Sacroiliac joint disease causes 10-27% of all cases of chronic lower back pain. After determining your pain originates in the sacroiliac joint, Nameer Haider, MD, and the team at OMNI Pain & Precision Medicine develop an individualized treatment plan that effectively alleviates your pain and helps you stay active. If you have lower back, hip, or leg pain, call the office in Clinton, New York, or use the online booking feature to schedule an appointment.
The sacroiliac (SI) joint connects your spine to your pelvis. Most joints in your body are designed to allow maximum movement. However, the SI joint has limited movement because its primary job is to support the weight of your upper body.
SI joint disease occurs under two conditions. It develops when the joints become inflamed, a condition called sacroiliitis. You can also develop SI joint disease when there’s too much or too little movement in the joint. Normal wear and tear, arthritis, a sports injury, fall or repetitive activities like jogging can all cause SI joint disease.
Pain is the primary symptom of sacroiliac joint disease. However, the pain is usually felt in your lower back, legs, and buttocks rather than in the joint. It may radiate to your lower hip, groin, or upper thigh.
The pain is typically worse when sitting, standing, walking, or sleeping on the affected side. You’re also more likely to feel the pain when you move from sitting to standing or while climbing stairs.
Because your pain appears in places other than the joint, SI joint disease can be hard to diagnose. Your doctor may put you through maneuvers that place pressure on the joint.
However, one of the best ways to determine if the joint is the source of your pain is by injecting a local anesthetic into the joint. If your pain improves, the test confirms the SI joint is the source of the problem.
Treatment for SI joint disease begins with conservative options, such as physical therapy, medication to relieve the pain, and chiropractic manipulation. If you need more pain relief, your provider at OMNI Pain & Precision Medicine may recommend:
Your provider at OMNI Pain & Precision Medicine injects steroids and a local anesthetic into the joint. The anesthetic blocks pain signals from nerves to your brain, while steroids reduce inflammation and relieve pain.
Radiofrequency energy is used to wound the specific nerve carrying pain signals to your brain. The wound blocks nerve transmission, so your brain doesn’t get the message that you should be in pain.
As a last resort, some patients with ongoing pain may need minimally invasive surgery to fuse the SI joint. This procedure stabilizes the joint, which relieves your pain.
If you have SI joint pain or lower back pain, call OMNI Pain & Precision Medicine or schedule an appointment online.