A Minimally Invasive Approach to Chronic Lower Back and Hip Pain
Chronic lower back, hip, or pelvic pain can often be traced back to sacroiliac (SI) joint dysfunction, a condition caused by improper movement or inflammation in the SI joint. When this joint becomes irritated, it can mimic sciatica or other spine-related pain, making diagnosis and treatment challenging.
At Ascend Pain & Wellness, we specialize in advanced, non-surgical pain management solutions, including SI joint injections and minimally invasive procedures to help patients find long-term relief and restore mobility.
What is Sacroiliac Joint Dysfunction?
The sacroiliac joint (SI joint) connects the lower spine (sacrum) to the pelvis (ilium). It is responsible for:
- Supporting body weight while standing, walking, or sitting
- Absorbing impact during movement
- Providing stability and flexibility to the lower back and pelvis
When the SI joint becomes inflamed or misaligned, it can cause persistent lower back, hip, and leg pain. This condition, known as sacroiliac joint dysfunction, can significantly impact daily life.
Learn more about pain therapy treatments at Ascend Pain & Wellness.
What Causes Sacroiliac Joint Dysfunction?
SI joint dysfunction can result from:
- Injury or trauma, such as falls, car accidents, or sports injuries
- Pregnancy and childbirth, which place stress on the pelvis
- Arthritis or degeneration, including osteoarthritis or ankylosing spondylitis
- Leg length discrepancy, which causes imbalance in the SI joint
- Previous lumbar spine surgery, such as spinal fusion or laminectomy
If left untreated, SI joint dysfunction can lead to chronic pain, reduced mobility, and difficulty performing daily activities.
Explore additional spine and joint treatments.
Signs and Symptoms of SI Joint Dysfunction
Common symptoms of SI joint dysfunction include:
- Lower back pain, often felt on one side of the lower back or buttocks
- Pain in the hips, groin, or thighs, sometimes radiating down the leg
- Stiffness and reduced mobility, especially after sitting or standing for long periods
- Pain that worsens with walking, climbing stairs, or standing on one leg
- Pain relief when lying down
If you experience persistent lower back or pelvic pain, a comprehensive evaluation can determine whether SI joint dysfunction is the cause.
Learn more about back and spine pain treatments.
How is Sacroiliac Joint Dysfunction Diagnosed?
Diagnosing SI joint dysfunction involves:
- A physical examination to assess joint movement, flexibility, and pain response
- SI joint injections to temporarily relieve pain and confirm whether the joint is the source of discomfort
- Imaging tests, including X-rays, CT scans, or MRI scans, to assess joint alignment and inflammation
If SI joint dysfunction is confirmed, treatment focuses on pain relief, restoring mobility, and improving joint stability.
Treatment Options for Sacroiliac Joint Dysfunction
At Ascend Pain & Wellness, we offer non-surgical and minimally invasive treatments to manage SI joint dysfunction effectively.
Physical Therapy and Lifestyle Modifications
- Strengthening core and pelvic muscles to support the SI joint
- Stretching exercises to improve flexibility and relieve joint stiffness
- Using SI joint belts or braces for added support
SI Joint Injections
- A combination of corticosteroids and anesthetic is injected directly into the SI joint to reduce inflammation and relieve pain
- Injections provide relief for weeks to months, allowing patients to participate in physical therapy
Radiofrequency Ablation (RFA)
- A minimally invasive procedure that uses radio waves to deactivate pain-causing nerves around the SI joint
- Relief can last six to twelve months or longer
Read about radiofrequency ablation for chronic pain.
SI Joint Fusion (For Severe Cases)
- A last-resort option if non-surgical treatments fail
- A minimally invasive surgical procedure to stabilize the SI joint permanently
Learn about other non-surgical joint treatments.
What to Expect After an SI Joint Injection
After an SI joint injection, most patients experience:
- Immediate pain relief if the SI joint is the pain source
- Gradual improvement over the next few days
- Minimal downtime, with most patients resuming light activities within 24 hours
If pain relief is temporary, additional treatments like physical therapy, radiofrequency ablation, or SI joint stabilization may be recommended.
Benefits of SI Joint Injections and Non-Surgical Treatments
- Minimally invasive procedures with no surgery required
- Fast pain relief, allowing patients to move more comfortably
- Improved joint stability, reducing pain and preventing further damage
- Allows patients to avoid or delay surgery
Learn more about minimally invasive pain treatments.
Long-Term Management of SI Joint Dysfunction
For long-lasting relief, SI joint injections are often combined with:
- Physical therapy to strengthen muscles and improve joint function
- Stretching and postural corrections to maintain mobility and prevent stiffness
- Lifestyle adjustments such as using ergonomic seating and modifying activities
If pain persists or worsens, further treatments such as repeat injections, nerve ablation, or SI joint fusion may be considered.
Frequently Asked Questions
How long do SI joint injections last?
Relief typically lasts weeks to months. Some patients require repeat injections.
Are SI joint injections painful?
Most patients experience minimal discomfort, as local anesthesia is used during the procedure.
Will I need surgery for SI joint dysfunction?
Surgery is only considered if non-surgical treatments fail. Most patients find relief with conservative treatments.
Are SI joint injections covered by insurance?
Many insurance plans cover SI joint injections for chronic pain. Our team can assist with insurance verification.
Why Choose Ascend Pain & Wellness for SI Joint Treatment?
At Ascend Pain & Wellness, we offer expert, patient-centered care for SI joint dysfunction, using the latest minimally invasive techniques to restore mobility and reduce pain.
- Experienced pain specialists trained in SI joint procedures
- Advanced imaging technology for precise injection placement
- Comprehensive pain management plans tailored to each patient’s needs
Schedule Your Consultation Today
If sacroiliac joint dysfunction is causing chronic back, hip, or pelvic pain, we can help. Contact Ascend Pain & Wellness today to schedule a consultation.
Call (708) 550-7005 or visit our website for more information.
.webp)
