When should you get si joint surgery?

For most people with sacroiliac (SI) joint pain, medications, physical therapy, and injections are sufficient to fix the problem. However, if they don't get rid of your pain within 6 months, your doctor may suggest more intense treatment, including surgery. The sacral joint is located between two bones, the sacrum and the ilium. Sacroiliac joint fusion, which is often performed when nonsurgical treatment options fail, may involve general or spinal anesthesia.

The surgeon uses fluoroscopy to obtain live images so that he can correctly position the iFuse implant system. Real-time moving images help the surgeon to see internal biological structures and the location of surgical instruments. During the procedure, no bone graft is needed and injuries to soft tissue and tendons are reduced compared to traditional methods. Therefore, a sacral joint fusion is a minimally invasive spinal fusion that fuses the sacrum and ilium bones to prevent abnormal movement between these bones.

In sacroiliac joint fusion surgery, a small incision is made on the side of the hip and three rods are placed in the sacroiliac joint. These rods will stabilize the sacroiliac joint, reducing irritation, inflammation and, most importantly, pain. There are two sacroiliac joints that connect the sacrum, located at the base of the spine, to the iliac bones, which form the pelvis. Bone growth on and inside the implant is made possible by a porous titanium surface, while the device is designed to fuse and stabilize the joint.

The results of the questionnaire are intended to help you determine if the symptoms you experience come from the sacroiliac joint. Clinical publications have identified the sacroiliac joint as a pain generator in 15-30% of patients with chronic low back pain. Ahuja is familiar with sacroiliac joint problems and has a variety of diagnostic and treatment options available. Sacroiliac joint problems can be expressed by pain in the lower back, hips, pelvis, groin and buttocks, as well as pain, numbness, and weakness in the leg and foot.

It usually takes 12 weeks to recover from a sacroiliac joint fusion, but patients continue to heal up to a year after surgery. Many problems can cause sacroiliac joint pain, and thankfully, there are several types of treatment for the sacroiliac joint. While 25% of low back pain comes from the sacroiliac joint, sacroiliac joint pain is often misdiagnosed as pain that originates in the spine. According to scientific data, it's common for sacroiliac joint pain to feel like disc or lower back pain.

In addition to being minimally invasive, the procedure offers the benefits of a triangular implant, which minimizes rotation and micromovement, which can cause more pain in the sacroiliac joint. The most commonly used method to accurately determine if the sacroiliac joint is the cause of low back pain symptoms is to inject a local anesthetic into the sacroiliac joint. A sudden, traumatic injury, an existing condition (differences in leg length, pelvic sprain, or muscle imbalance), or inflammatory joint disease can cause sacroiliac pain. A variety of tests performed during the physical exam can help reveal that the sacroiliac joint is the cause of the symptoms.


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