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Understanding the problem

There are many different terms for sacroiliac (SI) joint problems, including SI joint dysfunction, SI joint syndrome, SI inflammation. Each of these terms refers to a condition that causes pain in the SI joints from a specific cause. There are two of sacroiliac joints in the lower back, sitting on each side of your spine. SI joints have a cartilage layer covering the bone. The cartilage allows for some movement and acts as a shock absorber between the bones. When this cartilage is damaged or worn away, the bones begin to rub on each other, and osteoarthritis occurs. This is the most common cause of SI joint dysfunction.

Understanding who suffers

People who gain weight, whose legs are of unequal lengths or who have curvature of the spine are especially prone to developing SI joint dysfunction. Women are also vulnerable to developing SI joint pain because they have wider pelvises than men and the ligaments loosen during pregnancy. Arthritis can lead to the problem. A type that affects the spine namely ankylosing spondylitis, can damage the SI joint. In aging, when the cartilage over the SI joint slowly wears away, damage may occur.

Potential Signs and Symptoms

Accurately diagnosing sacroiliac joint dysfunction can sometimes be difficult because the symptoms maybe similar with other common conditions, like facet joint syndrome, disc herniation and radiculopathy.

Symptoms could include:

  • Radiating pain along the sciatic nerve and down the leg Dull or sharp pain starting at your sacroiliac joint, but it can move to your buttocks, thighs, groin, or upper back.
  • Sometimes standing up can trigger pain
  • Pain may most of the time only be present on one side of the lower back.
  • More pain or discomfort in the morning and may get better during the day.
Examinations Usually Required

Physical examination

  • The doctor may try to determine if the sacroiliac joint is the cause of pain through movement of the joint and has ruled out that no other cause of pain can explain the patient’s pain and symptoms (such as a disc herniation on an MRI scan)
  • There are several orthopaedic provocative tests that can be used in an attempt to reproduce the symptoms associated with sacroiliac joint dysfunction. Several positive tests that reproduce pain specifically located at the sacroiliac joint improve the probability of the diagnosis of sacroiliac joint dysfunction.

Block Injections

  • A sacroiliac joint injection, sometimes called a sacroiliac joint block, can be a useful diagnostic test. If the injection relieves the patient’s pain, it can be inferred that the sacroiliac joint is the source of the pain.
Proposing Treatment and Why AIMIS

Treatments can vary depending on the severity of your symptoms and how much they limit your everyday activities and your level of pain.
Not all patients with pain from Sacro-Iliac (SI) Joint Disruption or Dysfunction require surgery. For mild to moderate pain, more conservative treatment methods can include medication intervention, physical therapy, and chiropractic care.

In cases of severe and persistent problems, surgery maybe recommended.

Now there’s a MIS approach to surgical management of SI Joint disruption and dysfunction that’s easier and less invasive than traditional open surgery the iFuse implant system used at AIMIS.

AIMIS provides various surgical options depending on an individual’s problem and potential and include:

  • Minimally Invasive Sacroiliac Fusion Surgery
  • Sacroiliac Joint Fixation

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Reputable and Prestigious Surgeons

AIMIS’ skilled team of neurosurgeons, orthopaedic surgeons and ancillary professionals has one of the leading experiences in the world for treating fractures of the spine. Our full team are consulted with each case to find the most suitable experienced doctor for the patient’s exact issue, to ensure the maximum potential outcome of treatment.

Getting More Information Before Moving Forward
You may have questions like:
  • Can I get more information before I commit to this?
  • Can I get a second opinion from you before I commit to this?
  • How can I find out the cost before I have any obligation?
What AIMIS Can do:

AIMIS will provide a full review, diagnosis and potential surgical options for your condition, after receiving the relevant examinations and information from you. They will also provide an estimate for your surgical procedure before you decide.

AIMIS’ mission is to the provision of “true” healthcare for those who require it. It provides world leading surgeons using state of the art procedures to optimize potential surgical outcomes, whilst taking care of all arrangements so as to allow concentration on recovery.


AIMIS provide competitive prices for state of the art procedures. We also work with a large range of Insurance companies where your policy allows you to have surgery abroad.

Further information on the problem:

The sacroiliac joint is adjacent with the bottom of the spine, below the lumbar spine and above the tailbone or coccyx. The sacroiliac joint connects the sacrum- a the triangular bone at the bottom of the spine, with the pelvis otherwise known as the iliac crest. There are two of them in the lower back sitting left and right of the spine.

The joint typically has the following characteristics:

  • There is relatively little motion – normally less than 4 degrees of rotation and 2 mm of translation at these joints. Most of the motion in the area of the pelvis occurs either at the hips or the lumbar spine.
  • A small joint, but very strong and is reinforced by strong ligaments that surround it
  • Responsible to transmit all the forces of the upper body to the pelvis (hips) and legs
  • Acts as a shock-absorbing structure

It is thought that an alteration in the regular joint motion may be responsible for sacroiliac pain As with most other joints in the body, the SI joints have a cartilage layer covering the bone. The cartilage allows movement and acts as a shock absorber between the bones. When this cartilage is worn or damaged, the bones rub resulting in degenerative arthritis (osteoarthritis) . This is the most common cause of SI joint dysfunction.

Further Information on Increased Risk Groups

Another common cause of SI joint dysfunction is pregnancy. During pregnancy, hormones are released in the woman’s body that allow ligaments to relax. Relaxation of the ligaments holding the SI joints together allows for increased motion in the joints and can lead to increased stresses and abnormal wear, coupled with the additional weight and walking pattern (altered gait) associated with pregnancy.
Changes in the normal walking pattern places increased stress on the SI joints and is a risk factor for SI joint dysfunction. This could include a leg length discrepancy (one leg longer than the other), or pain in the hip, knee, ankle, or foot. Patients with severe pain in the lower extremity often develop problems with either the lower back (lumbar spine) or SI joints. Usually, if the underlying problem is treated, the associated lumbar spine or SI joint dysfunction will also improve.
There are many disorders that affect the joints of the body that can also cause inflammation in the SI joints. These include gout, rheumatoid arthritis, psoriatic arthritis, reactive arthritis, and ankylosing spondylitis.

Further examination that maybe required or requested

See above in examination that may be required for further information.

Why AIMIS for this Surgery

AIMIS strives for excellence in delivering the best surgical outcomes, via the extensive expertise of its prestige surgeons, its technologies, its highly trained staff and superior facilities to provide an individualized and compassionate experience in a comfortable environment. All patients are treated with the individual care they deserve in an effort to provide the best chance of successful treatment.

Other Services Provided by AIMIS

In addition to its Innovative Healthcare, AIMIS provides seamless service along the way. From the start of your journey you’ll know the best flights to take, where you’ll be staying, what paperwork you will need. You will have a personal assistant assigned; from your pick up at the airport, to your accommodation, continuous assistance at your pre-consultation, through surgery and in your postsurgical care. Our Patients have said that they feel they have become “”part of our family”” and some even asked to stay a little longer! AIMIS is here to assist you in an all you requirements, allowing you to focus on your health and recovery.