Expert Diagnosis & Treatment for SI Joint Pain in Los Angeles

Pain originating from the Sacroiliac (SI) joint is a common, yet often overlooked, cause of low back, buttock, groin, and even leg pain for individuals in Los Angeles. Dr. Zev Nevo, with his expertise in Osteopathic Medicine and Interventional procedures, offers precise diagnosis and effective evidence-based treatments for SI joint dysfunction at Body and Mind Pain Center.

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Understanding SI Joint Dysfunction:

The SI joints connect the sacrum to the pelvic bones. Pain can arise from inflammation, arthritis, or abnormal movement (too much or too little). Symptoms often mimic other conditions and include:

  • Pain in the low back (below beltline), often one-sided.
  • Pain radiating to buttock, groin, or posterior thigh.
  • Pain worsened by sit-to-stand, walking, stairs, lying on affected side.
  • Feeling of pelvic instability. Factors like hypermobility syndromes (EDS), pelvic pain conditions, pregnancy, or trauma can contribute.

Our Integrative Approach to SI Joint Pain:

Dr. Nevo provides specialized care for SI joint pain treatment in Los Angeles:

  • Accurate Diagnosis: Skilled OMT assessment of pelvic mechanics, specific physical exam tests, and potentially diagnostic ultrasound-guided injections to confirm the SI joint as the pain source.
  • OMT: Core treatment using gentle techniques to restore proper alignment and mechanics of the pelvis and SI joints.
  • Ultrasound-Guided Injections: Precise delivery of anesthetic/corticosteroid into the SI joint for diagnosis and therapeutic relief.
  • Regenerative Medicine:Prolotherapy or PRP injections Los Angeles directed to stabilizing ligaments around the SI joint, particularly if instability (e.g., from hypermobility) is a factor.
  • Mind-Body Rehabilitation: Addressing chronic pain cycles if present.
  • Wellness Clinic Support: Core stabilization and pelvic stability exercises.

Patient Empowerment & Goals:

We aim to accurately diagnose your pain source, significantly reduce SI joint pain, improve pelvic stability, and restore comfortable daily activity.

The Body and Mind Pain Center Difference:

Dr. Nevo’s unique combination of Osteopathic expertise and advanced ultrasound-guided interventional skills offers a distinct advantage for diagnosing and treating complex SI joint dysfunction in Los Angeles. Our patient-centered, evidence-based, fiduciary care ensures you receive a tailored, effective treatment plan, often integrated with our Wellness Clinic support.

Frequently Asked Questions:

How do you diagnose SI joint pain versus other back pain?

Diagnosis involves a detailed history, specific physical exam maneuvers that stress the SI joint, and OMT assessment of pelvic mechanics. Confirmation often comes from a diagnostic ultrasound-guided SI joint injection: significant temporary pain relief after numbing the joint points strongly to it being the pain source.

How effective is OMT for SI joint dysfunction?

OMT is often highly effective as it directly addresses the joint’s mechanics and alignment. Gentle techniques can restore normal motion, reduce strain on ligaments, and balance surrounding muscle tension, providing significant pain relief for many Los Angeles patients.

What is involved in an ultrasound-guided SI joint injection?

Using real-time ultrasound imaging, Dr. Nevo guides a small needle precisely into the SI joint space or onto the surrounding ligaments. This ensures accurate delivery of anesthetic (for diagnosis) and/or anti-inflammatory medication or regenerative solutions (PRP/Prolotherapy for therapy).

Can regenerative injections help stabilize the SI joint?

Yes, particularly for SI joint pain caused by ligament laxity (common in hypermobility syndromes or after injury). Prolotherapy or PRP injections, guided by ultrasound, aim to stimulate the body’s natural repair process to strengthen the stabilizing ligaments around the joint.

What exercises help SI joint pain?

Exercises typically focus on core and pelvic stabilization, activating deep muscles like the transverse abdominis and pelvic floor, along with gentle glute strengthening. Specific recommendations are personalized based on your assessment by Dr. Nevo or our Wellness Clinic.

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