Sacroiliac Pain Treatment

Sacroiliac Pain Treatment

The sacroiliac joint is located in the lower back. The joint consists of the five fused bones of the sacrum and the right and left ilium bones that connect the joint to the pelvis. Although this joint does not experience frequent movement like other joints, it is subject to continuous pressure because it supports the upper part of the body. Sacroiliac paincan have a number of causes and can cause chronic lower back disco

Sacroiliac Joint Dysfunction

The sacrum is a triangular-shaped bone that lies at the end of the tailbone in the human body. This bone is connected to a large bone on either side that creates the bony structure of the pelvis. These bones are critical to normal movement of the back and hips. When dysfunction occurs in this area, symptoms of pain and stiffness can impact the individual’s daily activities. SI joint treatment can reduce painful motion and immobility in the lower back.

SI Joint Pain Causes

Sacroiliac pain can result from a number of different conditions,

    • Osteoarthritis – Normal wear and tear on the joints can cause chronic inflammation that can damage the cartilage that cushions joints, leading to pain and stiffness on moving.
    • Pregnancy – The normal increase in hormone levels during pregnancy allows ligaments in the body to relax in preparation for childbirth. However, this relaxation can cause increased motion in the SI joint that increases wear on the structures of the joint. The changes in walking patterns and gait during pregnancy can also cause SI joint symptoms.
    • Injury to the lower back – Sports injuries or car accidents can be among the SI joint pain causes that leads to pain.
    • Underlying Systemic Diseases – A number of medical conditions can be a cause of SI joint dysfunction, such as gout, rheumatoid arthritis, psoriatic arthritis or ankylosing spondylitis.

Symptoms of Sacroiliac Joint Pain

SI joint pain symptoms can exhibit in a number of ways, such as:

    • Lower back pain or discomfort
    • Pain can radiate into the back of the hips, thighs or groin
    • Stiffness or burning sensation in the pelvis
    • Pain when standing or walking that is relieved when lying down

SI Joint Pain Treatment

Physicians generally recommend rest and ice for the acute phase of SIJ pain. Thistreatment helps to reduce the inflammation in the cartilage and ligaments that hold the joint together. Anti-inflammatory medications such as ibuprofen and naproxen may also be recommended to reduce inflammation and manage pain. After the acute phase of pain is under control, heat is applied to aid healing and increase flexibility in the joint. The patient is then given physical therapy to improve mobility, gait and other factors that can affect how the sacroiliac joint functions.

New York Dynamic Neuromuscular Treatment For SI Joint Pain

At the New York Dynamic Rehabilitation clinic, physicians will do a careful assessment of the causes of the SIJ pain to determine the causes of dysfunction. They will then design an SI joint treatment program to restore function in the area. The computerized lab allows the placement of markers on the patient’s body to allow physicians and therapists to measure and analyze movement in real time. Using a 180-degree hemispherical screen, the lab can create a simulated ritual reality environment for performance of exercises to maximize therapeutic benefit for symptoms of sacroiliac joint pain.


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)


Complete tear of rectus femoris
with large hematoma (blood)


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

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