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Are you experiencing sacroiliac joint dysfunction as a result of a sudden or chronic injury?

NYC Hip surgeon Dr. Vigdorchik is here to help you with your sacroiliac joint dysfunction. With a non-operative priority, state-of-the-art surgical techniques and a track record of positive outcomes both performing and teaching other hip surgeons at the prestigious Hospital for Special Surgery, you can trust Dr. Jonathan Vigdorchik to provide you with an accurate diagnosis and positive outcome for your sacroiliac joint dysfunction.

Schedule an appointment immediately – (646) 754-2000

If your sacroiliac joint dysfunction has been caused by a sudden or chronic injury and is accompanied by any of the symptoms below, please call New York City’s innovative hip surgeon Dr. Vigdorchik immediately and have someone drive you to our office.

  • Dull or sharp pain at your sacroiliac joint
  • Dull or sharp pain in your buttocks, thighs, groin, or upper or lower back
  • Pain when standing up from a seated position or during activity

Sacrum Anatomy

The sacrum is a triangular-shaped bone in the center, lower portion of the spine, below the lumbar spine and above the tailbone.

The sacrum connects to the right and left iliac bones (the bones you would naturally consider your hip bones) via the sacroiliac joints. The sacrum and iliac bones are connected by a series of strong ligaments.

There is relatively little motion at the sacroiliac joints, less than four degrees of rotation is normal. However, these joints support the entire weight of the upper body when standing, as well as act as sock-absorbers.

The SI joints have a layer of cartilage separating the bones, allowing them to slide against each other without pain. When the cartilage is damaged or worn away, the bones begin to rub on each other, and degenerative arthritis (osteoarthritis) occurs, which is the most common cause of SI joint dysfunction.

Common symptoms of sacroiliac joint dysfunction

Symptoms of sacroiliac joint dysfunction include dull or sharp pain at your SI joint, or in your buttocks, thighs, groin, or upper back. Pain may radiate from one or both sides of your lower back.

Standing up can trigger the pain, as the pressure of your body weight is supported by the SI joints.

Pregnancy can increase the risk of SI joint dysfunction. During pregnancy, the body releases hormones that cause your joints to loosen, which leads to extra wear and tear on local bones.

SI joint dysfunction can be difficult to diagnose because its symptoms mimic other common conditions such as facet syndrome, disk herniation and radiculopathy.

This is why it’s important to be examined by a knowledgeable NYC hip surgeon, who can administer several provocative tests to reproduce symptoms and provide an accurate diagnosis.

Common conditions associated with sacroiliac joint dysfunction

Common conditions that cause sacroiliac joint dysfunction include degenerative arthritis (osteoarthritis), and pregnancy.

Pregnancy can increase the risk of SI joint dysfunction because during pregnancy the body releases hormones that allow the SI joint to move more than normal. This allows extra motion in the joints that can lead to increased wear.

Other conditions that can cause SI joint dysfunction include leg length discrepancy and lower extremity pain. The extremity pain can cause the person to move abnormally, leading to increased pressure on one of the SI joints.

Sacroiliac joint dysfunction treatment options

Treatment options for sacroiliac joint dysfunction are often conservative (non-surgical), and include:

  • Modifying or stopping activities that move the SI joints in ways that inflame the joint
  • Pain medication
  • Physical therapy or chiropractic treatment to improve strength and flexibility
  • Injections to reduce joint inflammation
  • Nerve treatment to the nerve that sends signals from the SI joint to the brain
  • Supports or braces
  • Sacroiliac joint injections
  • SI joint fusion surgery

Dr. Vigdorchik is a strong believer in prioritizing non-operative treatment, only recommending surgery when most beneficial to the patient. To determine the best treatment option for the patient, Dr. Vigdorchik carefully considers the patient’s condition, medical history, lifestyle, and personal preferences.

Dr. Vigdorchik is one of the 1% of New York City hip surgeons experienced and knowledgeable in performing all advanced hip surgeries.

Sacroiliac joint dysfunction articles

Learn more about sacroiliac joint dysfunction with these educational articles from Dr. Vigdorchik:

  • Coming soon

Call us immediately – (646) 754-2000

If you’re suffering from the symptoms of sacroiliac joint dysfunction below, call New York City hip surgeon Dr. Vigdorchik to schedule an appointment. If left untreated, sacroiliac joint dysfunction will often become more severe over time.

  • Dull or sharp pain at your SI joint, or in your buttocks, thighs, groin, or upper back. Pain may also radiate from one or both sides of your lower back.
  • Pain when standing up from a seated position or during activity