Sacroiliac joint pain

The treatment of sacroiliac pain depends on your symptoms and on the underlying cause of the sacroiliac joint pain.

Medications may be recommended for the treatment of sacroiliac joint pain. These typically include over-the-counter pain relievers such as anti-inflammatories or acetaminophen. Topical treatments such as heat or ice may be used. Physical therapy is often recommended as well, including stretching and strengthening exercises.  

When conservative treatments are not helpful, a sacroiliac joint injection with corticosteroid or radiofrequency neurotomy may be recommended. These procedures are performed with fluoroscopic guidance with an X-ray machine. There are newer treatments being tried, including injection of platelet-rich plasma (PRP) and/or bone marrow concentrate. These newer treatments are considered experimental and are an out-of-pocket expense (not typically covered by medical insurance).

Rarely, if all nonoperative management options are exhausted, sacroiliac fusion surgery may be considered. The fusion will eliminate the motion of the sacroiliac joint by fixing the two bones together with metal hardware.

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