Treatment For Sacroiliac (SI) Joint Pain- EP 26

Premier Pain Talk

Oct 5 2022 • 9 mins

Treatment For Sacroiliac (SI) Joint Pain

Today on the podcast, host, Dr. Michael Danko talks about one of the most common causes of low back pain. Tune in to learn about the characteristics of sacroiliac (SI) joint pain and the different treatments that are available.

Episode Highlights:

  • The sacroiliac (SI) joint is a common contributor to low back pain.
  • The SI joint is primarily designed for stability; It is a shock absorber for the forces that are transmitted from the spine into the extremities. It has a joint capsule and ligament structure around it.The joint is pretty complex where it is part of the kinetic chain that connects the spine with lower extremities.
  • Dr. Danko explains what primary and secondary pain generator means.
  • How do you experience problems with the SI joint? What are the main causes?
  • Dr. Danko talks about the mechanics of the joint and how arthritis, trauma, and pregnancy are a few contributors.
  • What other things can lead to SI pain?
  • How does SI joint present?
  • If you have a burning quality sensation or numbness and tingling that is most often a sign of nerve root compression or pinched nerve.
  • There are different diagnostic maneuvers they can do in the eam room to determine if the SI joint is the cause of the pain.
  • What medications are used to treat SI joint pain?
  • Physical therapy can be helpful for the condition but if medication and physical therapy do not work, they can do injections to the joint.
  • How do you know if you need to move on to longer term solutions?
  • Dr. Danko explains what a posterior SI joint fusion is and how it works.
  • What about radio frequency ablation?


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