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IS YOUR LOW BACK PAIN ACTUALLY SI JOINT PAIN?

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Up to 30% of chronic low back pain may originate from the sacroiliac joint.​

If you have persistent pain in your lower back, buttock, hip, or groin, and previous treatments have not worked, the source may not be your spine. It may be your SI joint.

SYMPTOMS

SI joint pain often mimics disc or hip problems, which is why it is frequently misdiagnosed.

WHAT IS THE SACROILIAC JOINT?

The sacroiliac joint connects your spine to your pelvis. It transfers force between your upper body and your legs every time you walk, sit, lift, or twist.

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When this joint becomes unstable or degenerates, it can create persistent pain that feels like lower back, hip, or groin pain.

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HOW WE CONFIRM THE DIAGNOSIS

A proper diagnosis requires more than imaging alone. At Vitruvian Health, we use a structured evaluation process.

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Comprehensive physical examination

Imaging to rule out lumbar spine or hip pathology

Diagnostic SI joint injection

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If your pain improves by 75 percent or more after a diagnostic injection, the SI joint is likely the primary pain generator.

TREATMENT PATHWAY

Targeted physical therapy

Focused strengthening and stabilization exercises designed to improve pelvic alignment and reduce abnormal stress across the sacroiliac joint.

Anti-inflammatory medications

Prescription or over the counter medications that reduce inflammation within the joint to help relieve pain and improve mobility.

Image guided SI joint injections

Precise injections performed under fluoroscopic guidance to deliver anti inflammatory medication directly into the SI joint for both diagnostic and therapeutic relief.

Vitruvian Health is pleased to partner with SI-BONE in offering advanced minimally invasive sacroiliac joint treatment options.

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MINIMALLY INVASIVE SI JOINT STABILIZATION iFuse INTRA X Allograft Implant System

TARGETING THE SOURCE OF PAIN

The sacroiliac joint sits deep in the pelvis, where the spine connects to the hip bones. When this joint becomes unstable, even small amounts of abnormal movement can create persistent pain. The iFuse INTRA X procedure is designed to precisely stabilize this joint through a small incision in the lower back.

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SMALL, PRECISE IMPLANTS

The iFuse INTRA X system uses small cylindrical bone allograft implants. Each implant is approximately 3.5 millimeters in diameter and 20 millimeters in length, roughly comparable in size to a dime in width. Their compact design allows for precise placement within the joint.

DESIGNED FOR STABILITY

Two of these implants are placed across the SI joint using real time imaging guidance. The goal is to limit abnormal motion and promote fusion of the joint over time, helping reduce pain and improve stability.

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• Procedure typically takes less than one hour
• Two small cylindrical bone allograft implants
• Performed under real time imaging guidance
• Designed to reduce abnormal joint motion

WHAT DOES THE PROCEDURE ACTUALLY LOOK LIKE?

Watch a brief overview of minimally invasive SI joint stabilization.

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​Most patients are surprised by how small the incision is and how efficiently the procedure is performed.

FIND OUT IF THE SI JOINT IS THE REAL SOURCE OF YOUR PAIN

The first step is a comprehensive evaluation to determine whether the sacroiliac joint is contributing to your symptoms.

Indications and Risk Information

The iFuse INTRA X® Allograft Instruments are indicated for placement of the iFuse INTRA X Allograft. The iFuse INTRA X Allograft is indicated for homologous use.

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There are potential risks associated with the iFuse INTRA X Allograft Implant System. It may not be appropriate for all patients and all patients may not benefit.

For information about the risks, visit https://si-bone.com/risks.

Want to learn more about sacroiliac joint fusion in greater detail

Want to learn more about sacroiliac joint fusion in greater detail?
Explore our comprehensive SI Fusion resource page.

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