SI Joint Pain Treatment in PA & NJ
The sacroiliac (SI) joints connect the sacrum at the base of the spine to the iliac bones of the pelvis. SI joint dysfunction is a significant cause of low back, buttock, and leg pain, affecting up to 25% of patients presenting with low back pain symptoms. It is frequently misdiagnosed as lumbar disc disease or hip pathology.
At DVPSI, our physicians perform diagnostic SI joint injections to confirm the diagnosis precisely, followed by targeted treatments including radiofrequency ablation and, for appropriate candidates, minimally invasive SI joint fusion which Dr. Patel has specialized expertise in.
Common Symptoms
- Pain in the lower back or buttock on one or both sides
- Pain that radiates into the hip or thigh
- Pain with prolonged sitting or standing
- Pain that is worse getting up from a chair
- Stiffness in the lower back and pelvis
- Pain that is worse climbing stairs or walking on uneven surfaces
- Pain following pregnancy, trauma, or lumbar fusion
Common Causes
- Degenerative arthritis of the SI joint from aging or wear
- Pregnancy causing ligament laxity and joint strain
- Prior lumbar fusion placing increased stress on SI joints
- Leg length discrepancy altering pelvic mechanics
- Trauma or injury to the pelvis or sacrum
- Inflammatory arthritis such as ankylosing spondylitis
Treatment Options at DVPSI
Our board-certified physicians use a stepwise, minimally invasive approach, always starting with the least invasive effective treatment and escalating only when necessary.
Diagnostic SI Joint Injection
Fluoroscopy-guided injection confirming SI joint as the pain source while providing temporary relief.
Therapeutic SI Joint Injection
Corticosteroid injection providing longer-term anti-inflammatory relief.
Lateral Branch Radiofrequency Ablation
Ablation of the lateral branch nerves providing longer-lasting SI joint pain relief.
Minimally Invasive SI Joint Fusion
For patients with significant SI joint instability, Dr. Patel offers minimally invasive fusion as a definitive solution.
Prolotherapy / PRP
Regenerative injections to strengthen SI joint ligaments in appropriate candidates.
Physical Therapy Coordination
Pelvic stabilization exercises to address biomechanical contributors to SI joint pain.
Why Choose DVPSI for SI Joint Pain Treatment
Dr. Patel has specialized training in SI joint fusion procedures from his fellowship at Northwestern University, making DVPSI one of the few pain practices in the region offering the complete spectrum of SI joint treatments from diagnostic injection through minimally invasive fusion.