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Your Sacroiliac (SI) Joint Pain Treatment Options | Los AngelesFor people diagnosed with SI joint dysfunction, which can cause one or both of the SI joints to become painful, the doctor may initially consider non-surgical treatments, such as medicines, physical therapy, or steroid injections. 

If those non-surgical treatments do not deliver relief, the patient should ask their doctor about minimally invasive SI joint fusion.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical treatments to patients in Los Angeles, Century City, CA, and surrounding locations.

 

Conservative Therapies

Before considering surgery, patients who receive an SI joint pain diagnosis have a few pain relief options to try. These include:

  • Physical Therapy
  • Pain Medication
  • Therapeutic SI Joint Injections
  • RF Denervation

The doctor and insurer will likely insist on conservative treatments prior to discussing surgical options. The patient should make sure to keep good records of all the conservative treatments that they try in the event that they need to apply for insurance approval.

 

SI Joint Surgery

There are two types of SI joint fusion surgery, namely, traditional “open” surgery and minimally invasive surgery (MIS). 

In case conservative treatments are not effective, the patient should ask their doctor about surgical options for SI joint pain relief. If the doctor establishes the patient as a candidate for SI joint fusion, the patient should reach out to their insurance provider to understand the appropriate steps to take to ensure coverage. 

 

MIS SI Joint Fusion: iFuse

iFuse is the ONLY minimally invasive surgical treatment option available to patients for SI joint fusion that is clinically proven effective by various high-level clinical trials for specific reasons for the development of SI joint dysfunction. The iFuse Implant system is used in a surgical procedure, which is undertaken in an operating room using either general anesthesia or spinal anesthesia.

 

iFuse Procedure

This procedure is undertaken entirely through a tiny incision (around 3 cm long), along the side of the buttock. In this procedure, fluoroscopic guidance provides the surgeon with live imaging for proper implant placement. In general, three implants are placed, depending on the patient’s size. 

 

iFuse Recovery

The doctor will most likely recommend the use of crutches, a walker, or cane for three or more weeks following the surgery. The surgeon will schedule a post-op appointment to assess the surgical incision and to evaluate the patient’s progress after surgery.

 

Traditional or “Open” SI Joint Surgery

In “Open” surgery, the surgeon places a longer incision, and the procedure involves screws, bone grafts, a significantly longer hospital stay and an extended recovery period. The pain relief is several degrees lower than MIS, according to patients at 12 months after the surgery. In general, open surgery is not recommended anymore by doctors for SI joint fusion.

 

Non-Surgical SI Joint Treatment Options

Pain Medication

The doctor may prescribe opioids, NSAIDs, or other drugs for SI joint pain relief. Pain drugs may help treat the symptoms of this condition. However, they cannot treat the underlying physical damage. 

Physical Therapy

Physical therapy comprises a physical assessment and a customized treatment plan. The treatment may vary in length on the basis of the patient’s needs and typically continues until the deficits are addressed, and they have attained pain-free function again.

Therapeutic SI Joint Injections

A common non-surgical treatment option involves the injection of steroids into the joint to reduce the swelling and pain. Steroids are strong anti-inflammatory meds. These injections are typically a temporary solution, offering relief for a few days or weeks. 

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and other procedures. 

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

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SI Joint Pain Symptoms | Los Angeles | Beverly Hills | Santa MonicaSouthern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical treatments to patients in Los Angeles, Century City, CA, and surrounding communities.

 

Common Symptoms

  • Lower back pain (below L5)
  • Sensation in lower extremity: numbness, pain, weakness, tingling
  • Pelvis/buttock pain
  • Hip/groin pain
  • Sensation of leg instability (giving way, buckling)
  • Disturbed sleep patterns because of the pain
  • Disrupted sitting patterns (unable to sit for long durations, sitting on one side)
  • Pain extending from sitting to standing

Understanding the Symptoms

Sacroiliac (SI) joint disorders necessitate a proper interpretation of the patient’s history, clinical examination results, and imaging studies. In general, hip pathology and/or lumbar pathology can occur simultaneously with SI joint pathology.

A medical professional trained in SI joint dysfunction diagnosis and treatment can help diagnose the patient’s condition correctly and recommend an appropriate treatment approach. 

 

Avoid SI Joint Pain Misdiagnosis

For the most part of the 20th century, doctors did not focus on the SI joint as the origin of chronic back pain. Therefore, misdiagnosis was, and still can be, common. 

To avoid misdiagnosis, patients should understand what to share with their doctor and work with a doctor who is trained in SI joint pain diagnosis and treatment.

It is vital to understand history to understand why SI joint pain can be easily misdiagnosed. Medical professionals have considered the spinal disc as the go-to source for all back pain for the past seven decades. SI pain commonly feels similar to lower back or discogenic pain. Literature from 1934 supports that. 

However, today, many orthopedic and neurologic spine surgeons understand that the disc is not the only source of chronic low back pain. A doctor trained in SI joint diagnosis and treatment can help the patient in accurately determining whether their pain originates from their SI joint or another source. 

 

Know What to Share with the Doctor

The patient should start with these steps to improve their chance of an accurate diagnosis and appropriate treatment:

  • Track when the pain occurs and how strongly they feel in various locations, such as the buttocks, legs, and lower back
  • Tell the doctor the precise location of the pain and level of functionality. Share their pain journal. 
  • Discuss any previous injuries that may have either directly affected the pelvis, or caused the patient to walk asymmetrically, or may be associated with their functionality in any manner with the doctor. 
  • Understand whether the doctor is specially trained in SI joint dysfunction. If not, consider working with a provider who is. 

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and other procedures.

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

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Causes of SI Joint Pain | Los Angeles | Beverly Hills | Santa MonicaSimilar to other joints in the body, the sacroiliac (SI) joint can sustain damage, experience wear and tear, or the ligaments supporting the joint may be injured or stretched.

This may cause a change in the function of the SI joint, a condition known as SI joint dysfunction. SI joint dysfunction may cause pain in the lower back or spine, buttocks, groin and pelvis, and even the legs. Thankfully, there are treatments available today that can bring long-lasting relief to the patient. 

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical treatments to patients in Los Angeles, Century City, CA, and surrounding locations.

 

Causes of SI Joint Pain

The two primary causes of SI joint dysfunction and pain are trauma and degeneration. 

 

Low Back Pain and SI Joint Pain Causes

The sacroiliac (SI) joint can sustain damage, similar to other joints. This may occur due to wear and tear, or the ligaments that support the joint may become injured or stretched, causing a change in the function of the SI joint (SI joint dysfunction).  

 

What Causes SI Joint Pain?

Sacroiliac (SI) joint dysfunction and related pain may occur due to a specific traumatic event (disruption) or may develop over time (degeneration).

  • Motor vehicle accident
  • Sacroiliac Trauma (common events that may lead to SI joint disruption)
  • Pregnancy (chronic low back pain during and/or after pregnancy is often called pelvic girdle pain)
  • Fall on buttock
  • Lifting and/or twisting
  • Natural childbirth

 

Sacroiliac Joint Degeneration (Common Causes)

  • Stresses to the SI joint due to leg length differences, joint replacement, or scoliosis
  • Previous lumbar spine surgery (e.g., the fusion of the lumbar vertebrae)
  • Osteoarthritis
  • Prior infection of the SI joint
  • Previous iliac crest bone graft (ICBG)

Lower back and buttock pain may occur due to the SI joint, hip, spine, or a combination of these structures. The doctor should properly assess ALL potential pain sources at the time of a lower back pain examination to offer the patient a correct diagnosis of their symptoms and prescribe the most appropriate treatment approach.

 

Other Causes of Low Back Pain

The SI joint may be a major contributing factor to pain in the pelvis or pelvis area, lower back, buttocks, or legs. However, many structures in the pelvic region and lower back may lead to pain:

  • Hip issues are sometimes confused with low back conditions.
  • A “slipped disc” may be the reason for pain in the low back.
  • Scoliosis may cause pain and degeneration in the spine/back.
  • Sprains and injury can lead to low back pain.
  • Arthritis of the back can lead to pain.

Many people experience low back pain at some point in their lives. For some individuals, low back pain can be an acute, short-term issue. Others may suffer from long-term, chronic low back pain. Regardless, the reason for the pain may or may not be the SI joint. 

The patient should consult a qualified SI joint doctor to establish whether the pain is caused due to the SI joint or another source. 

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and other procedures.

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

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Your Los Angeles Orthopedic Surgery Specialist | Beverly HillsMany orthopedic procedures, especially orthopedic surgeries, are intricate and complex.

The operating surgeon should have a detailed understanding of the anatomical structures involved and should be able to develop an individualized surgical plan that can create predictable results in a less invasive and precise manner.

The doctor should adopt a conservative treatment approach and minimize the risks involved while accomplishing sustainable benefits of function, mobility, and relief from pain for the patient.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical treatments to patients in Los Angeles, Century City, CA, and surrounding communities.

 

Board Certified and Fellowship Trained Orthopedic Surgeon

Board certified and fellowship trained orthopedic surgeon, Dr. Tigran Garabekyan, is a specialist in sports medicine and joint replacement.

Dr. Garabekyan emphasizes on orthopedic surgery and non-surgical treatments of the shoulder, knee, and hip, including both joint preservation and joint replacement treatment alternatives for patients of all ages.

The considerate Dr. Garabekyan graduated summa cum laude from UCLA with an undergraduate degree in Chemical Engineering. He subsequently received a medical degree from the University of California at San Diego and pursued an internship in general surgery at the University of California at San Francisco.

Dr. Garabekyan went on to complete an orthopedic surgery residency at Marshall University in Huntington, WV, where he was among the toppers in the inaugural class.

The judicious Dr. Garabekyan facilitated the development of the program curriculum at Marshall University and served as the Chief Resident. After graduating, he was offered an eminent position at Marshall Orthopedics as the Assistant Program Director. He worked in this position for two and a half years.

Dr. Garabekyan completed a fellowship in Sports Medicine and Hip Preservation Surgery at the University of Colorado, School of Medicine. Additionally, he has served as the Assistant Team Physician for Marshall University, treating sports-related injuries in division one athletes.

 

Research Interests and Expertise

The reliable Dr. Garabekyan is the author of various scientific journal articles, online publications in orthopedic surgery, and textbook chapters. He has presented the results of his research work at international and national conferences. His research interests include the following:

  • Enhanced characterization of acetabular dysplasia
  • Role of femoral torsion and acetabular version in borderline dysplasia
  • Capsular management during hip arthroscopy

His treatment expertise includes:

  • Articular cartilage injuries
  • Labral tears
  • Osteitis pubis
  • Femoroacetabular impingement
  • Hip dysplasia
  • Hip tendon injuries
  • Osteoarthritis

Dr. Garabekyan is an expert in hip arthroscopy as well as realignment osteotomies of the pelvis and upper femur (PAO/DFO). Therefore, he can adopt a comprehensive approach to the treatment of hip dysplasia.

He undertakes hip arthroscopy without a perineal post, allowing him to carry out simultaneous bilateral hip arthroscopy to reduce the recovery duration.

 

Individualized Treatments

Dr. Garabekyan will individualize every surgical and non-surgical orthopedic procedure after accounting for the patient’s unique needs, their current medical status and health history, and their personal requirements and objectives. This enables him to develop precise results in the safest and most effective manner.

 

Customized Patient Care

The caring Dr. Garabekyan explains that he has a different philosophy on patient care. When patients schedule a consultation to see him, they actually see “him.” Dr. Garabekyan will sit down with the patient and take their history, perform a thorough physical exam, and review the images.

He will explain their diagnosis and take time to ensure that their questions are addressed. In case it is decided that the patient needs surgical treatment, Dr. Garabekyan will undertake the complete procedure from beginning to end.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and other procedures.

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

The Right Diagnosis for Your Chronic Low Back Pain Caused by SI Joint Dysfunction | Los AngelesIn order to accurately diagnose a dysfunctional sacroiliac (SI) joint and prescribe the correct treatment, the doctor will likely need the patient’s medical history, including symptoms, a physical exam which will include the SI joint, provocative maneuvers, and imaging studies.

Additionally, the provider will need to eliminate other sources of low back pain, such as the spine or hip, so there is a lower possibility of misdiagnosis.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical treatments to patients in Los Angeles, Century City, CA, and surrounding locations.

 

SI Joint Pain Tests

SI joint dysfunction tests include discussing the patient’s history and pain experience, a physical exam, tests to eliminate other sources of pain, such as hip pain and lumbar spine pain, and these commonly accepted techniques:

  • Provocative tests
  • Diagnostic imaging (X-ray, CT, MRI)
  • Diagnostic SI joint injections of the SI joint

 

Provocative SI Joint Tests

The doctor may undertake a series of provocative examinations or tests to manipulate the joints or feel tenderness over their SI joint. All of these methods can help diagnose the condition. Tests for provocative SI joints include:

  • Distraction
  • Thigh thrust
  • Compression
  • FABER
  • Gaenslen

The doctor will apply pressure to the hips, knees, and other areas to see which position may lead to pain or discomfort in five different positions.

 

Diagnostic Imaging

Additionally, a CT scan, X-rays, or MRI may be helpful in diagnosis. It is also vital to understand that more than one condition (such as a hip or disc problem) can occur along with SI joint issues and the doctor should evaluate other factors that may be causing symptoms.

 

Get the Right Diagnostic Test

The correct diagnostic tests are very important to establish whether the patient has a sacroiliac (SI) joint dysfunction. Below are the most common techniques to diagnose SI joint dysfunction.

Diagnostic Injections of the SI Joint

The most common technique to correctly determine the reason for SI joint pain is to inject the SI joint with pain drugs.

Fluoroscopic-guided SI joint injection with:

  • local anesthetic
  • contrast medium

Post-injection pain reduction:

  • ≥ 50% SIJ is the probable source of pain
  • < 50% Should consider other sources of pain, but SIJ may be a factor

The SI joint injection procedure involves administering a tiny amount of numbing medication (a local anesthetic such as lidocaine) into the SI joint under CT guidance or fluoroscopic guidance.

In case there is significant relief in the SI joint pain (over 50 percent pain relief) following the injection for one or two hours, then it is thought to be a confirmatory or positive diagnostic injection, which means that the SI joint is the most likely reason for the pain.

The SI joint is less likely to be the primary reason for the pain if the level of pain is unchanged after the injection.

 

Know What to Share with the Doctor

To enhance the chances of an accurate diagnosis and treatment, the patient should follow the below mentioned steps:

  • Understand when the pain occurs and how intensely they feel it in multiple locations, including the buttocks, lower back, and legs
  • Tell the doctor the exact location of the pain and the level of functionality, and share the pain journal with them.
  • Inform the doctor about any previous injury that may have either directly impacted the pelvis, or caused the patient to walk asymmetrically, or may relate in any manner to functionality
  • Ask if the doctor is trained specially in SI joint dysfunction. If they are not, the patient should reconsider their choice of doctor.

A medical professional trained in SI joint pain diagnosis will assess all the information the patient provides, including their history of injury, failed lumbar fusion or other surgery, location of the pain, or problems sleeping or standing.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and other procedures.

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Where and What is The Sacroiliac (SI) Joint? | Beverly HillsThe sacroiliac (SI) joint is located in the pelvis, and it connects the iliac bone (pelvis) to the sacrum (the lowest portion of the spine above the tailbone).

This joint transfers forces and weight between the legs and upper body. It is an important component for energy transfer between the torso and legs.

When the doctor asks the patient to point to their pain, they are trying to identify whether the SI joint might be the cause for the pain. Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical treatments to patients in Los Angeles, Century City, CA, and surrounding communities.

 

SI Joint Anatomy and Function: Does it Move?

A network of muscles and ligaments stabilizes the SI joint, which also restricts motion. The normal SI joint has a small amount of normal motion of around two to four mm movement in any direction. Therefore, it moves only a little.

The SI ligaments in females are less stiff in comparison to males, which enables the mobility necessary for childbirth. Motion, mainly rotation, reduces with aging, and increased motion is related to pregnancy.

 

SI Joint Shape, Size, and Texture: It’s a Real Joint

The SI joint is a true diarthrodial joint, which means that it is the most common and moveable joint in the body. The articular surfaces are shaped like an ear, containing uneven ridges and depressions. The concave sacral surface of the joint is covered with thick hyaline cartilage, and the convex iliac surface is lined with thin fibrocartilage.

In the upper part of the SI joint, the ilium and sacrum are not in contact but are instead connected with robust posterior, inter-osseous, and anterior ligaments. The lower half of the joint and anterior is a typical synovial joint with hyaline cartilage on the joint surfaces.

The SI joint is an axial joint with an estimated surface of 17.5 square cm. The surface of the joint is smooth in juveniles and becomes uneven over time.

 

SI Joint Strain, Injury, and Instability

Upon understanding the location of the SI joint and what it is, it is more convenient to comprehend how it can be injured and degenerate over time and lead to low back or spine, leg, pelvic, or buttock pain.

 

Common Causes of SI Joint Dysfunction and Pain

The injury and mechanical strain to the SI joint are produced by falls on the backside or a combination of vertical compression and rapid rotation (i.e., lifting a heavy object and twisting). These types of injuries can create ligamentous laxity and allow painful abnormal motion, meaning SI joint pain.

SI joint instability can also initiate from lumbar spine surgery, which involves injury to a large part of the ilio-lumbar ligament. SI joint pain can also occur due to leg length discrepancy, gait irregularities, extended, vigorous exercise, traumatic birth, trauma, and long scoliosis fusions to the sacrum.

Painful SI joint arthritis can also initiate from autoimmune diseases, such as juvenile rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, Reiter’s Syndrome, and infections including TB, staphylococcus, and gonorrhea.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and other procedures.

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

Sacroiliac (SI) Joint Problem | Santa Monica | Beverly HillsFor over a century, Sacroiliac (SI) joint disorders and related symptoms have been well-known. Scientific data indicates that it is common from pain from SI joint to feel similar to discogenic or low back pain.

SI joint disorders should be considered in low back pain diagnosis to avoid unnecessary lumbar spine surgery.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery as well as non-surgical treatments to patients in Los Angeles, Century City, CA, and surrounding locations.

 

A Properly Functioning SI Joint

An SI joint which is functioning correctly has a limited amount of motion SI joint and the motion occurs in multiple planes. The sacrum translates (glides between the two ilea), the sacrum nutates (rocks forward and backward) as well as pivots on a diagonal axis simultaneously.

These motions are quite small with the gliding motion being around 1.6 mm and with one to two degrees of sacral rocking motion in men, and three to four degrees of sacral rocking motion in women.

 

The Three Components of a Normal SI Joint

For optimal SI function, there are three components that are necessary. These are:

  • Form closure: passive forces
  • Force closure: dynamic forces
  • Motor control: the coordination between the nervous system and the muscles that stabilize the pelvic area and lower back

The SI joint works to transfer weight and forces due to motion from the upper body through the pelvis to the legs and vice-versa. The SI joint is an important component for shock absorption to prevent the impact of forces from reaching the spine during movement.

The main role of the SI joint is to offer stability to the pelvis and to bear the weight of the upper body.

 

SI Joint Instability

SI joint dysfunction may develop when any or all components that are necessary for the stability of the SI joint are not functioning appropriately due to giving birth, trauma, arthritis, degeneration, or other conditions. SI joint dysfunction may or may not cause pain in the SI joint itself.

SI joint dysfunction may cause pain in the soft tissues surrounding the SI joint and/or in other body areas that may be affected in a secondary manner.

 

Testing for SI Joint Instability

SI joint pain refers to the situation when there is pain emanating from the joint itself. Patients experiencing SI joint pain usually have discomfort at the time of provocative testing. The provocative tests refer to physical exam tests that stress the SI joint(s) in several directions.

Studies indicate that if the patient has three or more positive tests on a cluster of five specific provocative tests, it is quite probable that the patient has pain initiating in the SI joint.

 

SI Joint Dysfunction Pain and Treatment

SI joint dysfunction pain can be experienced anywhere in the low back, legs, or buttocks. Chronic SI joint pain symptoms can make it challenging to perform common daily tasks, and can impact many facets of the patient’s life.  

Fortunately, there are thousands of physicians around the world who are trained in SI joint pain treatment, from conservative treatments to minimally invasive SI joint fusion surgery.

Board certified orthopedic surgeon Dr. Tigran Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery and other procedures.

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

About Iliac Crest Pain (Pelvic Pain) Prevention | Los AngelesIt is possible to prevent iliac crest pain by taking good care of the body. Unfortunately, most people do not focus on prevention and end up in pain.

In some cases, it can be challenging to prevent iliac crest pain, such as during pregnancy. But the patient can speak to their doctor about exercises and stretches that they can perform to reduce their chances of iliac crest pain.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding communities.

 

Iliac Crest Pain Prevention

In case a person has never experienced iliac crest pain but has seen someone else suffer from it, they may be interested in understanding how to avoid the discomfort, pain, and immobility that is often associated with the condition.

There are multiple ways to prevent iliac crest pain. For example, most shoes wear out eventually. When that occurs, they do not offer appropriate stability to the feet.

It is important to make an effort to change our shoes to something robust that can provide good shock absorption as well as stability for the legs and feet. Avoiding running or walking on surfaces that are unequal or in locations that are uphill and downhill can also help prevent the condition.

The best way to avoid ilium pain is considered to be muscle enhancement. If a person exercises regularly and performs stretching to keep the abdomen and hip muscles strong and the joints flexible, it can go a long way in preventing the occurrence of iliac crest pain.

It is important to take preventive measures to avoid iliac crest pain or any other hip-related conditions.

 

Tips for Prevention

Wearing Proper Footwear

Feet form the foundation of the body, which makes it vital to take care of them. Good foot care starts with shoes that are well-fitting.

It is important to pay extra attention to shoes, particularly if a person is a runner or plays sports on a routine basis. Running or athletic shoes should be replaced when they start to show wear.

Use Tracks for Running

Many of us do not have the luxury of running on good quality tracks. Still, it is important to find a nice, even stretch of road to run on. Uphill and downhill running should be avoided, at least until the recovery is complete.

Warm-up Properly

Most people get this wrong, and just start running without properly warming up their muscles, joints, stretching or getting the blood blowing.

This is a major mistake that can have severe consequences, such as muscle rupture. Additionally, it is essential to cool down and stretch after a person is done working out or running.

Avoid Uneven Surfaces

The surface should be level and in good condition when running or engaging in sports.

Improve Muscle Strength

Performing exercises that strengthen the muscles around the iliac crest help prevent injury and pain.

Stretch

Stretching the muscles and ligaments surrounding the iliac crest and pelvis can also help avoid some injuries and pain.

Board certified orthopedic surgeon Dr. Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

About Iliac Crest Pain (Pelvic Pain) Medical Treatment | Los AngelesThe pain is typically sharp, sudden, and differs in intensity. It can be experienced along the iliac crest. However, it can also spread all the way to the spine, along the sciatic nerve path, through the hip and all the way to the groin region.

It is crucial to identify the exact reason and location if the pain. This can enable the patient to be on the right track and speed for recovery.

Southern California Hip Institute (SCHI), led by board certified orthopedic surgeon Dr. Tigran Garabekyan, provides orthopedic surgery to patients in Los Angeles, Century City, CA, and surrounding locations.

 

What can be done for Iliac Crest Pain?

Certain people go straight to the physician’s office at the first indication of pain. Yet others seek ways to treat their condition at home. There is no right approach here.

The patient can try and assess their general condition at home and decide whether they need professional help, or whether they want to try at-home treatment.

Some things that the patient can undertake are as follows:

Discontinue the pain-causing activity

While this may seem intuitive, there are many instances where people force themselves to endure the pain (like runners trying to finish a race). Doing so is not a good idea.

Rest

Resting will give the patient some time to assess their condition, and determine whether the intensity of the pain is increasing or reducing. In case it does not resolve on its own, patients should contact their doctor. This will also allow the body time to heal itself.

Icing

Icing the impacted area will settle the swelling down, reduce the inflammation, and relieve pain. The patient should ensure that they do not apply ice directly to the skin, and wrap it in a piece of cloth and then apply; nearly 15 minutes, around twice daily.

Stretching

Patients should approach stretching cautiously, depending on the reason for the pain. They should gently stretch the muscles of their core and leg and stop if they feel any pain before the condition worsens.

 

Best Iliac Crest Pain Exercises and Stretches – Iliopsoas Muscle

Iliac crest pain may occur due to issues with the Iliopsoas muscle. The video below offers more information on the muscle as well as the anatomy. It also features some good stretching exercises which can release the pain and tension:

Medical Treatment

The patient should contact their GP for help if the pain does not resolve after a couple of days, or it becomes worse. Some common medical treatments for iliac crest pain include:

  • injections to the affected region
  • anti-inflammatory medicines
  • physical therapy
  • electrical stimulation
  • range of motion exercises
  • surgery

If the pain is severe and sudden or persists for more than a few days, the patient should contact a doctor. Medical treatment options for this condition include:

  • lidocaine injection
  • physical therapy, particularly when the pain is caused by the iliotibial band
  • corticosteroid injection to decrease inflammation when other treatments have been unsuccessful
  • physical therapy can also address pain issues in the running gait

Board certified orthopedic surgeon Dr. Garabekyan receives patients from Los Angeles, Century City, CA, and nearby areas for orthopedic surgery.

Dr. Tigran Garabekyan is a board certified orthopedic surgeon specializing in hip preservation. To learn more about Southern California Hip Institute or to schedule a consultation, click here to contact us or call:

Century City / Los Angeles: 310.595.1030

Serving patients in Los Angeles, Beverly Hills, Santa Monica, Century City, West Hollywood, North Hollywood Encino, Sherman Oaks, Van Nuys, Burbank, Glendale and other neighboring cities in the greater Los Angeles, California area.

Also visit http://www.drgorthopedics.com/

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Dr. Garabekyan Associations | North Hollywood | Board Certified Orthopedic Surgeon | Glendale Burbank | Encino | Sherman Oaks | Van Nuys Dr. Garabekyan Associations | North Hollywood | Board Certified Orthopedic Surgeon | Glendale Burbank | Encino | Sherman Oaks | Van Nuys

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Tel: 310.595.1030 Fax: 310.582.5619