SI Joint Panel Discussion

This panel discussion focuses on approaches to sacroiliac (SI) joint problems and the effectiveness of various treatments. Drs. Staats, Calodney, Li, Gerdesmeyer,  and Entz discuss the importance of accurate diagnosis and a stepwise approach to managing SI joint pain, emphasizing conservative measures like physical therapy and medication. They also cover the role of injections and radiofrequency ablation, noting payment issues with Medicare for the latter. The panel debates the efficacy of different diagnostic and treatment methods, including provocative tests and the need for multidisciplinary collaboration in patient care. The discussion shifts to considering the MILD procedure for addressing spinal stenosis in conjunction with hypertrophied ligaments. Finally, the complexity of accurately injecting the SI joint is highlighted, underscoring the significance of understanding the joint’s anatomy for successful treatment outcomes.