Sacroiliac Degeneration and Pain

The sacroiliac (SI) joint connects the spine to the pelvis and plays a vital role in stabilizing the lower body, absorbing impact, and supporting movement. When this joint becomes degenerated or inflamed, it can cause chronic pain and stiffness that limits mobility. Because of its location, SI joint pain is often mistaken for lower back pain, hip pain, or sciatica. That’s why an accurate diagnosis by a spine and neurology specialist is key to proper treatment and long-term relief.

Common Symptoms of Sacroiliac Joint Degeneration

  • Persistent pain in the lower back, buttocks, or hips (usually on one side)

  • Pain that worsens with standing, walking, or climbing stairs

  • Stiffness or tightness in the lower back or pelvis

  • Radiating pain into the thigh or leg, often mimicking sciatica

  • Discomfort when transitioning from sitting to standing

If you experience these symptoms, professional evaluation can help determine whether the SI joint is the true source of pain.

Causes and Risk Factors of SI Joint Pain

  • Age-related degeneration: Gradual cartilage wear from aging or repetitive stress

  • Pregnancy and childbirth: Hormonal changes and pelvic strain can loosen or inflame the joint

  • Trauma: Falls, sports injuries, or car accidents that impact the lower back or pelvis

  • Inflammatory arthritis: Conditions such as ankylosing spondylitis or rheumatoid arthritis

  • Uneven leg length or gait imbalance: Can place extra pressure on the SI joint over time

Understanding what’s driving your SI joint pain helps us develop a personalized, effective treatment plan.

Treatment Options for Sacroiliac Joint Pain

At Covenant Spine and Neurology, our multidisciplinary approach focuses on reducing inflammation, restoring stability, and improving overall function.

 

Non-Surgical Treatments

  • Physical Therapy: Targeted exercises to strengthen the core, improve posture, and support pelvic alignment

  • Pain Management: Anti-inflammatory medications, muscle relaxants, or corticosteroid injections to reduce pain and swelling

  • Lifestyle Modifications: Weight management, ergonomic adjustments, and low-impact exercise

Minimally Invasive Procedures

For chronic or severe cases, advanced options may provide lasting relief:

 

  • Radiofrequency Ablation (RFA): Uses targeted heat to interrupt pain signals from the affected nerves

  • SI Joint Fusion: A minimally invasive surgical procedure that stabilizes the joint and reduces pain

Comprehensive SI Joint Care at Covenant Spine and Neurology

Our team combines advanced diagnostic imaging with evidence-based treatments to accurately identify the source of your pain and develop a plan that fits your lifestyle. Don’t let sacroiliac joint pain hold you back. Our goal is to help you move comfortably again with less pain and greater stability. Contact Covenant Spine and Neurology today to schedule your consultation and learn more about treatment options for SI joint degeneration and pain.

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For more information or to schedule an appointment call us at 336-761-4020.

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