SI Joint Pain - Dr. Ronjon Paul

SI Joint Pain occurs when the joints connecting the portion of the spine below the lumbar, the sacrum, and the iliac crest of the pelvis are affected. This pain can mimic sciatica, but involves abnormal stress on the joint rather than the sciatic nerve.

About SI Joint Pain

SI Joint Pain occurs when the joints connecting the portion of the spine below the lumbar, the sacrum, and the iliac crest of the pelvis are affected. This pain can mimic sciatica, but involves abnormal stress on the joint rather than the sciatic nerve.

Normally a fairly immobile joint, excessive strain can irritate this region of the spine causing paint. x-rays will typically be taken to rule out lumbar disk herniation or degeneration, and local anesthetic may both provide relief and aid in determining the cause of pain. It is typically injected by needle guided with USG or x-ray to the affected side.

https://paulspine.com/wp-content/uploads/2021/01/dr-ronjon-paul-md-1020x681px-si-joint-pain-image.jpg

About SI Joint Pain

SI Joint Pain occurs when the joints connecting the portion of the spine below the lumbar, the sacrum, and the iliac crest of the pelvis are affected. This pain can mimic sciatica, but involves abnormal stress on the joint rather than the sciatic nerve.

https://paulspine.com/wp-content/uploads/2021/01/dr-ronjon-paul-md-1020x681px-si-joint-pain-image.jpg

Normally a fairly immobile joint, excessive strain can irritate this region of the spine causing paint. x-rays will typically be taken to rule out lumbar disk herniation or degeneration, and local anesthetic may both provide relief and aid in determining the cause of pain. It is typically injected by needle guided with USG or x-ray to the affected side.

SI Joint PainBy the numbers

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adults report experiencing chronic back pain
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lost work days to chronic back pain every year
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of population will experience back pain in life
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related minimally invasive treatments offered by Dr. Paul

SI Joint PainBy the numbers

0123456789001234567890%
adults report experiencing chronic back pain
012345678900123456789001234567890M
lost work days to chronic back pain every year
0123456789001234567890%
of population will experience back pain in life
01234567890
related minimally invasive treatments offered by Dr. Paul
https://paulspine.com/wp-content/uploads/2021/01/dr-ronjon-paul-md-1020x681px-how-is-condition-managed.jpg

How is SI Joint Pain managed?

The first line of treatment of SI pain is typically a combination of ice and anti-inflammatory drugs. In the event that these fail to provide adequate relief, an injection of steroids and numbing agents will usually be performed to provide more targeted relief. Additionally, radio frequency ablation can be performed to destroy the pain sensitive fibers causing issues.

If conservative treatments fail to bring the condition to manageable levels, your doctor may recommend an SI fusion to eliminate the problematic motion. A small incision is made to access the spine, and stabilizers are placed across the joint to prevent undesirable motion. As familiarity with this condition has spread, so have the options for treatment.

https://paulspine.com/wp-content/uploads/2021/01/dr-ronjon-paul-md-1020x681px-how-is-condition-managed.jpg

How is SI Joint Pain managed?

The first line of treatment of SI pain is typically a combination of ice and anti-inflammatory drugs. In the event that these fail to provide adequate relief, an injection of steroids and numbing agents will usually be performed to provide more targeted relief. Additionally, radio frequency ablation can be performed to destroy the pain sensitive fibers causing issues.

If conservative treatments fail to bring the condition to manageable levels, your doctor may recommend an SI fusion to eliminate the problematic motion. A small incision is made to access the spine, and stabilizers are placed across the joint to prevent undesirable motion. As familiarity with this condition has spread, so have the options for treatment.

How is SI Joint Pain diagnosed?

Diagnosis can usually be made on patient history and physical examination alone. Radiographs may be taken such as x-ray or CT to better visualize the structures of concern, but often are not required to make the initial diagnosis.

https://paulspine.com/wp-content/uploads/2021/01/dr-ronjon-paul-md-1020x681px-how-is-condition-diagnosed.jpg
https://paulspine.com/wp-content/uploads/2021/01/dr-ronjon-paul-md-1020x681px-how-is-condition-diagnosed.jpg

How is SI Joint Pain diagnosed?

Diagnosis can usually be made on patient history and physical examination alone. Radiographs may be taken such as x-ray or CT to better visualize the structures of concern, but often are not required to make the initial diagnosis.

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Disclosures & Important Information

Disclaimer
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Dr. Paul makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this website with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

Dr. Paul does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. DR. PAUL IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE. www.paulspine.com/legal/disclaimer.

Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.

All logos and names are trademarks or registered trademarks of their respective owners.

©2021 Ronjon Paul MD. All rights reserved.

Privacy Policy   |  Terms of Use   |   Disclaimer   |   Sitemap

Disclosures & Important Information

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Dr. Paul makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this website with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

Dr. Paul does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. DR. PAUL IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE. www.paulspine.com/legal/disclaimer.

Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.

All logos and names are trademarks or registered trademarks of their respective owners.

Privacy Policy   |  Terms of Use   |   Disclaimer   |   Sitemap

©2021 Ronjon Paul MD. All rights reserved.

DAY OF SURGERY INFORMATION

Edwards Hospital

Arrival & Directions

Drive to the South parking garage. Free Valet parking is available during business hours. If you self-park, take the elevator from the garage to the first floor to enter the main hospital lobby. Wheelchairs are available if needed. Take the D elevator to the 2nd floor. Proceed to the Surgical and Endoscopy Check-In Desk. Here you and your family will be checked in and escorted to the Pre-op Area to be prepared for surgery. Up to two family members may wait with you until you are taken to surgery. Your family may then wait in the Surgical Waiting room until notified by the surgeon that the surgery has been completed. A receptionist will take down contact information so that your family may be easily reached to speak with Dr. Paul. Complimentary coffee is available for your family while in the Surgical Waiting room. The cafeteria and gift shop are on the ground floor in the North area of the hospital and the coffee shop is in the South area of the hospital for your family’s convenience.

Get Directions to Edwards Hospital

In the preoperative room you will be prepared for surgery. The team will be checking your vital signs, starting your IV, validating your medications, health history, lab results and any follow up for additional testing needed. At this time, they will obtain your consent for surgery and answer any questions you may still have. Your anesthesiologist will see you and your family prior to your surgery. Dr. Paul, Adam or Kevin  will mark your surgical site. You will be escorted to the operating room by cart. Your family can wait in the surgical waiting room. Dr. Paul will call them when surgery is completed.  If he can not reach them, he will leave a message with the Patient Liaison. Following surgery you will be taken to the Post Anesthesia Care Unit (PACU) where you will recover for an hour or more. During this time, pain and nausea control will be established and your vital signs will be monitored frequently.