Orlando Sacroiliitis Specialists

Orlando Sacroiliitis Specialists | Sacroiliitis Treatment

Sacral Pain services offered in Clermont, FL

Click here to learn how we treat sacroiliitis with advanced, non-surgical therapies

By some estimates, sacral pain causes up to 30% of all chronic lower back pain cases. Pain may be felt in your low back, buttock, upper legs, and groin regions. This pain is commonly mistaken for low back pain, and treatment of this condition with non-interventional therapies usually provides only partial relief of symptoms.

If you’re suffering from sacral pain from fractures, sacroiliitis, or a lower extremity condition, anesthesiologists and interventional pain physicians Todd W. Mautner, DO, and Sameer K. Goel, MD, DABA, at Sunshine Interventional Pain and Wellness Center can help. Our doctors specialize in treating sacroiliitis with minimally and non-invasive therapies such as medications, steroid injections, radiofrequency ablation, ketamine infusions, and physical therapy.

Telehealth visits are available throughout the state of Florida, and our offices are located near Orlando, FL. Serving Altamonte Springs, Apopka, Casselberry, Celebration, Clermont, Davenport, Doctor Philips, Gotha, Horizon West, Kissimmee, Lake Buena Vista, Lake Mary, Leesburg, Longwood, Maitland, Montverde, Mount Dora, Oakland, Ocoee, Orlando, Oviedo, Saint Cloud, Sanford, Sorrento, Tavares, Windermere, Winter Garden, Winter Park, Winter Springs, and the surrounding areas.

If you or a loved one are suffering from sacroiliac joint-mediated pain and need a specialist near Orlando, FL, call 689-407-8647 or schedule an appointment online today. We offer comprehensive treatment plans designed to help manage SI joint pain and improve your quality of life.

Orlando Sacroiliitis Specialists Q & A

Orlando Sacroiliitis Specialists

We are a team of interventional pain management professionals who focus on the diagnosis and treatment of sacroiliitis. Sacroiliitis is a condition that causes inflammation in the sacroiliac joints, which are located in the lower back. The condition can cause pain in the lower back, hips, and legs. We use a variety of interventional pain management therapies to treat sacroiliitis, including injections, radiofrequency ablation, and ketamine infusions. The team also uses physical therapy and chiropractic care to help patients find relief from their pain. If you are suffering from sacroiliitis, we can help you find relief.

What is Sacroiliitis?

Sacral pain is discomfort that occurs in or around the sacrum (also known as the tailbone), a triangular-shaped bone at the bottom of your lower back. 

The sacrum forms the base of your spine. It connects to both pelvic bones, creating the sacroiliac (SI) joints, which connect your spine to the lower half of your body.

Most joints exist to create movement. By comparison, the SI joints limit movement and create stability. When you walk, run, or jump, the SI joints absorb the shock and transfer the force between your upper and lower body.

Where Will I Feel Sacroiliac Joint Pain?

You may feel sacral pain in the bone, SI joints, lower back, or hips. You may experience groin pain or pain that goes down into your legs. Some people experience changes in how they walk or pain when going from sitting to standing.

What Causes Sacral Pain?

There are three main causes of sacral pain: SI joint dysfunction, lumbosacral dysfunction, and sacral insufficiency fracture.

SI Joint Dysfunction or Sacroiliitis

Sacral pain develops when the SI joint becomes inflamed or the supporting ligaments stretch, allowing the joint to move too much. In some cases, ligament problems may limit movement.

SI joint dysfunction may occur due to:

  • Arthritis
  • Scoliosis
  • Sports Injuries
  • Ligament Sprains
  • Traumatic Injury
  • Failed SI Joint Fusion Surgery
  • Prior Lumbar Fusion Surgery
  • Prolonged Lifting or Bending
  • Repetitive, High-Impact Activities

It’s also common for women to develop SI joint pain during pregnancy as the ligaments relax.

Lumbosacral Dysfunction

The area where the lower back joins the sacrum (the L5-S1 joint) endures a lot of stress, especially during twisting activities or if you sit for long periods. As a result, the joint often becomes inflamed and painful. Another painful problem occurs when the lumbar vertebra slips over the top of the sacrum.

Sacral Insufficiency Fracture

An insufficiency fracture occurs when the sacrum is too weak to support normal daily stress. As a result, it collapses. Though osteoporosis is the top cause of an insufficiency fracture, the same problem can develop from prolonged steroid use and after radiation therapy for pelvic cancers.

Sacral Pain Management

We offer innovative treatments to ease sacral pain. Your treatment typically starts with nonsteroidal anti-inflammatory drugs (NSAIDs), and in some cases, physical therapy. If you have already had these treatments and still have pain, it’s time to consider interventional options.

Sacral pain management may include:

Steroid Injections

Steroid injections are one treatment option for sacroiliitis. They can help to reduce inflammation and pain, and they may also improve joint function. The injections are usually given into the sacroiliac joint itself. The doctor will first clean the skin over the injection site, then insert a needle into the joint and inject the steroid medicine. There is usually some discomfort during the injection, but it is typically short-lived. Steroid injections can be an effective treatment for sacroiliitis, and they can help people to regain mobility and improve their quality of life.

Radiofrequency Ablation

Radiofrequency ablation (RFA) is a minimally invasive procedure that uses heat to destroy tissue. RFA has been used to treat a variety of conditions, including pain in the lower back and neck. More recently, RFA has also been used to treat sacroiliitis, a condition that causes pain and inflammation in the joints of the pelvis. Sacroiliitis is often difficult to treat, but RFA may offer a new option for patients who have not responded to other treatments. During the procedure, a special needle is inserted near the affected joint. The needle is then heated to a high temperature, which destroys the tissue around it. This helps to relieve pain and improve function. RFA is generally safe and well tolerated, but as with any medical procedure, there are some risks involved. These include bleeding, infection, and nerve damage. However, serious complications are rare. RFA is usually performed on an outpatient basis, meaning that patients can go home the same day. It is typically covered by insurance. Patients who undergo RFA usually experience significant improvement in their symptoms within a few weeks.

Ketamine Infusions

Ketamine infusions are a relatively new treatment for sacroiliitis. Ketamine is a medication that is typically used as an anesthetic. However, it has also been shown to be effective in treating chronic pain. Ketamine infusions involve delivering ketamine directly into the bloodstream. This allows the medication to bypass the digestive system and enter the bloodstream more quickly. Ketamine infusions are effective in reducing pain and inflammation in people with sacroiliitis. They are usually well tolerated, but some people may temporarily experience side effects such as headaches, nausea, or anxiety.

Physical Therapy

Treatment for sacroiliitis typically focuses on relieving pain and improving mobility. Physical therapy is often recommended as part of treatment. Physical therapy can help to stretch and strengthen the muscles around the affected joints. This can help to improve the range of motion and reduce pain. In some cases, physical therapy may also involve using heat or cold therapy to relieve pain and inflammation.

Chiropractic Care

Chiropractic care is a type of treatment that can help to relieve the symptoms of sacroiliitis. Chiropractors use gentle adjustments to the spine and hips to improve joint function and reduce pain. They may also recommend exercises and stretches to improve flexibility and range of motion. Chiropractic care is a safe and effective treatment option for sacroiliitis. It can help to reduce pain, improve mobility, and improve quality of life.

Massage Therapy

Massage therapy is a popular treatment option for sacroiliitis, a condition that causes inflammation in the joints of the pelvis. Although the exact cause of sacroiliitis is unknown, it is thought to be related to repetitive stress or injury to the joints. Massage therapy can help to reduce pain and stiffness in the joints, as well as improve the range of motion. In addition, massage therapy can help to increase blood flow to the area and reduce inflammation. As a result, massage therapy is often an effective treatment for sacroiliitis.

If you or a loved one is suffering from sacroiliitis and need a pain doctor near Orlando, FL, call 689-407-8647 or book an appointment online today.  We offer comprehensive treatment plans designed to help you manage your symptoms and improve your quality of life.

Click here to learn how we treat sacroiliitis with advanced, non-surgical therapies


Office Locations

Sunshine Interventional Pain & Wellness Center

297 E. Hwy. 50, Ste. 1, Clermont, FL 34711

M-F: 8 am - 5 pm


Most Insurances Accepted

Advanced Neurospine Associates

825 E. Oak St., Kissimmee, FL 34744

M-F: 8 am - 5 pm


Most Insurances Accepted

Advanced Neurospine Associates

601 S. Semoran Blvd., Orlando, FL 32807

M-F: 8 am - 5 pm


Most Insurances Accepted

Advanced Neurospine Associates

3324 Commerce Ctr. Ln., Sebring, FL 33870

M-F: 8 am - 5 pm


Most Insurances Accepted

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