SI Joint Pain SI joint fusion surgery

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SI Joint Fusion as an SI Joint Pain Treatment

Some patients with SI joint pain respond well to physical therapy, chiropractic manipulations, use of oral medications, as well as injection therapy. These treatments are performed repetitively, and sometimes symptom improvement using these therapies is temporary. Once non-surgical treatment options have been tried and do not provide relief, your surgeon may consider other options, including surgery.

SI Joint Fusion Surgery to Treat SI Joint Pain and Dysfunction

Sacroiliac (SI) joint dysfunction usually responds to non-invasive treatments like medication, physical therapy, chiropractic care or through the use of an SI joint belt. But when none of these treatments deliver long-term relief, SI fusion surgery may be considered. It’s a minimally invasive surgery that usually provides lasting relief.

Is SI Joint Surgery the Right SI Joint Pain Treatment for You?

SI Joint fusion surgery is indicated for sacroiliac joint pain and associated conditions including sacroiliac joint disruptions and degenerative sacroiliitis. As with all surgical procedures, there are risks and considerations associated with surgery and use of the implanted device that typically accompanies it. You should discuss these risks and considerations with your physician before deciding whether this SI joint pain treatment option is right for you.

SI joint fusion works by surgically fusing the pelvic bone to the sacrum, which is the triangular bone at the base of your spine. This delivers stabilization that will allow you to resume the daily activities you enjoyed before the pain of SI dysfunction started.

Sacroiliac (SI) joint fusion is a surgical procedure performed in an operating room, with either general or spinal anesthesia. You will be lying face down during the surgery while your surgeon uses a specially designed system to guide the instruments that prepare the bone and insert the implants. Both the surgical technique and the implant are designed to offer the maximum protection to your surrounding tissues.

The entire procedure is performed through a small incision (approximately 2-3cm long), along the side of your buttock. During the procedure, fluoroscopy provides your surgeon with live imaging during the procedure to facilitate proper placement of the implants. A fluoroscope is an imaging technique commonly used by physicians to obtain real-time moving images of internal structures using X-rays. Normally three implants will be used, during the procedure depending on your size.

SI joint fusion procedure takes about an hour to complete. You may feel comfortable enough to return home a couple of days following surgery. However, your surgeon will make this decision based on your post-surgical status.

Upon discharge, your surgeon will arrange follow-up visits to assess your progress, health status (including the status of your incision) and may take additional images of your surgical site. Your doctor will advise you when it is appropriate to resume your daily activities and weight bearing. Return to work will depend on your post-surgical progress and occupation.

At a Glance: SI Joint Belt as an SI Joint Pain Treatment

  • Minimally invasive SI joint fusion can be an option for sacroiliac joint dysfunction when conventional methods have failed to provide SI joint pain relief
  • SI joint fusion works by fusing the pelvic bone to the sacrum to provide needed stability
  • SI fusion allows most patients to resume the activities they enjoyed without the SI joint pain
  • Most patients go home a few days after surgery, but this decision will be made by the surgeon to ensure proper and safe healing continues.

Health Tips For SI Joint

  • Prevent injuries to your SI joint by avoiding extreme twisting or carrying weight unevenly
  • Adopt a diet that is rich in nutrients that promote joint health
  • Be cautious when engaging in activities that could result in falling

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