SI joint injection fluoro viewHip and back pain is much more complicated and nuanced than most physicians realize.  Not all hip pain is arthritis. Not all back pain is disc related. While the differential diagnosis for these pains is quite wide, the sacroiliac joint is a major player for these pains. 

The sacroiliac joint is the articulation between your sacrum and pelivs.  It helps to stabilize the lower back, and is critical for transferring weight through your hips.  If your sacroiliac joint is strained, arthritic, or inflamed, you can feel pain in your lower back, side front or back of the hip, in the groin, and even down the leg. 

A patient I saw recently had pain in his groin area believed to be due to hip arthritis. He underwent a hip replacement surgery, not an easy surgery for most patients, and one that has significant risks associated with it.  His groin pain persisted despite his surgery. A couple years later a smart physician tried to anesthetize his sacroiliac joint with a short term numbing injection, and his groin pain was completely resolved.  This simple approach was essentially diagnostic for his pain deriving from his sacroiliac joint.  He was eventually referred to me for platelet rich plasma treatment for his sacroiliac joint, aiming to give a stronger and longer term treatment solution for his pain.  Using advanced xray guidance (see picture above), I injected his own concentrated solution of platelets into his sacroiliac joint.  I recently saw him back in clinic 2 months after his treatment, and the groin pain he has had for the last several years is no longer present.

Unfortunately, in my patient’s case he had to undergo a major risky hip replacement surgery to learn that his pain was not coming from his hip joint. My suggestion is to consider alternative sources of your hip or back pain prior to pursuing permanent and risky surgery.  And after having a correct diagnosis made, consider a low risk autologous biologic treatment such as the Regenexx Platelet rich plasma or Regenexx PL-disc treatment to fix your problem.


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