The sacroiliac (SI) joints connect the spine to the pelvis and bear significant load during standing, walking, and sitting. SI joint dysfunction is responsible for 15-30% of chronic lower back pain cases and is frequently under-diagnosed. IPC offers both diagnostic and long-term treatment options for SI joint pain.
From diagnostic injections to advanced cooled radiofrequency ablation and minimally invasive fusion, our specialists provide a full spectrum of SI joint care tailored to the severity and nature of your condition.
If you are experiencing deep, aching pain in the lower back, buttock, or hip that worsens with prolonged sitting or standing, you may be suffering from SI joint dysfunction. Our team can help identify the source and provide effective treatment.
APPOINTMENTS
A sacroiliac joint injection delivers corticosteroid and local anesthetic directly into the SI joint under fluoroscopic guidance. This procedure serves as both a diagnostic test (confirming the SI joint as the pain source) and a therapeutic treatment (reducing inflammation and pain).
Conditions treated include sacroiliac joint dysfunction, sacroiliitis, SI joint arthritis, SI joint sprain or injury, pregnancy-related SI joint pain, and post-fusion adjacent SI joint pain.
Due to the complex, irregular shape of the SI joint, fluoroscopic guidance is essential for accurate placement. Therapeutic relief from the steroid lasts 1-3 months.
Learn MoreSI joint radiofrequency ablation uses cooled radiofrequency technology (such as the Coolief or SIMPLICITY system) to create larger, more effective lesions on the nerves that supply the sacroiliac joint. Unlike conventional RF which produces small round lesions, cooled RF creates larger spherical lesions that more reliably capture the complex nerve supply of the SI joint.
Cooled radiofrequency probes are positioned along the lateral sacral crest targeting the lateral branch nerves (S1-S3) and the L5 dorsal ramus. Water continuously circulates through the probe during ablation, allowing the thermal lesion to extend further from the probe.
The procedure provides 6-12 months of pain relief, sometimes longer, and can be repeated when pain returns.
Learn MoreMinimally invasive SI joint fusion uses small titanium implants placed across the sacroiliac joint to stabilize it permanently. This is considered for patients with significant SI joint instability or those who have not achieved lasting relief from injections and radiofrequency ablation.
Triangular titanium implants (typically 3) are placed across the SI joint under fluoroscopic guidance through a small incision on the buttock. The implants' textured surface promotes bone in-growth over time, creating a solid fusion.
Recovery is significantly faster than traditional open SI joint surgery. Most patients use a walker or crutches for 2-3 weeks. Success rates exceed 80% in properly selected patients.
Learn MoreThe SACRIX system is a minimally invasive sacroiliac joint stabilization device that provides structural support to the SI joint. Unlike full fusion procedures, SACRIX offers a less-invasive approach using allograft-based implants that promote natural bone healing and joint stabilization while preserving some physiologic motion.
Under fluoroscopic guidance, the SACRIX allograft implant is placed across the sacroiliac joint through a small percutaneous approach. The implant bridges the joint, providing immediate mechanical stabilization while the allograft material promotes biological incorporation.
Recovery is typically faster than traditional SI joint fusion. Activity restrictions last 4-6 weeks to allow implant incorporation. Clinical outcomes show sustained pain relief and functional improvement.
Learn MoreReducing Pain. Improving Function. Enhancing Quality of Life.
We specialize in advanced pain management solutions, offering minimally invasive treatments to help patients live pain-free and improve their quality of life.