Overview

Sacroiliac (SI) joint dysfunction occurs when there is abnormal movement or inflammation in the joint that connects the spine to the pelvis. This can result in pain in the lower back, buttocks, hips, or even the groin. SI joint pain may be sharp or dull and often worsens with sitting, standing, or transitioning from sitting to standing. It is a common source of pain that is often misdiagnosed as a spinal condition.

Common Symptoms

• Pain in the lower back, buttock, or hip
• Discomfort when standing up from a seated position
• Pain that worsens with prolonged standing or walking
• Tenderness over the back of the pelvis or SI joint
• Pain that can mimic sciatica but typically doesn’t radiate below the knee

Causes & Risk Factors

• Pregnancy or hormonal ligament changes
• Uneven leg length or abnormal gait mechanics
• Prior lumbar fusion surgery (adjacent segment stress)
• Repetitive strain or heavy lifting at work
• Trauma or auto injuries, including falls or pelvic impact
• Degenerative joint changes with age

How We Can Help

At Restore Spine and Pain, we specialize in identifying SI joint dysfunction through physical exam, history, and confirmatory image-guided diagnostic injections. Our approach combines conservative therapy with precision-guided interventions to reduce inflammation, restore joint stability, and improve mobility.

Treatment Options Offered

1. Physical therapy for pelvic stability, core strengthening, and muscle balance
2. Postural and ergonomic training tailored to your lifestyle and occupation
3. Non-opioid medications to manage inflammation and muscle tension
4. Image-guided SI joint injections to confirm diagnosis and provide pain relief
5. Radiofrequency ablation (RFA) of lateral branch nerves for longer-lasting relief
6. Peripheral nerve stimulation (PNS) for chronic, treatment-resistant SI joint pain
7. Minimally invasive SI joint fusion in select cases when conservative treatments are not effective