Sacroiliac Joint Pain - Causes & Treatments

[@Sam-uk4bb]

This is the greatest video on sacroiliac joints. I learned more from this video than from all my reading and seeing doctors. Thanks!!

[@mh-be3es]

😅What an amazing , humble, knowledgeable medical professional! So glad I found this video! Thank you Dr. Cooper!

[@bryantjoeb1]

I’ve been in pain for over 4 years with PI spasms that no one has been able solve. I have an appointment with Dr. Cooper in April 2024. I let you know my results. I’m only a 12 hour drive away😳

[@TheMeshal33]

How did it go?

[@monk3119]

liar

[@phaseboundary5323]

This is one of the best explanations of SI joint issues and their clinical workup. Trying to find a local specialist here in the Austin area who will work through these steps, but the two specialists I have seen so far must have slept through SI Joint Dysfunction 101. Will keep up until I get to a specialist who read the textbook.

[@Traceytls01]

I live in Virginia but also have a home in NJ. I am going to make an appt to see you because I believe that what you are describing is me to a T. Thank you.

[@rasikarane02]

Wow thank for being so honest and open about the case study.

[@PrincetonSpineJointCenter]

Always. Thank you for watching and offering such nice feedback!

[@cynthiakoop2837]

Thank you so much for this video. It proves at least to myself that I am not making all of this pain up 😅

[@michellekocher7656]

Thank you! Your video was so informative and helpful. Many times I feel so alone in my SI pain. I wish I could come see you for treatment.

[@Isaac5123]

I suffered for 35 years then got them fused 18 months ago

[@mavr1215]

I also feel miserable and alone, I’ve had to stop working and struggle to do anything, hang in there.

[@atishayjain4834]

Lots of good videos on this issue. But this is the best and most comprehensive so far. Thank you so much.

[@59markr]

Brilliant! Such a comprehensive explanation of all the treatments for SI joint pain. I especially appreciated the discussion of the near miss. That does you a world of credit!

[@helenkalamaras7890]

Thank you for the comprehensive video, so very informative... It has helped me immensely.

[@helenk2737]

Thank you so much for experiencing so well. The best video about SI joint

[@joaniniemeyer4148]

I've been exploring through viewing a myriad of videos on this subject (due to my own disabling pain). I really, really enjoyed this one! Learned more and feel less confused. There is hope!

[@jacquelingordon5327]

these videos were helpful in helping me understand the causes and help of my foot drop and hand tingling. I am able to more understanding the treatments I have been getting.

[@sunnyvaliens]

Fascinating! I really appreciate the thorough and clear explanation; really fills in some gaps from the info I received from my own doctors. Thank you!

[@timothyblack2185]

My Orthopedic Dr recommended that I see a pain mgt.dr. for RFA. I've been getting RFA for one year now. When I get the Ablations, it takes 4 weeks for the nerves to die off. After that only half the pain is gone for 4 months. Then the pain comes back to the extreme. I get the RFA every 6 months on each side of the SI Joints. One on one side, then the next month the other side. I have a hard time sitting over 20 minutes and standing on concrete floors. The pain is worse on the right side with buttock pain and sciatica down the outside of that rt leg to the knee sometimes to the big toe. Issue is L4 & 5 & S1. I have an one inch difference in my legs due to surgery from one of the accidents. (Broken femur - pin was never put in place above knee, just in the hip and rod in the femur)Therefore, I have a shoe lift on the outside of the shoe, one inch. I've done Prolotherapy, PT, Chiropractor, meds. etc. Nothing last. This is all from 2 drunk drivers. I've been progressively getting worse over 27 years since the 1st car accident. Is there another procedure you'd recommend that would take away all the pain and last longer? What do you think about cutting the nerves, I believe it's called DVR? Tina Thank you

[@helend6774]

This was very helpful. I've had SI joint shots in both my hips. It was a game changer.

[@shibahe]

Was it painful?

[@Lou-Meatskavitch]

​@shibahe the shots aren't bad, usually last 1-3 months for me.

[@alwynmaguire8037]

Brilliant informative explanation. I believe I've been carrying an underlying s.i joint paint from my early 20's. Over the years it's sort of popped it's head it out as a presence until recently. I sustained an L5 disc bulging injury. The injury gave me left with excruciating hip pain. After three months both pain subsided. I then returned to work but using a side twist motion whilst using a sledge hammer the pain presented itself once again throwing a stabbing sensation into my right hip but also sending a radiating pain down my leg giving asciatic pain. Once again after several weeks all other pain has subsided except for the s.i joint and I believe this is an ongoing problem. I'm so glad I've come across this content as I can arm myself with info on my next visit to my g.p. Thanks again

[@denisefrancois-annevil7101]

I enjoy this video and I learned a lot Dr I wish your resident was in MA so I can make an appointment with you. Thank you so much God bless your talent.

[@ahmedkoraitim6781]

Very informative, thank you

[@NitaWilliams-l2x]

Very informative and helpful. I'm currently dealing with what we think is SI joint pain. Had 1 injection for the nerves and sciatica. Did not help, so next step next month is an injection of the SI joint. Hoping it works!

[@bevriley7638]

Thank you for such a thorough explanation. I have had one diagnostic injection prior to ablation and am discouraged because it did not relieve my pain.

[@PrincetonSpineJointCenter]

If the diagnostic injection did not take away your pain for at least a couple of hours, and assuming the diagnostic injection was done under fluoroscopic guidance and done well, then you should have ruled out sacroiliac joint as the source of your pain and be looking for another source of pain. It doesn't make a ton of sense to me that you had an ablation after a failed diagnostic injection so it is very possible (likely?) that I'm missing something from the story. However, in general, if you have a diagnostic injection and there is no pain relief, then you cross that out as a possible source of pain and look elsewhere (e.g. disc, facet, piriformis, etc).

[@sunilmodi4284]

Thank you for your explanation. I have had an Inj n steroid 4months ago. It was v successful but unfortunately the symptoms have returned. MRI had confirmed the lesion on left 5, now contemplating next step.

[@wandabraswell1440]

Could you do a video on the new LinQ device as treatment for SI joint pain?

[@mariamarino138]

My MRI AND XRAYS, showed, sacroilitis!!!!tested negative for RA and Ankylosis Spondylitis came back negative as well! I’m in horrible pain, especially after sitting and any twisting! My inflammation markers are high, and X-rays show erosion as well😢

[@MichaelJeffery1]

Thank you for the great video. I have been in a lot of pain for 6 weeks now. I have seen many doctors and physiotherapists. Their diagnoses have varied from the iliolumbar ligament to an L1 L2 disc compression to a hernia. No one has suggested the SI joint as the possible cause. My own investigation on the internet has led me to many videos, including yours, that best describes my symptoms. It is very disheartening because I must now go back to a doctor and convince them that it is SI pain and convince them to refer me to a specialist. I have had a CT scan, MRI and ultrasound. None of the imaging has picked up any problems at all. Anyway there’s nothing you can do for me but I appreciate the video.

[@brunoyvres4939]

It would be helpful to have typical recovery times, weeks or months even. Great info. Thanks

[@valeriesantos9998]

Very informative. Thank you. Wow, love this doctor. Wish I lived near Princeton. I live in California.

[@klgraf]

Super helpful! Thank you so much as I am in PT for acute (and very painful) lower back pain.

[@shelleyrice1]

In your experience does SIJ disfunction affect the foot & toes

[@TaddeseRoba]

Thank you for the very much helpful and extraordinarily insightful explation on SI joint dysfunction. Can we have details on the whereabouts of your clinc, contact full address.

[@PrincetonSpineJointCenter]

@@TaddeseRobathank you for the nice feedback. You can always find me at PrincetonSJC.com.

[@BakiWho]

good video!

[@tomcat6933]

Good video. I think I am a similar case to the last guy. I had my hip replaced over 7 months ago. I now have pain shooting down my femor and lower back pain with pain along my glutes. An MRI showed bulging disc, so I had 2 epidurals that didn't work. I had an epidural in sacroiliac joint, and I was normal again for 3 weeks. I get another epidural this week in the sacroiliac joint. I hope it works. I have been diagnosed with sacroilliitis and piriformas. I use a walker or cane now. I was better off before hip replacement. The pain prevents me from walking. Hurts worse when I get up from sleeping. I was jogging down the road after my shot in the sacroiliac joint.

[@Garcia061]

This is so thorough. I have bilateral sacroiliitis that manifested as lumbar pain and inability to go into flexion. L2 to T1 basically dont move. But nobody can figure out the relationship between the two

[@Isaac5123]

Have you had yr SI joints fused ?

[@gailhefner5436]

Thanks

[@HelenMartin-j9b]

This was so very informative. God bless you, Dr.Cooper. I've been diagnosed with severe sacraliliac dysfunctioning. I've had spine surgery several months ago which was successful. However the Sacroliliac pain began 3 months ago. Will have an injection soon. Feeling hopeful

[@Divotz2]

I have this problem and I had an injection and because I have fusion from T9 to L5 the doc had a hard time getting the angle past the hardware from the fusions. I was relieved from pain for 3months assuming it was the L5-S1 joint bulge. It came back and the next one lasted a week. Another injection a month later and it lasted 1 day. Neurosurgeon thinks my S1 is the cause and is willing to pin the SI joint after the fusion of S1 to the L5 fusion..ì do the exercises and it feels worse later the afternoon after PT. The next morning I have trouble getting to role over in bed and when I stand I feel better. My pain goes through my left crotch area down the front of my left leg and knee to the balls of my feet.Not down the back of my leg. Like it did for the L1L2L3L4L5 DID.after seeing this I will recommend they inject my SI joint and I am sire this will fix it. Thanks doc for your help and work 😊👍😉

[@shivams9329]

Super useful video - really helpful!

[@nikoskotsovinos311]

Great video !!Thank you very much for your time !!

[@jRows5rw3qd8]

mine was more like piriformis and disc bulge but i always felt great after doing hip and si joint stretching exercises but even the decompressing spine stretches and sciatica streches. the nerve pain on lower back, glute part and tight hips wont go away

[@debrahenze5734]

I wish you were my doctor!

[@brianabourbon2089]

Very informative and easy to follow. You mentioned you also had a video for recommended PT exercises for this? Where can we find this?

[@chapmanbasketballacademyso394]

I'm approaching my 50th and had an L5-S1 fusion at at 21. For the past 14 years I've been dealing with hip, groin, low back pain. 75% R/25% L. I went down so many roads and finally gave up. Not sure if it's psoas or now maybe SI joint. Going back at it to try and figure this out and hoping to become more active again. Thank you--great information!

[@MickDoolan]

Same here i had the bottom two discs fused and now it seems i have Sacroiliac Joint inflammation which was found in a recent xray when i had shots near my facet joints.

[@gbuggy006]

I’ve also had L5/S1 fusion and have had SI joint dysfunction for a few years.

[@Db55895]

Great information! Your explanation and tutorial is very clear. So you have an interventional spine doctoe you can recommend in Minneaspolis-St. Paul Minnesota area? Thanks so much!

[@Jan-23]

Thank you for so much Information

[@andreagate542]

Great vid 🙏🏽 would laser or near infrared light therapy but of any use? thxs

[@jennycarolinarodriguezgait6547]

Hello Doctor can the SI be related with pain behind my knees. Or this is more sciatica. Thanks

[@paolotichelio7410]

Hello Doctor! I’m experiencing exactly the same situation you did. L5-S1 pain where the insurance denied care (what do we pay them for?!!) but several tests are now pointing to SI joint pain which I hope to be able to finally point out with my next visit. If my experience can be of help to you and other patients feel free to ask. Id be glad to share my experience

[@sheri_nari_tjk]

God bless you brother 🙌

[@donaldhooper3064]

I have learned a lot in this video. I am being treated for Sacroiliac Joint pain. Had my first injection 3 weeks ago and the pain was gone but returned about 7 days later. I am seeing the Dr tomorrow and he had told me that another injection may be necessary. So, I am on that path at the moment. However, I watched your video and was puzzled that you never mentioned a "fusion". My Dr had told me that should the injections fail to be successful, that a fusion would be considered. I was just curious as to why you never even mentioned that.

[@KatherineCarothers]

I think he did............he said it's not recommended anymore bc of micro fractures bc the joint has to slightly move.

[@Shenanigan5]

@@KatherineCarothers he said old techniques caused microfractures but they now use triangular shaped anchors which allow small movements however there is always a risk that other parts of the body get affected downstream as you alter your bodies natural movement

[@JamesSohol-t5s]

What kind of hardwear do you use?

[@jorgegallardo9964]

The radio frecuencia es incluida by medic care?

[@bruceroseman5616]

Case 19-2023 NEJM. DESCRIBES AN 80 YEAR MAN WITH FOOT DROP AND A POSITIVE MRI SHOWING DISC IMPONGING ON L5. FINE, not really. On physical examination he has in addition to foot drop, asymmetrical muscle wasting. The final diagnosis was facioscapulohumeral muscular dystrophy. My question, is it possible that if the hip girdle muscles were involved, could this be a cause for the pain giving rise from unequal force on the sacroiloac joint? Bruce Roseman

[@Trashy-vm1vn]

yes do phusical therapy

[@berguzarkorel5350]

Real life scenario 63 year old male presents with severe righty buttock pain worse with sitting. No pain with lumbar spine movements pain. Mri right sided disc at l4-l5. No benefit with epidural interlaminar, selective right L5 nerve root block, right SI joint injection. Any ideas, please?

[@pablosilva5913]

"I have spondylolisthesis, but my pain started when I was doing a squat and twisting while lifting my father, who weighs 90 kilograms, from the floor. The MRI showed spondylolisthesis grade 1, but I don't know when the listhesis occurred. At the same time, I have pain similar to piriformis syndrome and pain from the L5-S1. If it was caused by trauma, how can I determine the exact cause? The trauma is likely to affect both the disc and the sacroiliac joint simultaneously. Thank you."

[@jasonholman5171]

Where do I find the videos you are referring to on the SI Joint.

[@lc6972]

If I have SI joint pain, should I or should not do machine spinal decompression therapy? (the one where you are lying down on a bed bench). I went to a chiropractor that did spinal manipulation which made the pain worse, and they are now suggesting a round of spinal decompression therapy.

[@thestork2210]

Most chiros are pieces of s.

[@pdiggitydogg]

Clearly my insurance is an issue. I cannot believe having multiple epidural injections, as the ONE I had at L5 was over US $2000 out of pocket. I'd love to try an Si injection as I believe that's the source but not this year, not next....

[@davidreidenberg9941]

My pain is when I bend over but not if I brace my arms on my thighs or on a table.

[@PrincetonSpineJointCenter]

Well, that’s not characteristic for any one particular source of back pain. It suggests more of a disc source but honestly it’s very non specific. I would definitely suggest you go and see a spine specialist and get a diagnosis and a treatment plan.

[@Trashy-vm1vn]

just go do pt it sounds like you have si joint problems especially if its on your right side more. even if it isnt the 9 out of 10 doctors would say its your sl joint says this bozo.

[@luizamar]

What if you have both Sacroiliac pain and Disc and faucet pain? In my case I am 66 years old and suffered from A broken Tibia when I was 21 years old and Partial knee replacement when I was 45 years old? HELP

[@shiarafigoni1464]

Brucella, bartonella, lyme, staph areus

[@ginoasci]

All good BUT, no mention about the cause of the problem. WHY does the sacroiliac joint break down ??? Is it because of diet, does this happen because we move a certain way and the nerve becomes inflamed? WHY ? What’s up with the sacroiliac joint ? And don’t say age.

[@gbuggy006]

Typically the SI joint doesn’t move more than 4%. Sometimes the ligaments lose strength & the joint becomes hyper mobile & inflamed causing pain. There are other causes, but not diet. Usually structural.

[@ginoasci]

@@gbuggy006 : thank you for stepping in. very much appreciated.

[@allensmith9312]

Physio only aggravates the joint..

[@Lou-Meatskavitch]

Mine isn't tender, yet i get severe pain there. I have to get steroid injections 4 times a year.

[@mrosendal]

Thanks for cutting through the BS on this …

[@donnaesmith8161]

Great Video but no steroids for me. I have home health care for 40 hours. Can't lay on back, sides or stomach. I have C3-7 fused and bulging discs T1-S1. Bilateral ulnar nerve intrapment and use a walker. Only 58. Was in a very bad car accident almost 3 years ago. These doctors playing games. I don't want drugs. Just fix it.

[@Trashy-vm1vn]

im sorry donna thats horrible. f these grimy doctors

[@boop8127]

That shot is supposed to huuuuuurrrrrt

[@lfithaca]

So helpful! I've been going through PT for lumbar DDD. I've been doing exercises which relieve stiffness and pain very well in the general sense. Yet I continue to feel a localized pain in my left butt area which has plagued me for years and seems to match your description of sacroiliac pain . Thank you for clarifying this for those of us suffering with this frustrating symptom.