Sacroiliac (SI) pain comes from the sacroiliac joints, which connect the lower spine (sacrum) to the pelvis. When it becomes irritated it can cause pain in the lower back, buttocks, or even the back of the thigh. SI-joint (sacroiliac joint) related pain accounts for 20% of cases of low back pain, and the most common risk factors for it are a history of lumbar fusion, certain rheumatologic conditions, and ergonomics (sitting for long periods of time).
The general approach to treatment is a spectrum, starting with more conservative measures (physical therapy for example), progressing to non-opioid medications (usually nerve medications and muscle relaxants and NSAIDs), and if that fails, injection therapy (SI joint injections). The last resort is a referral to spine surgery for fusion.
Providing specialized neurological and pain management care with a patient-centered approach. Dr. Sader combines clinical expertise with compassionate care to help patients achieve optimal health outcomes.
