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HPC | Hertfordshire Pain Consultants

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  • I wanted to write a letter to you because I'm so grateful to you and your team at the pain management clinc. After spending over 15 years with the most horrendous headaches and seeing dozens of different doctors and therapists finally you have managed to get them under control. Thanks you for taking the time to genuinely listen to me and my problems. Much appreciated.

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    Hertfordshire
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Content

Sacroiliac Joint

The Sacroiliac (SI) joint is a common source of pain in the lower back, buttocks, groin, and legs. These generalized symptoms, however, can be easily confused with other causes of back pain

What causes Sacroiliac (SI) Joint Pain?

The Sacroiliac Joint (SI Joint) is located in the pelvis; it links the iliac bones (pelvis) to the sacrum (lowest part of the spine above the tailbone). It is an essential component for shock absorption to prevent impact forces during walking from reaching the spine.

The SI joint is a real yet underappreciated pain generator in an estimated 15% to 25% of patients with central low back pain Like any other bone and joint in the body, the large bones of the pelvis and the SI joint can become damaged either through injury or normal wear and tear. The joint can become disrupted or its support ligaments can become loose.

Risk Factors
  • Trauma
  • Preganancy / Childbirth
  • Asymetric pelvis/ Leg length difference (one leg shorter than other)
  • Previous lumbar spinal surgery
Treaments
Symptoms

Low back / buttock and upper leg pain increased with sitting, lifting, running, walking, or even sleeping on the involved side.

The most relied upon method to determine whether the SI joint is the cause of your low back symptoms is to inject the SI joint with a local anesthetic. If your symptoms are decreased by a minimum of 75% with one injection or by 50% each time with two injections, it can be concluded that the SI joint is either the source, or a major contributor, to your low back pain. If your symptoms do not change after the SI joint injection, it is less likely that the SI joint is the cause of your low back pain.

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