Sacroiliac dysfunction is the disruption of the normal functioning of the sacroiliac joint (SI Joint). This joint helps to support the upper body when we are standing. With time, like any other joint in our bodies, the joint can wear out causing arthritis and pain.
The joint typically degenerates due to normal wear and tear. Trauma and physical stress can also cause SI joint dysfunction to occur. Sometimes after a lumbar fusion the SI joint can start to move more therefore causing pain.
The pain is usually located in the lower back especially in the buttock. It can be unilateral or bilateral. Pain can sometimes be referred to the hip, groin, or down the leg. Symptoms are usually worse with lifting, running, walking, climbing stairs, getting up out of a chair, sleeping.
Treatment can be conservative or surgical. Nonsurgical treatments include wearing a pelvic belt, physical therapy for SI Joint stretching and stabilization, or medications. SI Joint injections can be a conservative treatment or diagnostic for surgery. Surgery for SI joint dysfunction involves a fusion or stabilization procedure. This is only performed if the patient meets certain criteria:
1) failed conservative treatment with physical therapy and medications
2) had at least two SI Joint injections that helped even if only temporary relief
