There are a spectrum of treatment options for treating sacroiliac joint dysfunction, or sacroiliitis. The most conservative treatment option would be non-steroidal, anti-inflammatory drugs, or NSAIDs. These are over the counter drugs like Motrin or Advil, and often times this will have a very beneficial effect on SI Joint Dysfunction.
If this is not successful, or does not work well enough to the patient’s liking, the next option would be physical therapy or chiropractic care.
If the conservative care such as physical therapy is not effective, the next treatment option would involve a sacroiliac joint injection. This is usually done in an outpatient setting, with X-Ray guidance. This is a very quick procedure.
If the SI Joint injection does not work, the next step is usually surgery. When we look at surgery, there are generally two options for surgery. There is the traditional open approach, in which the patient is in the hospital for about 4-5 days, or there is a minimally invasive approach, which involves an incision about 2 centimeters, with minimal damage to tissue. This is a procedure that can be done with minimal blood loss, and leads to minimal post-operative pain.
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