Evidence
Physical Therapy Outcomes
Structured exercise can produce meaningful long-term improvement, particularly in chronic SI pain before disability becomes more established.
Treatment Options
A stepwise pathway from conservative care to advanced stabilization.
Treatment is approached progressively, moving from lower-risk conservative care toward targeted intervention and stabilization when symptoms persist.
01
Physical Therapy
Movement correction, stabilization, and rehabilitation strategies to improve function and reduce pain.
02
Regenerative Medicine
Selected biologic and regenerative options may be considered within a personalized care plan.
03
Radiofrequency / Endoscopic Ablation
Targeted interventional options for patients needing more durable relief.
Final Step When Needed
Robotic Fusion
For carefully selected patients with persistent SI joint dysfunction, robotic fusion may provide a definitive stabilization option after conservative and minimally invasive treatments have been exhausted.
Evidence
Therapeutic Injections
Therapeutic injections may provide significant relief for selected patients, with some experiencing benefit for many months before symptoms return.
Evidence
Ablation Duration
Radiofrequency-based treatment can be effective, but benefit may be limited over time as the treated nerves regenerate.
Conservative First
Build Strength Before Escalation
Many patients benefit from correcting movement patterns, improving pelvic stability, and addressing mechanical triggers before considering invasive care.
Personalized Plan
Not Every Patient Needs Every Step
The pathway is individualized. Some improve with therapy alone, while others move toward injections, ablation, or fusion based on symptom persistence and imaging context.
Aftercare
Recovery Still Matters
Even after procedures, follow-up, rehabilitation, and activity guidance remain important for durable symptom relief and restored function.