaving country on vacation. Picked up previously unknown BP issue in thorough exam and found possible hernia other doctors missed. Laid out complex diagnostic and treatment plan that made a lot of sense and was comprehensive, but also conservative. Did all the right things. New office. Liked him. Very competent staff too. Recommend without reservations.

Anonymous
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