Managing SI Joint Pain

Your sacroiliac, or SI joints create the junction between your spine and your pelvis. Although limited in movement, SI joints play a vital role during physical activity, absorbing shock from impact forces and transferring upper body forces to the pelvis and lower extremities. Your SI joints are supported by a strong network of ligaments and muscles that provide stability and protection.

Most pain originating in the low back and pelvis can be treated and resolved without surgery. Seeking help through a chiropractor or physical therapist can eliminate the source of pain, and rehabilitate any movement deficiencies that may have caused it.

The sports medicine team at NYDNRehab uses state of the art technology combined with top notch expertise to diagnose and treat SI pain. Do not allow pain to keep you from the activities you enjoy and the lifestyle you love. Contact NYDNRehab today, and find out why our sports medicine specialists offer in NYC.

 

Managing SI Joint Pain Blog

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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