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WEST PALM BEACH, FL

Sacroiliac Joint Dysfunction Treatment Without Surgery

Non surgical Sacroiliac Joint Dysfunction

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Sacroiliac Joint Dysfunction: Treatment in Palm Beach

The sacroiliac (SI) joint connects the sacrum at the base of the spine to the ilium of the pelvis. SI joint dysfunction is a frequently overlooked but significant cause of low back, buttock, and leg pain. It is estimated to account for up to 25% of chronic low back pain cases.

At Palm Beach Regenerative, image-guided SI joint treatment is an integral part of the lumbar spine care approach, with precise injection targeting the joint and surrounding ligaments. Reach out to our practice to schedule an appointment today.

What Is Sacroiliac Joint Dysfunction?

The SI joint is heavily reinforced by ligaments and normally has very limited movement. Dysfunction arises from either too little movement (from arthritis or fusion) or too much movement (from ligament laxity), both of which can produce pain in the buttock, low back, and into the hip or thigh.

SI joint dysfunction is particularly common in women following pregnancy and delivery, in athletes with pelvic asymmetry, and in patients following lumbar fusion surgery.

Signs and Symptoms

  • Pain in the low back, buttock, and sacral region, typically one-sided
  • Pain that worsens with prolonged standing, walking, or transitions such as getting up from a chair
  • Radiating pain into the hip, groin, or back of the thigh
  • Pain with single-leg weight-bearing or stair climbing
  • Tenderness directly over the SI joint
  • Worse with prolonged sitting

Common Causes and Risk Factors

  • Ligament laxity from pregnancy or hormonal changes
  • Trauma or fall directly onto the sacrum
  • Arthritis or inflammatory conditions affecting the SI joint
  • Altered gait mechanics from hip or lumbar pathology
  • Post-lumbar fusion syndrome where forces transfer to the SI joint

How It Is Diagnosed

Clinical examination with specific SI joint provocative tests (FABER, thigh thrust, Gaenslen’s test) is the starting point. A fluoroscopic or ultrasound-guided diagnostic injection into the SI joint that relieves pain is the most reliable confirmation of the SI joint as the pain source.

Dr. Ghattas incorporates diagnostic injection as part of his evaluation when SI joint involvement is suspected.

Conventional Treatment Options

  • Physical therapy for pelvic stabilization and SI joint muscle support
  • SI joint belts for temporary stabilization
  • SI joint steroid injections for inflammatory cases
  • Prolotherapy for ligament laxity
  • Radiofrequency ablation of SI joint nerves
  • Surgical SI joint fusion for severe refractory cases

The Palm Beach Regenerative Approach

Dr. Ghattas offers image-guided orthobiologic injection into the SI joint using fluoroscopic guidance to confirm accurate placement. For patients with SI joint ligament laxity, prolotherapy or platelet injection targeting the posterior SI ligaments provides a stabilizing biological stimulus to support ligament tightening.

The choice between intra-articular joint treatment and peri-ligamentous treatment is guided by the specific findings of your clinical and diagnostic evaluation, reflecting the individualized approach at Palm Beach Regenerative.

The BioMod Advantage: MLS Robotic Laser Therapy applied to the sacral and SI joint region reduces local inflammation and supports the ligament structures surrounding the joint. Xymogen collagen support and anti-inflammatory protocols create a systemic environment that complements the targeted injection treatment and supports SI joint stabilization.

Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.

NEXT STEP

Consultations Are Usually Available Within 1 to 2 Weeks

Request a consultation or call (561) 501-3900.

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●PATIENT OUTCOMES

Patient Experiences

"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."

Dr Jorge A

"Dr. Ghattas offered me PRP treatments for my lower spine and Si joints. He was very measured in his approach and thorough in delivery. I can honestly say, it was the best decision I could have ever made. I’m now able to work out again and more importantly- live - without pain! Thank you, Dr. Ghattas!"

Jim C

"I had PRP in my neck and lower back, both spots had herniated disc’s, I’ve had really good results with both procedures. Palm Beach Regenerative sport and Spine gave me top quality care and were very informative, I’m glad I went this route instead of surgery. Paul Jones"

Paul J

"This is a genuine, heartfelt account of my experience—a rarity for me, but one I feel compelled to share when something truly stands out. I’ve dealt with chronic back issues for years. Three damaged discs, episodes of flare-ups every few months, followed by days of stiffness and discomfort before life resumes its usual rhythm...."

Seth R

These testimonials reflect the real-life experiences of patients with the Regenexx protocol but are not necessarily typical of what you or any other patient might experience. Individual results of the procedures using Regenexx lab processes will vary depending on a number of factors, including your diagnosis, the severity of your condition, your overall health, and others. To better understand what large numbers of patients experience on average, please visit the Patient Results page, and inquire with a physician within the licensed Regenexx network near you.

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