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SI Joint Pain

Overview

SI Joint Pain

Sacroiliac joint pain is often overlooked as a source of low back and radiating lower extremity symptoms. Dr. Guirgues will evaluate you and help determine whether this is a cause for your low back symptoms and provide treatment options That are custom tailored to your specific condition.

What is SI Joint Pain?

SI joint pain refers to discomfort originating from the sacroiliac (SI) joint, which connects the sacrum (the triangular bone at the base of your spine) to the ilium (part of the pelvis). There are two SI joints, one on each side of your lower back.

Causes

SI joint pain can happen for a number of reasons, including:

Trauma or injury
Pregnancy and childbirth
Leg length discrepancy
Arthritis
Previous lumbar spine surgery
Repetitive stress

Symptoms

Low back pain, typically off to one side
Pain in the buttock, groin, hip, or upper thigh
Pain worsens with standing, walking, climbing stairs, or transitioning from sitting to standing
Sometimes misdiagnosed as lumbar disc or sciatica pain

Treatment Options

Your treatment program could consist of therapies such as:

Physical therapy
NSAIDs or other pain medications
SI joint injections (steroids + anesthetic)
Radiofrequency ablation
SI joint fusion surgery (if conservative treatments fail)

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