SI Joint Dysfunction
Diagnosis & Understanding
3. Sacroiliac Joint Dysfunction
1:55
4. Pseudosciatica
1:48
5. SI Joint Injection
1:49
Non-Surgical Treatment Options
1. Physical Therapy
1:35
2. Cognitive Behavioral Therapy
2:08
3. Bracing
1:30
6. Regenerative Medicine
2:06
Robert Moghim MD
Anchor Healthcare
SI Joint Fusion - Implant-Based Approach
1746879811
For those with chronic sacroiliac (SI) joint pain, implant-based SI joint fusion is a minimally invasive procedure offering long-term relief. It involves placing specialized implants, like titanium devices, to stabilize and fuse the SI joint, thus reducing pain and improving function. The choice of implant relies on individual factors and the surgeon's evaluation.
This procedure is done through a small incision with imaging guidance to place the implant accurately, minimizing muscle disruption and speeding recovery compared to open surgeries. Many patients resume daily activities within weeks.
Preparing for surgery is essential. An anti-inflammatory diet and nutritional supplements can aid healing. Avoid food for 8 hours before the procedure, but clear liquids are usually allowed up to 2 hours before. If on blood thinners, follow your doctor’s instructions about when to stop them. Cleanse the surgical site with a pre-surgical wash like Hibiclens® to reduce infection risk.
Arrange for someone to drive you home, as this same-day surgery takes about 3 hours from check-in to discharge. Post-surgery, avoid heavy lifting, bending, or twisting for at least 6 weeks. Full implant fusion can take 6-8 months, so follow your post-operative instructions closely.
Avoid falling to ensure the procedure’s success. Using ice packs and pain relievers for mild discomfort is normal. Keep the incision dry for 72 hours and refrain from soaking in water. Support recovery with a nutrient-rich diet, hydration, and good sleep. A back brace may be needed for 7 days post-op for added support.
Physical therapy, starting 6-8 weeks after surgery, aids in restoring mobility and strength. SI joint fusion with a transfixing implant provides structural support and pain relief, though there's some risk of non-fusion and potential implant failure. Following post-op guidelines and attending follow-up visits are crucial for a successful outcome. Contact your medical team with any concerns.
FAQs
How does the implant-based SI joint fusion procedure work?
The procedure begins with a small incision, through which the surgeon, with the aid of imaging guidance, carefully places the implant in the SI joint. The minimally invasive nature of this surgery helps minimize damage to surrounding muscles and accelerates the recovery process compared to traditional open surgeries. Patients typically resume daily activities within weeks.
What are the potential risks or complications associated with SI joint fusion?
While the procedure offers significant benefits, risks include the possibility of non-fusion or implant failure. It is critical to follow post-operative care guidelines and attend scheduled follow-up visits to ensure the best outcome. If any concerns arise, patients should promptly contact their medical team for advice and support.
What is implant-based SI joint fusion and who benefits from it?
Implant-based SI joint fusion is a minimally invasive surgical procedure designed to alleviate chronic pain in the sacroiliac (SI) joint. This technique involves using specialized implants, such as titanium devices, to stabilize and fuse the joint, which ultimately reduces pain and improves function. It is particularly beneficial for individuals who suffer from persistent SI joint pain that hasn't responded to other treatments.
What is the post-operative care protocol after SI joint fusion surgery?
Following surgery, patients should avoid heavy lifting, bending, or twisting for at least 6 weeks. Full fusion of the implant can take 6-8 months, necessitating close adherence to post-operative instructions. It is advisable to use ice packs and pain relievers for mild discomfort, keep the incision dry for 72 hours, and maintain a nutrient-rich diet, hydration, and adequate sleep. A back brace might be required for the first 7 days post-operation.
What preparations are necessary before undergoing SI joint fusion surgery?
Before surgery, it is advised to follow an anti-inflammatory diet and consider nutritional supplements to aid healing. Patients should avoid food for 8 hours before the procedure, while clear liquids generally can be consumed up to 2 hours beforehand. If you are on blood thinners, it is crucial to follow your doctor's instructions regarding when to stop them. Also, use a pre-surgical wash like Hibiclens® to minimize the risk of infection.