Model of SI joint

Treatments for SI Joint Pain

The SI (sacroiliac) joint, which plays a pivotal role in connecting the spine to the pelvis, can unfortunately be a source of chronic pain. Over the years, SI joint pain has been notoriously misdiagnosed as a spinal problem, so consulting with specialists in pain diagnosis and treatment is critical. At Long Island Spine Rehabilitation Medicine, our physiatrists have a well-deserved reputation for diagnosing joint pain accurately and treating it effectively. We use innovative combinations of nonsurgical remedies, pulling out all the stops to bring you relief.

Causes and Symptoms of SI Pain

Sacroiliac joint pain typically manifests in the lower back, buttocks, hips, legs, or groin, often mimicking other conditions like sciatica or lumbar spine issues. This pain can arise from various causes, including degenerative arthritis, injury, pregnancy, or even repetitive motion stress. Symptoms may include discomfort while standing or walking, pain that radiates down the legs, and stiffness or burning sensation in the pelvis.

Effective Treatments for SI Pain

At LI Spine Rehabilitation Medicine, we offer a range of treatment options, both traditional and complementary, customized to address the specific causes and symptoms of each patient’s SI joint pain.

Pain Medications

Medication management is a cornerstone of SI joint pain treatment. Our physicians carefully prescribe medications, which may include non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or nerve pain medications, to manage pain and inflammation. We prioritize safe and effective use of these medications, tailoring your regimen to your specific needs and medical history.

SI Joint Pain Physical Therapy

Physical therapy is integral to the treatment of SI joint pain. Our physical therapists customize exercise programs to relieve SI joint pain. Exercises that strengthen the muscles supporting the SI joint not only alleviates pain, but helps to improve flexibility and increase range of motion. Our expert physical therapists do more than address your current symptoms; they also help to prevent recurrent episodes of pain.

Spinal Injection Procedures

Spinal injections may be epidurals that anesthetize the region or corticosteroid injections to reduce inflammation. In some cases, one shot includes both medications. These same injections can be directed toward the SI joint for diagnostic or therapeutic purposes. In either case, these injections are administered under fluoroscopic guidance to ensure precise delivery to the affected site. This minimally invasive procedure can provide significant pain relief and is often used in conjunction with other therapies.

Radiofrequency Ablation

Radiofrequency ablation (RFA) is a cutting-edge treatment that uses heat generated by radio waves to target and disrupt nerve function, effectively reducing pain signals from the SI joint. This minimally invasive procedure has shown promising results in providing long-term relief for chronic SI joint pain.


As part of our commitment to comprehensive care, we also offer acupuncture, a staple of ancient Chinese medicine now widely accepted by Western medicine. Acupuncture involves the insertion of hairline needles into carefully charted points on the body to relieve pain. It’s particularly beneficial for patients seeking a holistic approach to pain management, often resulting in improved overall well-being as well as pain reduction.

Contact the SI Pain Specialists at LI Spine Rehabilitation Medicine Today

Suffering from SI pain or pain that has not yet been accurately diagnosed or addressed? Do yourself a favor and get in touch with our talented physiatrists who have advanced training in relieving pain and restoring mobility. Contact us now so we can create a treatment program designed not only to alleviate your SI pain but to improve your quality of life.