FAQs About Sacroiliac Joint Treatments for Hip Pain

PUBLISHED07/03/2025

A woman holds her hip in pain before a hip fusion procedure

PUBLISHED07/03/2025


Living with sacroiliac joint pain can be quite challenging. Many people experience discomfort that makes it hard to sit, stand, or walk for long periods. Simple activities like bending to tie their shoes or playing with kids can become painful tasks. This constant discomfort may lead to frustration and limit their ability to enjoy daily life.

People who face sacroiliac joint pain may delay or avoid treatment because they don't fully understand this condition and the techniques available to ease their discomfort. However, knowing more about the sacroiliac joint and treatment options equips people with the knowledge they need to make informed decisions about their health.

A doctor in a lab coat speaks with a patient about SI joint treatment, including hip fusion


FAQs About Sacroiliac Joint Treatments for Hip Pain

What Is an SI Joint?

The sacroiliac (SI) joint connects the lower spine to the pelvis. It helps support your body and allows for movement between the spine and the legs. When this joint becomes inflamed or injured, it can cause pain in the lower back and hips.

Why Can It Cause Hip Pain?

The sacroiliac joint can cause hip pain due to inflammation or injury, which can affect the way your body moves. When the joint doesn't function properly, it can lead to stiffness and discomfort in the hips and lower back. This pain may worsen with activities such as standing, walking, or prolonged sitting.

What Are the Symptoms of Sacroiliac Joint Dysfunction?

Common symptoms of sacroiliac joint dysfunction include pain in the lower back or hips, which may feel sharp or dull. People often experience pain that radiates down the legs or discomfort when changing positions, like getting up from a seated position. Other symptoms can include stiffness or difficulty in moving the hip joint.

How Do I Know What Type of Doctor to See for SI Joint Pain?

If you're experiencing SI joint pain, starting with your primary care physician is a good idea. They can examine your pictures of the SI joint, assess your symptoms, and refer you to a specialist, such as an orthopedic doctor or a physical therapist. Additionally, a pain management specialist may be helpful if your pain is severe or chronic.

A doctor uses a hip bone model and X-ray to describe hip fusion surgery


What Types of Injection Treatments Are Available for SI Joint Pain?

There are several injection treatments available for SI joint pain, including cortisone injections, which reduce inflammation. Other options include facet joint injections and trigger point injections, which target specific areas of pain. These treatments help relieve discomfort and improve mobility in the affected area.

What Is an SI Injection for Hip Pain?

An SI injection involves injecting medication directly into the sacroiliac joint to relieve pain and inflammation. This can include corticosteroids, which help reduce swelling, or anesthetics that numb the area. The goal of the injection is to provide temporary relief and improve function.

How Effective Are Facet Joint Injections?

Facet joint injections can be effective in reducing pain and improving mobility for people experiencing joint-related discomfort. They work by delivering medication to the specific joint, which may help alleviate inflammation and reduce nerve irritation. Many patients report significant pain relief after the injection.

Are Sacroiliac Joint Injections Painful?

Most people experience minimal SI joint injection pain. The doctor may use a local anesthetic to numb the area, which helps reduce any pain associated with the injection itself. Afterward, some individuals may experience a bit of soreness, but this usually subsides quickly.

An older couple lifts weights in a gym after SI joint treatment


What Medications Can Help Manage SI Joint Pain?

Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage mild SI joint pain. For more severe pain, doctors will determine the best meds for SI joint pain for each patient and may prescribe stronger pain medications or anti-inflammatory drugs. Physical therapy and certain muscle relaxants may also be recommended to help relieve discomfort.

What Is the Recovery Time for SI Joint Surgery?

Recovery time for SI joint surgery can vary, but typically takes several weeks. Patients often start with limited activity and gradually increase as they heal. Physical therapy may be recommended to improve strength and mobility during SI fusion recovery.

How Long Does It Take to Recover From a Fused Sacroiliac Joint?

Recovery from fused sacroiliac joints usually takes about three to six months for full healing. During this period, patients will often go through physical therapy to help regain strength and function. Many people experience pain relief after the hip fusion, but it can take time to adjust fully.

What Is Radiofrequency Ablation, and How Does It Work for SI Joint Pain?

Radiofrequency ablation is a procedure that uses heat generated by radio waves to interrupt pain signals from the nerves in the SI joint area. This technique can provide long-lasting relief for chronic pain by targeting specific nerve pathways. The procedure is minimally invasive and can be performed on an outpatient basis.

An older couple sits on the floor and meditates after hip fusion treatment


How Does Spinal Cord Stimulation Help With Chronic Hip Pain?

Spinal cord stimulation involves placing a small device near the spinal cord to send electrical signals that disrupt pain signals traveling to the brain. This technique can help manage chronic hip pain by altering the way the body perceives pain. It's often considered when other pain management methods have not been effective.

What Are the Pros and Cons of Sacroiliac Hip Fusion?

The pros of sacroiliac joint fusion include a significant reduction in pain and improved mobility for many patients. However, potential cons may include risks associated with surgery, such as infection or complications, as well as the possibility of not achieving the desired pain relief. It's essential to discuss these factors with your doctor.

What Type of Doctor Should I Consult for SI Joint Pain?

For SI joint pain, you should start with your primary care doctor, who can assess your symptoms and refer you to a specialist. An orthopedic doctor specializing in joint issues or a pain management specialist can provide more targeted treatment options. Physical therapists can also play a crucial role during the SI joint surgery recovery time.

What Are the Best Practices for SI Joint Stabilization?

Best practices for SI joint stabilization include physical therapy focused on strengthening the surrounding muscles, improving flexibility, and enhancing overall body mechanics. Using supportive braces or belts may also help during activities. Regular low-impact exercises like swimming and walking can contribute to stability and pain relief.

A man swims laps after treatment for SI joint pain


How Do I Know If I Need a Sacroiliac Joint Cortisone Shot?

If you have persistent pain in the lower back or hips that isn't responding to standard treatments like physical therapy or medication, you might need an SI joint cortisone shot. Discussing your symptoms with your doctor can help determine if this injection into sacroiliac joints could be beneficial for your situation. They will evaluate your condition to decide the best course of action.

Are There Any Alternative Treatments for SI Joint Pain?

There are several alternative treatments for SI joint pain, including acupuncture, massage therapy, and chiropractic adjustments. Additionally, some people find relief through practices like yoga or Pilates, which focus on stretching and strengthening the body. It's important to consult with a healthcare provider to find the most suitable alternative options for your needs.

Rely on Pain and Spine Specialists to Relieve SI Joint Discomfort

When sacroiliac joint pain has affected every aspect of your life, our Pain and Spine Specialists team is ready to help. Our board-certified doctors have over twenty years of experience helping our patients regain their mobility and independence, and we can do the same for you.

Find out more about the treatments available for SI joint pain, including hip fusion options, at Pain and Spine Specialists by calling one of our locations in Florida, Maryland, Pennsylvania, and Florida or scheduling an appointment with our team today.

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