Sacroilitis (SI Joint Dysfunction)

One of the largest contributors of low back pain is injuries related to the sacroiliac (SI) joint.  The SI joint is formed by the connection between the pelvic bones and the lowest part of the spine, called the sacrum.  These joints help provide structural support, stability and function as shock absorbers for the pelvis and lower back.

The SI joints can become painful when there is a change in the normal motion of the joint.  Most often, motion of the joint can become altered by falls, trips, motor vehicle accidents and childbirth.   If the joint is hypermobile, it may move too much which can cause spasms in the supporting back and pelvic muscles. Patients can also develop arthritis of the joint which can cause it to become stiff and the back to become chronically painful.

SI joint dysfunction is difficult to diagnose; however it can be quite debilitating in some patients making it difficult to stand or sit for prolonged periods of time.  A thorough medical history, examination, imaging and diagnostic injections are helpful to clarify the diagnosis in a patient with back pain.

Conventional treatment for chronic sacroiliac joint pain is focused on management of pain with cortisone injections, physical therapy, osteopathic or chiropractic manipulation, sacroiliac joint belts, radiofrequency ablation and even surgical fusion of the joint.  Even with these treatments, patients may still find that they suffer from chronic pain.  Depending on the cause of the SI joint dysfunction, studies have demonstrated that treatment with prolotherapy, platelet rich plasma (PRP) or bone marrow concentrate (stem cell) procedures are helpful for reduction in pain and improving function in most individuals.

Call to schedule an appointment to discuss your treatment options with one of our physicians to determine if stem cell treatment is appropriate for you.