Sacroiliac (SI) joint pain is a condition that arises when the sacroiliac joints, located at the base of the spine where the sacrum meets the iliac bones of the pelvis, become inflamed or dysfunctional. This joint pain can cause discomfort in the lower back, buttocks, and sometimes radiates down the legs, mimicking other conditions such as sciatica or lumbar disc herniation.
Sacroiliac joint pain can arise from various factors, including:
Understanding these causes is essential for effective treatment and management of sacroiliac joint pain.
Diagnosing sacroiliac (SI) joint pain begins with a thorough medical history and physical examination. Your doctor will ask about your symptoms, including the location, duration, and intensity of your pain, and any activities that exacerbate or relieve it. During the physical exam, the doctor will press on the SI joints, assess your range of motion, and perform specific tests like the FABER and Gaenslen’s tests to identify pain sources.
Imaging tests such as X-rays, MRI, or CT scans may be used to rule out other causes and provide a detailed view of the SI joints. A diagnostic injection of local anesthetic into the SI joint may also be performed to confirm the pain source.
At Spine & Pain Institute Los Angeles, we provide comprehensive diagnosis and personalized treatment plans tailored to each patient’s unique situation. Our goal is to offer effective relief and improve the quality of life for those suffering from sacroiliac joint pain.
Treatment often includes a combination of physical therapy, medications, and lifestyle changes. Physical therapy helps strengthen the muscles supporting the SI joints and improve flexibility. Medications like anti-inflammatories and pain relievers can help manage symptoms. Minimally invasive Sacroiliac Joint Fusion may be recommended if non-surgical methods don't provide any relief.
Common symptoms of sacroiliac joint pain include:
