Non-surgical treatment options for sacroiliitis include physical therapy, exercise, medication, massage therapy, chiropractic therapy, acupuncture, and/or application of heat or cold compresses. Occasionally steroids are injected into the sacroiliac joint (SI joint) easing the pain and reducing the inflammation.
The steroid injections are done by Orlando Orthopaedic Center’s Pain Management Physicians. This is done in an outpatient surgical suite under fluoroscopy (specialized x-ray machine), which allows the steroid medication to be injected into the sacroiliac joint surrounding the nerves that are being affected. This may relieve the pain completely. If the pain is not relieved surgery may be indicated.
The majority of patients with sacroiliitis can be treated without surgery. If the patient is still having severe pain that is unresponsive to non-surgical options and makes everyday activities unbearable, surgery may be considered. A sacroiliac joint fusion is performed. This procedure fuses the SI joint to stop motion in the joint. To learn more about SI Joint fusion click here. The spine surgeon will make the decision on whether surgery will benefit the patient.