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Sacroiliac Specialist

Daniel Loder, MD

Pain Management & Orthobiologic Treatment located in Beverly Grove, Los Angeles, CA, & Torrance, CA

The sacroiliac joint in your pelvis doesn’t move as much as joints like elbows and knees, but it performs a vital role in helping absorb shock. If you have pain in your sacroiliac joint, double board-certified pain specialist Daniel Loder, MD, and his team can help. As well as conservative therapies, they use advanced treatments such as steroid injections and radiofrequency ablation to relieve sacroiliac joint pain at their offices in Beverly Hills, Torrance, and Manhattan Beach, California. To find out more, call your nearest Los Angeles area office today or book your appointment online.


What is the sacroiliac joint?

The sacroiliac joint links the bones in your pelvis. It connects the sacrum – a triangle-shaped bone that sits between the bottom of your spine and your tailbone – with your hip bones.

The sacroiliac joint absorbs shock traveling between your upper body and your lower body. It doesn't move very much for a joint – just a little to support its shock-absorbing function and to enable you to bend forward and backward.

What can go wrong with the sacroiliac joint?

If you develop a problem with your sacroiliac joint, it can cause lower back pain and leg pain. The leg pain caused by sacroiliac joint dysfunction is similar to sciatica, which develops when there’s pressure on the sciatic nerve in your pelvis.

Sacroiliac joint dysfunction can also cause pain in the joint itself. That typically occurs because the sacroiliac is moving too much or too little:

Hypermobility or instability

When there's too much movement in your sacroiliac joint, it can make your pelvis feel unstable. Pain from excessive sacroiliac joint movement typically causes lower back and hip pain that may radiate into your groin.

Hypomobility or fixation

When there's too little movement in your sacroiliac joint, it can lead to muscle tension, pain, and a reduced range of motion. The pain tends to affect one side of your lower back and buttocks and radiates down the back of your leg, much like sciatica pain.

Inflammation in the sacroiliac joint (sacroiliitis) also causes pelvic pain and stiffness. The inflammation might originate in the sacroiliac joint itself, or be due to an infection or rheumatoid condition.

How are sacroiliac joint problems treated?

Conservative treatment approaches are often remarkably successful for sacroiliac joint problems. Resting for several days can help, but don't stay immobile for any longer or the stiffness could get even worse.

Cold treatments on your lower back and pelvis can reduce inflammation, while heat can ease the pain of muscle spasms. You might need to take anti-inflammatory medication or muscle relaxants if you have severe sacroiliac pain.

Physical therapy can ease a hypomobile (tight) sacroiliac joint. If your sacroiliac joint is hypermobile (loose), you might need to wear a pelvic brace to help stabilize the joint. Orthobiologic treatments can help boost tissue repair and new growth.

What treatments relieve chronic sacroiliac pain?

If noninvasive approaches aren't reducing your discomfort, the Daniel Loder, MD, team can inject your sacroiliac joint with a mixture of local anesthetic and corticosteroid (a powerful anti-inflammatory). Sacroiliac joint injections help break the cycle of pain, and a course of injections can lead to longer-term relief.

Another option is radiofrequency ablation. The Daniel Loder, MD, team uses radiofrequency energy to heat the nerves serving your sacroiliac joint, disabling them and stopping pain signals reaching your brain.

Find out how to get lasting relief from sacroiliac pain by calling Daniel Loder, MD, today, or booking an appointment online.