A 30-minute office procedure is giving people with chronic lower back pain something they thought was gone for good: real, lasting relief.
Maybe you’ve been told your MRI looks normal. Maybe you’ve even had back surgery that didn’t fix it. You're second-guessing whether you can pick up your grandchild. Skipping the trip because you're not sure your back can handle it.
In this conversation, Dr. Anderson explains how SI joint dysfunction is diagnosed, what the procedure involves, and what patients can expect.

Your sacroiliac (SI) joint sits right at your belt line where your lower spine meets your pelvis.
It's the largest axial joint in your body and acts as a shock-absorber between your upper body and legs. When it becomes unstable or inflamed, it can cause persistent pain that's often mistaken for a hip problem or general back pain.
Up to 30% of chronic lower back pain originates from the SI joint, but it's one of the most commonly overlooked sources.
Pain at or just below your beltline, you can often point to it with one finger
Aching in your lower back that can radiate into the buttock, hips, thighs, or groin
Discomfort climbing stairs or stepping up a curb
Pain getting in and out of a car
Pain that gets worse when sitting for a long time
Pain standing on one leg for more than a few moments

We evaluate your pain with a physical exam, imaging, and a targeted diagnostic injection. If numbing the SI joint relieves your pain, we've found the source. We do this test twice because we want to be certain before recommending anything.
A thumbnail-sized spacer is placed through a 1.5 cm incision to stop the joint from sliding. You get conscious sedation — not general anesthesia — and you're walking the same day.
Most patients feel relief within days. The spacer fuses naturally over 6–8 weeks, permanently stabilizing the joint. No months of rehab. No ongoing injection cycle. Just the life you've been missing.

You're not coming in for surgery. You're coming in for answers. If the diagnostic injection relieves your pain — we'll talk about what's possible.

Advanced Pain Institute of Texas
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