COMPLEX SPINAL PAINREZA S. ROGHANI, MD, PhD

Advanced care guide

Sacroiliac joint pain

Pain near the back of the pelvis needs careful differentiation from lumbar, hip, and nerve-related causes.

Evaluation comes first

SI joint symptoms overlap with other conditions. History, a group of examination maneuvers, and selected image-guided diagnostic injections can inform evaluation. No single symptom or scan confirms the source.

Treatment considerations

Care may include exercise-based rehabilitation, medication, or selected injections. Radiofrequency treatment or minimally invasive fusion may be considered for appropriately selected patients after assessment of alternatives. Fusion is a surgical intervention with implant-related risks.

Questions for your clinician

Availability and suitability are determined during clinical evaluation. This page describes options, not an individual treatment recommendation.
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Further reading: Medicare SI joint procedure coverage guidance

A clearer path forward.

Begin with an individual evaluation of your pain and goals.

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