BVS Doctors

Sacroiliac Joint Pain

The sacroiliac joint connects the spine to the pelvis. When it becomes inflamed or dysfunctional, it causes pain in the lower back and buttock that is often confused with a herniated disc. Treatment is usually non-surgical — from physiotherapy to injections and radiofrequency.

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Where it is felt and why it's confused with a disc

Sacroiliac pain is usually felt in the lower back, on one side, over the buttock, and can spread down to the thigh. Because it is near the low-back region, it is often confused with a herniated disc. Examination with specific tests helps distinguish the true source.

Conservative approach first

Physiotherapy, pelvic stabilization exercises, posture adjustment and medication are the first step and help many patients. When pain persists, image-guided procedures become an option.

Injection and radiofrequency (RF)

An image-guided injection into the sacroiliac joint can confirm the source of pain and provide relief. If relief is clear but temporary, RF denervation of the nerves carrying the pain can give a longer-lasting effect — without an incision.

What you should know

These procedures aim to control pain, not to 'repair' the joint; the effect can last months and can be combined with physiotherapy. Correct patient selection — that the pain truly comes from the sacroiliac joint — is the key to success.

FAQ

Is sacroiliac pain from a herniated disc?

Not necessarily. It comes from the joint connecting the spine to the pelvis and is often confused with a disc; specific tests distinguish it.

Is there an incision with injection or RF?

No. They are needle procedures under imaging guidance, with no surgical incision.

How long does the effect last?

The effect can last months; the procedure can be repeated or combined with physiotherapy.

How does the process work if I come to Turkey?

You send your MRI on WhatsApp; after evaluation the source of pain becomes clear and the process is planned.

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