One of the challenges of low back pain is that it’s not always entirely clear what’s causing it. In some cases, low back pain may be caused by not by a problem in the back at all, but a problem with a joint in our pelvis called the sacroiliac joint (SI joint). This joint is at the bottom of your spine and joins the sacrum—the triangle-shaped bone in the middle of your pelvis—with the right and left sides of your ilium (hip bones).
In general, your SI joints are very stable joint and do not move a lot. Sometimes, however, a problem with the joint can occur and cause symptoms that often mimic other spine health problems, such as sciatica. Problems with your SI joint may include inflammation, hypermobility (too much joint movement), and hypomobility (too little joint movement). Symptoms of SI joint dysfunction may include groin, buttocks, and low back pain; pain that radiates into your hips and legs; and decreased activity tolerance. It can be difficult to diagnose an SI joint problem, but at Indiana Spine Center, we often use imaging studies—such as CT scans or x-rays—alongside our physical examination to help us identify your spinal health problem, which may involve one or both SI joints.
People with SI joint dysfunction may benefit from non-surgical techniques to improve their condition. This may include chiropractic adjustments to reduce pain and restore normal SI joint alignment, pain-relieving medications, and spinal rehabilitation to strengthen postural muscles and increase support around the joint. Sometimes, however, these non-surgical methods fail to improve symptoms. In such cases, we may recommend SI joint fusion surgery to stabilize the joint. We have pioneered image-guided, power assisted techniques using Rialto cages to keep the joints in place and eliminate abnormal movement, thereby reducing pain and other symptoms. We’re proud to offer a minimally invasive approach to this and other procedures, which minimizes post-operative pain, reduces blood loss, and helps you recover faster.
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Dr. Brkaric takes the necessary time to listen to his patients concerns, explain diagnostics, and treatment recommendations.
I have recommended Dr. Brkaric to many of my friends and family members and will continue to do so.
Dr. Gorup always explains everything in depth, the truth and what to expect. His bed side manner is excellent. And he has a great sense of humor.
Dr. Gorup is an excellent and caring doctor, not only to the patient but also their family. Skilled surgeon. Provides all the options. Answers all your questions.