Sacroiliac Joint Dysfunction

What is Sacroiliac Joint Dysfunction?

The sacroiliac joint is a small, yet very strong joint that lies next to the bottom of the spine, below the lumbar spine and above the coccyx. It connects the sacrum with the pelvis. The sacroiliac joints are two cushioning, shock-absorbing structures. Each joint is located on either side of a patient’s spine and helps carry the weight of the upper body.

S.I. joint pain,” sacroiliac joint dysfunction is considered to be a primary cause of lower back and leg discomfort. Sacroiliac joint dysfunction usually begins when one or both of the joints become inflamed or irritated for any number of reasons, which may continue to worsen. With professional medical treatment, however, many patients with sacroiliac joint dysfunction achieve full recovery.

Sacroiliac Joint Dysfunction image


Sacroiliac Joint Dysfunction: Causes

Usually, sacroiliac joint dysfunction develops as the result of natural degenerative, age-related changes in the spine and joints. However, a variety of additional factors can also cause or intensify sacroiliac joint dysfunction and pain, including:

  • Sudden injuries or traumas, which might occur during a high-impact sport, car accident or fall
  • Frequent, incorrect movements that affect the joints, including improper jogging, uneven strides, driving long distances or improperly lifting heavy objects
  • Arthritis, especially osteoarthritis, which involves the deterioration of the cartilage that keeps bones in the sacroiliac joints from grinding against one another
  • Pregnancy, due to hormones released that can cause joints to loosen
  • Gout
  • Bacterial infection
  • Family history, genetics or congenital birth abnormalities, like one leg being longer or shorter than the other
  • Obesity or extra weight
  • Malnutrition
  • Lack of exercise and extended periods of rest
  • Previous spine-related complications or injuries

To prevent sacroiliac joint dysfunction, it is important to proactively address concerns and take the necessary steps to ensure that your spine stays healthy throughout your lifetime. During a consultation at Minimally Invasive SpineCARE®, one of our skilled spine specialists can assess your risk of contracting sacroiliac joint dysfunction and other painful conditions. We can also provide preventative methods of care that are tailored to your unique lifestyle and goals, so that you have the tools you need for long-term spine wellness.


Sacroiliac Joint Dysfunction: Symptoms

Because the sacroiliac joints have a specific location within the body, symptoms are typically highly localized. Some indicators include:

  • Dull or sharp pain in the lower back and hips that sometimes extends to the groin and/or thighs
  • Discomfort that worsens when standing or walking and improves when lying down
  • Stiffness throughout the affected area
  • A limited range of motion
  • Burning sensations in the pelvic region
  • Inflammation

If you are having trouble pinpointing the precise region of your body that is causing you to feel uncomfortable, our team of spine experts can conduct an advanced pain-mapping procedure to identify the exact origination of your pain. Generally, the more information that we can gather about your spine condition, then the more we can ensure an optimal treatment for your needs.

Patients who suffer from fever, bladder o bowel incontinence should call 911 immediately, as these symptoms may constitute a medical emergency.


Our Minimally Invasive Treatment Approach

Deficiencies in the sacroiliac joints may keep you from fully participating in everyday activities. However, there are many safe and effective treatments for S.I. joint pain, which oftentimes allow patients to make a full recovery from even the most severe cases of sacroiliac joint dysfunction. Our experienced physicians and surgeons regularly help patients find sustainable solutions to this condition and many others. By scheduling a consultation today, you can take control of your health and regain your quality of life.

During your initial visit, we will carefully review your medical history and conduct a thorough examination of your symptoms and physical state. Because sacroiliac joint dysfunction can easily be mistaken for other conditions, we may request a C.T. scan, MRI, X-ray or other imaging tests to rule out inaccurate diagnoses. An anesthetic injection block applied to the S.I. joint may also be considered, as this procedure is considered the gold standard as far as diagnostic tests for sacroiliac joint dysfunction go. After obtaining a comprehensive diagnosis, our team can design a treatment plan to meet your individual needs and specifications.

Because of the immense amounts of research and evidence behind conservative treatments, these are typically recommended before surgery becomes an option. Some of the most beneficial non-surgical methods of care for sacroiliac joint dysfunction include:

  • Pain-relieving and anti-inflammatory medications, which may be delivered topically, orally or through advanced methods such as localized injections, ultrasound technology or electrical stimulation therapy
  • Physical therapy and guided exercises
  • Heat and ice therapies, which optimize the body’s circulatory and healing processes
  • Therapeutic massage
  • Chiropractic manipulations
  • Assistive devices like a sacroiliac belt (this tool, in particular, is commonly used for pregnant patients as their pain will likely resolve after giving birth)
  • Psychological support

If non-invasive treatments do not appear to be giving our patients the relief they need, then our medical specialists and experienced physicians will discuss minimally invasive surgical options. In many sacroiliac joint dysfunction cases, our Board-certified spine surgeons will perform an interbody fusion. This state-of-the-art procedure removes cartilage from the sacroiliac joints and fuses the bones together, which often results in nearly immediate pain relief. As the premier spinal clinic in the Dallas – Fort Worth area, our patients experience many benefits as the result of our minimally invasive techniques. The following are just a few of the reasons why minimally invasive surgeries surpass traditional open surgeries in regards to patient advantages:

  • Tiny incisions
  • A reduced risk of blood loss or scarring
  • Minimal trauma to surrounding muscles and tissue
  • Quicker recovery times that allow patients to rapidly return to work, school and other responsibilities
  • Faster pain relief

Through patient-centric care and personalized attention, we are committed to ensuring that you have a positive recovery process. If you would like to learn more about sacroiliac joint dysfunction available treatments or Minimally Invasive SpineCARE®, please contact us. We look forward to helping you feel better, faster!



About Us

The first in Texas to perform micro-endoscopic laser spine surgery with an incision as small as 3 mm, Dr. Won advises multiple international spine technology companies and has helped design many groundbreaking tools for the minimally invasive spine surgery industry.

Dr. Won also innovated the Pain Mapping procedures, this diagnostic study helps to pin point the pain generator so that we can provide the least invasive spine procedures, LuMINI.

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