G. “Ty” Thaiyananthan MD, FAANS: SI joint
pain is one of the causes of low back pain. Often times, it’s missed diagnosed as lumbar
pain or pain from degenerative disc or degenerative joints of the lumbar spine. The SI joint is
the joint where the lumbar spine meets the pelvis. It is a very complex joint that’s
hold together by a lot of ligaments and often times these ligaments can become inflamed
or lax resulting in SI dysfunction which can result in SI pain or sacroiliac pain. Often
times, patients will come in saying that they have low back pain as often one side, sometimes
this can mimic sciatica end up the pain radiates down to the portion of the leg and into the
groin and a lot of times even us as clinicians misdiagnosed SI pain as coming from other
parts of the spine such as a herniated disc or degenerative arthropathies of the lower
back. Traditionally, our misdiagnoses of low back pain that really coming from the SI joint
has led to us treated low back pain with modalities such as lumbar fusions and interventional
pain injections of the lumbar spine that really have not improved the patient’s symptoms.
As our knowledge of what really may be causing upwards of 30% of low back pain improved and
as clinicians as we started to look at the SI joint as a true pain generator in low back
pain, our ability to treat the symptoms improved and we have been able to help upwards of third
of our patients.

Leave a Reply

Your email address will not be published. Required fields are marked *