Do you suffer from chronic lower back pain and are considering sacroiliac surgery? There are a great number of people around the world that suffer daily from lower back pain, quite often suffering for months or even years. While most people may feel that what they are afflicted with is lower back pain, but in actual fact they are dealing si joint pain with a mis-alignment or sprain of the sacroiliac joint.

This condition is quite often either not diagnosed or mis-diagnosed because very few doctors and health care professionals are trained to recognize the very specific symptoms of sacroiliac joint problems. It is even more uncommon to have a surgeon who has performed sacroiliac surgery.

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Treating sacroiliac joint pain

Before one even considers sacroiliac surgery of any kind, all other avenues of treatment should be explored and exhausted. Initial treatment should be provided by a professional therapist with experience in diagnosing and treat sacroiliac joint pain. After an evaluation and some mobilization treatment, the therapist will instruct the patient on proper biomechanics, therapeutic exercises and back health to avoid unnecessary and improper strain on the injured sacroiliac joints. Too much exercise and movement of the sacroiliac joint may indicate loose ligaments that would normally hold these joints within a normal range of motion. If this is determined, there could be additional stabilization procedures performed, such as pelvic belt fixation and taping techniques. The sacroiliac joint should stabilize with a good stabilization program in about six weeks time.

A home program of self-mobilization is necessary to be performed either by self-mobilization exercise or by family members who have been given specific instruction from a trained therapist. Those patients who continue to have hyper-mobility after a stabilization rehabilitation therapy fails, an orthopedic consultation for prolotheraphy or surgical stabilization, such as sacroiliac surgery, may be necessary. Take a look at our FREE sciatica pain and back pain relief guide.

If you are considering surgery as an option to stabilize your si joint pain and sacroiliac joint, there are two types of sacroiliac surgery to consider:

Fixation sacroiliac surgery: this surgery is done to stabilize the sacroiliac joint and there will be cannulated screws placed through the ilium and sacrum. The cannulated screws that your surgeon will use for the stabilization of the sacroiliac joint are approved by the U.S. Food and Drug Administration (FDA) for fixation of fractures of large bones. Due the approval, it is widely accepted that the cannulated screws will be solid enough for sacroiliac stabilization for which they are commonly used. Fixation sacroiliac surgery is the most common surgery for sacroiliac joint stabilization.

Fusion sacroiliac surgery: there is potential need for fusion between the sacrum and the ilium – not always needed but may be necessary. This surgical procedure is performed by scraping the bone on both sides and placing a graft taken from the iliac crest at the surgical site between the two sides. If your surgeon discovers and decides that fusion sacroiliac surgery is not necessary, the joint will be fixed in place using only the screws.

Sacroiliac surgery should be a last option after all other sacroiliac joint stabilization methods have been exhausted. If you’ve tried all the methods and still feel your a candidate for sacroiliac surgery, please consult your medical professional for his advice. There is nothing worse than moving forward with a major surgery without the desired results afterwards due to hasty decisions. Take a look at our FREE sciatica pain and back pain relief guide.


  1. […] foam or inflatable, with a cutout for the coccyx designed to give rest and cause less stress on the SI joint (sacroiliac joint) when a person with a sacroiliac joint injury is sitting […]

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