Sacroiliac (SI) Joint Dysfunction Treatment in Castle Rock

Sacroiliac (SI) joint dysfunction refers to pain and discomfort originating from the sacroiliac joint, which connects the sacrum (the base of the spine) to the iliac bones (pelvis). The SI joint plays a crucial role in absorbing shock between the upper body and legs while providing stability. Dysfunction occurs when the joint becomes inflamed, misaligned, or experiences excessive movement, leading to pain and limited mobility

SI joint dysfunction symptoms often mimic other lower back and hip conditions. Common symptoms include:

• Lower Back and Buttock Pain: Aching or sharp pain localized to one side of the lower back or buttocks.

• Pain Radiating Down the Leg: Discomfort that extends into the thigh, often mistaken for sciatica.

• Stiffness and Reduced Mobility: Difficulty standing, walking, or transitioning from sitting to standing.

• Increased Pain with Activity: Symptoms may worsen with prolonged standing, stair climbing, or certain movements.

• Pain Relief When Lying Down: Symptoms may improve when resting or lying on the unaffected side.

If symptoms persist or worsen, medical evaluation is recommended to determine the underlying cause and develop an appropriate treatment plan.

SI joint dysfunction can be triggered by various factors, including:

• Trauma: Falls, car accidents, or direct impact to the lower back or pelvis.

• Pregnancy and Childbirth: Hormonal changes and increased joint laxity can contribute to dysfunction.

• Arthritis: Degenerative changes such as osteoarthritis can lead to joint inflammation and pain.

• Leg Length Discrepancy: Unequal leg lengths may cause uneven stress on the SI joint.

• Repetitive Motion or Prolonged Sitting: Certain activities or occupations requiring excessive bending, lifting, or sitting can contribute to dysfunction.

Seek medical attention if SI joint dysfunction is accompanied by:

• Severe, persistent pain that does not improve with rest.

• Numbness, tingling, or weakness in the legs.

• Difficulty walking or performing daily activities.

• Unexplained weight loss, fever, or other signs of systemic illness.

Prompt evaluation can help prevent worsening symptoms and ensure appropriate treatment.

Dr. Carrera and his team perform a comprehensive assessment to diagnose SI joint dysfunction, including:

• Medical History and Physical Examination: Evaluating movement patterns, pain triggers, and joint stability.

• Diagnostic Injections: A targeted anesthetic injection into the SI joint can help confirm the source of pain.

• Imaging Tests: X-rays, MRI, or CT scans may be used to rule out other conditions affecting the spine or pelvis.

Dr. Carrera offers a range of effective, evidence-based treatments to relieve SI joint pain and restore function:

• Physical Therapy: Strengthening exercises, stretching, and postural training to improve stability and reduce pain.

• Pelvic Bracing and Support: A sacroiliac belt may provide additional support and stabilization for the joint.

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Reduce inflammation and relieve discomfort.

• SI Joint Injections: Corticosteroid injections to reduce inflammation and provide lasting pain relief.

• Radiofrequency Ablation (RFA): A minimally invasive procedure that uses heat to disrupt pain signals from the SI joint.

• Platelet-Rich Plasma (PRP) Therapy: An injection treatment using concentrated platelets from the patient's blood to promote healing and reduce pain.

If conservative treatments fail, surgical options such as SI joint fusion may be considered.