Despite its limited range of movement, the sacroiliac joint is prone to instability and is often a source of back pain in patients. 

On this episode of Back Talk Doc, Dr. Sanjiv Lakhia and Tanner Holden, PT from Carolina Neurosurgery and Spine Associates discuss the SI joint itself, some common causes of SI joint pain, and what the latest science has to offer for management. 

Patients can experience SI joint pain during or after pregnancy, pain from the joint itself, or autoimmune pain. However, diagnosing SI joint pain is rarely straightforward because medical imaging is not typically helpful in diagnosing SI joint pain. The pain can present in unexpected places and is often best diagnosed with the help of pain provocation tests. 

Once diagnosed, patients can opt for regular pain-reducing injections for a quick solution. A more holistic treatment plan looks at patient goals and finds ways to improve movement over time. This may also include lifestyle modifications to remove the irritants or activities that cause the pain to flare up. Since SI joint pain sources vary from patient to patient, plans are customized to individual needs. 

Tanner believes that healthy movement, activity, and strength are key to living an active and pain-free life. He and Dr. Lakhia discuss how this approach puts the patient first and removes the need for unnecessary supports like braces and belts. Instead, a strength-based approach allows patients to take their care into their own hands, resulting in fewer medical visits.  

💡 Featured Expert 💡

Name: Tanner Holden, PT, DPT, OCS, CSC

What he does: Tanner is a residency-trained Doctor of Physical Therapy and Certified Strength and Conditioning Specialist serving Charlotte and the surrounding area. He holds a board certification as an Orthopedic Clinical Specialist. 

Company: Carolina Neurosurgery and Spine Associates

Words of wisdom: “We like to get people in and out and living their life.”

Connect: Website |  LinkedIn 

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👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Rethinking Osteoarthritis and Degenerative Disc Disease.

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🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com.

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Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.