SI Joint Dysfunction
Sacroiliac (SI) joint dysfunction occurs when the sacroiliac joint, which connects the spine to the pelvis, becomes inflamed or moves abnormally. Because the SI joint plays an important role in transferring forces between the upper body and legs, dysfunction can lead to pain and instability around the lower back and pelvis.
The condition most commonly causes pain in the lower back or buttock that may radiate into the hip, groin, or upper leg. Symptoms often worsen with prolonged standing, sitting, climbing stairs, or movements such as bending and twisting.
Non-Surgical Management
Many patients with SI joint dysfunction experience significant improvement with conservative treatment. The goal of non-surgical care is to reduce pain, improve stability, and restore normal movement of the pelvis and lower back.
Treatment options may include:
Physical therapy to strengthen the core and pelvic muscles, improve posture, and correct movement patterns that reduce stress on the SI joint
Diagnostic SI joint injections using a local anesthetic to confirm the SI joint as the source of pain
Therapeutic corticosteroid injections to reduce inflammation and provide temporary pain relief
Surgical Management
Surgery may be recommended when conservative treatments no longer provide lasting relief and SI joint dysfunction continues to significantly impact daily activities and quality of life.
Treatment may include:
Percutaneous SI joint fusion, a minimally invasive procedure that stabilizes the sacroiliac joint to reduce pain, improve function, and promote long-term joint fusion.
Diagnosis
Diagnosing SI joint dysfunction begins with a thorough medical history and physical examination. Your spine specialist will assess your symptoms and perform specific movement and provocation tests designed to determine whether the sacroiliac joint is the source of your pain.
Diagnosis may include:
Physical examination, including SI joint provocation tests such as the FABER, Fortin Finger Test, and compression tests
Diagnostic SI joint injections, using a local anesthetic to confirm the SI joint as the source of pain
Imaging studies, such as X-rays, MRI, or CT scans, to evaluate the spine and pelvis and rule out other causes of pain
Ready to Take the Next Step?
Whether you're seeking a second opinion or exploring treatment options, our fellowship-trained spine specialists are here to help. Schedule a consultation to discuss your symptoms and learn about the treatment options that are right for you.