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Sacroiliac Joint Pain

Orthopedic Surgery & Joint Replacement located in Walnut Creek, Sacramento and San Francisco, CA

Sacroiliac joint pain is a common musculoskeletal problem affecting 15-30% of adults. At Joint Preservation Institute, with offices in Sacramento and Walnut Creek, California, board-certified orthopedic surgeon Amir Jamali, MD, specializes in diagnosing and treating sacroiliac joint pain with a conservative, minimally invasive approach. Call the nearest Joint Preservation Institute office today to schedule a sacroiliac joint pain consultation or book your appointment online. 

Should I seek treatment for sacroiliac joint pain?

Almost everyone experiences sacroiliac joint pain at one time or another. Identifying the underlying cause is crucial if your symptoms continue for a month or longer and don’t respond to at-home care with ice, activity changes, and rest. Sacroiliac joint pain often worsens and may affect mobility and quality of life without treatment. 

What are the symptoms of sacroiliac joint pain?

Sacroiliac joint pain symptoms include:

  • Pain in your lower back and buttocks
  • Pain that’s worse after sitting or lying down for extended periods
  • Difficulty climbing stairs
  • Difficulty running, walking, and performing other routine movements

As the condition worsens, you might notice that the pain extends into your legs and feet.

How does an orthopedic surgeon diagnose sacroiliac joint pain?

Dr. Jamali asks about your symptoms, including where the pain occurs, what it feels like, and if certain activities make it worse, like lying down or exercising. As Dr. Jamali completes a physical exam, he examines your lower back and buttocks for redness and swelling and gently presses on your hips and buttocks to identify sensitive places.

Dr. Jamali has you walk around the room to observe your gait (how you walk) and posture and moves your legs into several different positions to place mild pressure on your sacroiliac joints. Then, he orders X-rays to check for sacroiliac joint damage and underlying conditions, like arthritis, that might be responsible for your symptoms. 

How does an orthopedic surgeon treat sacroiliac joint pain?

Dr. Jamali treats sacroiliac joint pain using a conservative, minimally invasive approach. He might suggest:

  • Nonsteroidal anti-inflammatory pain medication
  • Prescription muscle relaxers
  • Biologic medicines (if your pain is due to an autoimmune condition)
  • Physical therapy
  • Corticosteroid shots
  • Radiofrequency denervation

You might benefit from surgery if your symptoms continue or worsen after conservative treatment. Dr. Jamali offers several surgical procedures to treat sacroiliac joint pain, including spinal cord stimulation (SCS) and joint fusion.

Spinal cord stimulation (SCS)

SCS involves implanting a small medical device in your lower back. The device emits low levels of electricity, preventing pain signals from reaching your brain.

Sacroiliac (SI) joint fusion surgery

During joint fusion surgery, Dr. Jamali fuses your sacroiliac joints to your sacrum with metal inserts, stabilizing your sacroiliac joints, relieving pain, and restoring mobility.

Call Joint Preservation Institute today to schedule sacroiliac joint pain treatment, or book your appointment online.