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The sacroiliac (SI) joint connects the pelvis and sacrum and can cause low back pain. Symptoms include pelvic, leg, or back pain. Treatment ranges from therapy to SI Joint Fusion with the iFuse Implant for lasting relief.

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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 from reaching the spine. Many problems can cause SI joint pain. The SI joint is a significant cause of low back pain. Clinical publications have identified the SI joint as a pain generator in 15-30% of chronic low back pain patients. In addition, the SI joint is a pain generator in up to 40% of patients with continued or new onset low back pain after a lumbar fusion.

Like any other joint in the body, the SI joint can be injured and/or become degenerative. A sudden or traumatic injury, an existing condition (differences in leg length, twisted pelvis or muscle imbalance), an inflammatory joint disease or hormonal changes during pregnancy can all cause SI joint pain. When this happens, people can feel pain in their buttocks and sometimes in the low back and legs. This is especially true while lifting, running, walking or even sleeping on the involved side. It’s common for pain from the SI joint to feel like disc or low back pain. For this reason, SI joint disorders should always be considered in the diagnosis of such pain

Do you experience one or more of the symptoms listed below?

• Low Back Pain
• Numbness, Tingling or Weakness
• Pelvic/Buttock Pain
• Hip or Groin Pain
• Pain Radiating Down One or Both Legs
• Feeling of Instability in the Leg (buckling)
• Difficulty in transition from Sitting to Standing
• Problems sitting especially for long periods of time
• Disturbed Sleep Patterns due to Pain

A variety of Orthopedic, Neurological and Musculoskeletal tests will be performed during a Comprehensive Physical Examination which may help reveal the SI joint as the cause of your symptoms. In some cases, X-rays, Diagnostic MSK Ultrasound or MRI may be helpful in the diagnosis of SI joint-related problems.

The most relied upon method to accurately determine whether the SI joint is the cause of your low back pain symptoms is to inject the SI joint with a local anesthetic. The injection will be delivered under either Fluoroscopic guidance to verify accurate placement in the SI joint. If your symptoms are decreased by at least 50%, it can be concluded that the SI joint is either the source of or a major contributor to your low back pain. If the level of pain does not change after SI joint injection, it is less likely that the SI joint is the cause of your low back pain.

Once the SI joint is confirmed as the cause of your symptoms, treatment can begin. Most patients respond to Physical Therapy, Chiropractic, Acupuncture, Injections, Medication Management or Bracing. If these treatments are performed frequently with only mild symptom improvement then you may want to consider another treatment option. At this point, our Board Certified Physician may consider other options, including SI Joint Fusion with the iFuse Implant.

SI Joint Fusion with the iFuse Implant System®

The iFuse Implant System is designed to provide stabilization and fusion for certain SI joint disorders. This is accomplished by inserting triangular shaped titanium implants across the sacroiliac joint to maximize postsurgical stability and weight bearing capacity. The procedure is done through a small incision (about 2-3 centimeters long) and takes about an hour. Multiple published studies on iFuse have documented procedure safety and effectiveness and over 82% of patients indicated they were satisfied with both their short- and long-term results.

In addition to being minimally invasive, the procedure offers the benefits of a triangular implant, which minimizes rotation and micromotion that can cause more sacroiliac joint pain. Bone growth onto and into the implant is enabled thanks to a porous titanium surface, while the device is engineered to fuse and stabilize the joint. Our Double Board Certified Physician uses Fluoroscopy to obtain live images, so they can properly place the iFuse Implant System. Real-time moving images help to see internal biological structures and where the surgical instruments are.

Patients are discharged based on their progress and health status following the procedure. Some patients may be able to progress rapidly to full weight-bearing. Other patients may require a period of protected weight-bearing due to associated health conditions such as age, osteoporosis, altered bone health, impaired balance, and/ or gait, or other musculoskeletal conditions. You will also receive guidelines to ice the affected area to reduce any swelling, perform certain exercises including short periods of walking to keep up your strength and will be referred to our Physical Therapist.

At discharge the Physician will arrange follow-up visits to assess your progress and health status (including the status of your incision) and may take additional x-rays of your affected area. Usually the patient only needs to limit weight-bearing activities for a few weeks and full healing occurs in the 6-8 week timeframe.

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Sacroiliac Joint Sacroiliac Joint Sacroiliac JointSacroiliac JointSacroiliac Joint

At Airport Plaza Spine and Wellness in Hazlet, NJ, we specialize in the comprehensive treatment of musculoskeletal disorders, including those affecting the sacroiliac (SI) joint. The SI joint plays a crucial role in connecting the spine to the pelvis, supporting the weight of the upper body, and absorbing shock. However, when this joint becomes damaged or dysfunctional, it can lead to debilitating pain that significantly impacts your quality of life.

The SI joint is located at the intersection of the sacrum and the ilium, which are the lower parts of the spine and pelvis. It acts as a cushion that absorbs impact from movements such as walking, running, or standing. Though this joint is relatively stable, several conditions can cause it to become painful or inflamed, including trauma, degenerative diseases, or even pregnancy-related hormonal changes. These factors can lead to conditions such as sacroiliitis, where inflammation occurs in the SI joint, or sacroiliac joint dysfunction, where abnormal motion in the joint can cause pain.

Sacroiliac joint pain can manifest in a variety of ways, making it difficult to diagnose at first. Many patients report deep, aching pain in the lower back, buttocks, or hips, and sometimes experience radiating pain down the legs. This discomfort can worsen with certain movements, such as lifting, bending, or walking. Sitting for long periods of time or transitioning from sitting to standing can also exacerbate the symptoms. The pain often mimics that of disc issues or lumbar problems, so it’s crucial to correctly identify the SI joint as the source of the problem.

If you’re experiencing any of the symptoms listed above, including low back pain, difficulty sitting, or disturbed sleep patterns due to discomfort, it’s important to consult with a healthcare professional who can perform a thorough evaluation. At our clinic, we use a variety of diagnostic tools and techniques to accurately assess SI joint dysfunction. This includes physical examinations that focus on testing the movement of the joint, as well as advanced imaging techniques like X-rays, MRI scans, or diagnostic musculoskeletal ultrasound.

In some cases, the gold standard for diagnosis is a targeted SI joint injection. This procedure involves injecting a local anesthetic into the joint while using fluoroscopic guidance for precision. If the injection results in significant pain relief, it’s likely that the SI joint is the source of the discomfort. This method not only confirms the diagnosis but also helps determine the appropriate course of treatment.

For many individuals, conservative treatments such as physical therapy, chiropractic care, and injections can provide relief from SI joint pain. However, if these approaches fail to bring lasting results, more advanced interventions, like SI joint fusion, may be necessary. One such procedure is the iFuse Implant System, a minimally invasive solution that can effectively stabilize and fuse the SI joint.

The iFuse Implant System is designed to offer patients long-term relief by stabilizing the SI joint and preventing the pain associated with abnormal movement. This system uses triangular titanium implants, strategically placed across the SI joint, to prevent micromotion and reduce rotational forces that contribute to pain. These implants are made from a porous titanium material that allows bone growth to occur around the implant, promoting fusion and further stabilization of the joint over time.

The procedure is performed through a small incision, typically around 2-3 centimeters long, making it much less invasive than traditional surgical approaches. The entire procedure usually takes about an hour, and patients are typically able to return home on the same day. The use of fluoroscopy ensures precise implant placement, allowing for accurate guidance during surgery.

One of the key benefits of the iFuse procedure is its minimally invasive nature. Unlike traditional open surgery, which can involve larger incisions and longer recovery times, the iFuse system reduces the risk of complications and speeds up recovery. Following the procedure, patients generally experience a reduction in pain and an improvement in mobility. For most patients, the full recovery period is approximately 6-8 weeks, although this can vary depending on individual factors such as age, overall health, and the presence of any other musculoskeletal conditions.

After the procedure, patients are typically advised to avoid weight-bearing activities for a brief period. During this time, physical therapy may be recommended to help regain strength and flexibility. In many cases, patients can gradually return to their normal activities as their pain decreases and their joint heals. Our team at Airport Plaza Spine and Wellness will work closely with you throughout your recovery, providing guidance on rehabilitation exercises, pain management, and other steps to ensure a successful outcome.

The iFuse procedure has shown excellent long-term results in numerous clinical studies, with over 82% of patients reporting high satisfaction with their outcomes. Studies have also demonstrated the safety and effectiveness of the procedure, making it a trusted option for patients seeking lasting relief from SI joint dysfunction. Whether you are dealing with acute pain from a recent injury or chronic discomfort due to degenerative changes, the iFuse Implant System offers a promising solution for restoring function and improving quality of life.

In addition to its effectiveness, the iFuse system has a proven track record of reducing the need for ongoing pain management treatments, such as medications or injections, making it a cost-effective option in the long run. By addressing the root cause of your pain and providing lasting stabilization, the iFuse procedure can help you regain mobility and reduce your dependence on pain relief methods.

If you’re suffering from SI joint pain and conservative treatments have not provided sufficient relief, it may be time to consider more advanced options like the iFuse Implant System. At Airport Plaza Spine and Wellness, our team of highly trained and experienced specialists is here to help you explore all available treatment options. We take the time to understand your unique needs and develop a personalized treatment plan to address your pain and help you return to an active, pain-free lifestyle.

Don’t let SI joint pain control your life. Contact us today to schedule a consultation and learn more about how the iFuse Implant System can help you find lasting relief. Our clinic in Hazlet, NJ, is here to support you on your journey to better spinal health and overall wellness. Let us help you take the first step toward a pain-free life.

The sacroiliac joint is critical to the body’s structural integrity, serving as a connection point between the spine and pelvis. It supports the transfer of weight and forces during movement, making it essential for activities such as walking, standing, and running. When this joint becomes dysfunctional, it can lead to pain that affects not just the lower back but also the hips, legs, and even the groin. This type of pain is often misdiagnosed because it shares many similarities with other conditions, such as disc herniation or lumbar spine issues. For this reason, it’s vital for patients to seek a thorough evaluation from an experienced physician to properly diagnose SI joint dysfunction and receive the correct treatment.

The iFuse Implant System offers a solution for patients who experience chronic SI joint pain and have not found relief through more conservative measures. The iFuse procedure targets the underlying cause of the pain by stabilizing the SI joint and promoting fusion. This system is specifically designed for those whose pain stems from joint instability or degeneration, which is often the result of arthritis, injury, or other degenerative conditions. The iFuse implant helps to prevent further motion in the joint, reducing inflammation and pain caused by abnormal movement.

One of the main advantages of the iFuse system is its minimally invasive approach. By using small incisions and specialized implants, the surgery is performed with minimal disruption to surrounding tissues, which allows for a faster recovery compared to traditional open surgery. The implants used in the iFuse system are engineered to be durable and lightweight, offering long-term benefits while minimizing the risk of complications. For many patients, this translates to a quicker return to normal activities and a significant reduction in pain, improving their overall quality of life.

Patients undergoing the iFuse procedure are typically able to resume many of their regular activities within a few months, although full recovery can vary depending on individual health factors. A tailored rehabilitation program is an important part of the recovery process, helping patients regain strength and mobility. Our clinic works closely with patients during this phase to ensure proper healing and optimize outcomes. Additionally, the iFuse procedure has shown to significantly reduce the need for ongoing pain management, offering a lasting solution to SI joint pain.

The long-term benefits of the iFuse procedure are well-documented, with clinical studies showing high success rates and patient satisfaction. With over 80% of patients reporting significant improvements in their symptoms, the iFuse Implant System has become a trusted option for individuals struggling with persistent SI joint dysfunction. If you’re experiencing persistent pain despite previous treatments, it may be time to consider this advanced solution. At Airport Plaza Spine and Wellness, we are committed to providing personalized care and support throughout your treatment journey.

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QUICK LINKS

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CONDITIONS

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TREATMENTS

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SPECIALTIES

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Sacroiliac Joint (SI Joint) Fusion

Do you experience one or more of the symptoms listed below?

SI Joint Fusion with the iFuse Implant System®

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