Sacro-Iliac Joint Solutions by Dr. Khitish Mohanty

Sacro-Iliac Joint Solutions by Dr. Khitish Mohanty

The human spine is a remarkable structure designed to provide strength, flexibility, and support to the body. At the lower end of the spine lies a small but critical joint known as the sacro-iliac joint (SI joint). Though often overlooked, dysfunction of this joint is a leading cause of lower back and pelvic pain. Dr. Khitish Mohanty, a renowned orthopedic and spine specialist, has dedicated much of his practice to providing comprehensive solutions for sacro-iliac joint disorders. His expertise and patient-centered approach make him one of the trusted names in this field.

Understanding the Sacro-Iliac Joint

The sacro-iliac joint is located at the junction of the sacrum (the triangular bone at the base of the spine) and the ilium (part of the pelvic bone) with Khitish Mohanty. Each person has two SI joints, one on either side. Although the movement at this joint is limited, its role is vital. It acts as a shock absorber, transmitting forces between the upper body and the legs during standing, walking, and lifting.

When the SI joint becomes inflamed, misaligned, or restricted, it can cause significant pain. Many patients describe sharp or dull pain in the lower back, hips, buttocks, or even radiating down the legs, which is often mistaken for sciatica or lumbar disc problems. Because of these overlapping symptoms, SI joint dysfunction is frequently misdiagnosed, delaying proper treatment.

Causes of SI Joint Pain

According to Dr. Khitish Mohanty, sacro-iliac joint pain can result from several factors:

·         Trauma or injury: Accidents, falls, or sports injuries can strain the SI joint.

·         Pregnancy and childbirth: Hormonal changes and increased joint laxity can stress the joint.

·         Arthritis: Degenerative changes like osteoarthritis or inflammatory conditions such as ankylosing spondylitis can affect the SI joint.

·         Repetitive stress: Activities that involve uneven weight distribution, such as running, lifting, or prolonged standing, can overload the joint.

·         Post-surgical changes: Patients who have undergone spinal fusion or other lumbar surgeries sometimes develop SI joint pain as a secondary condition.

Recognizing the Symptoms

Dr. Mohanty emphasizes the importance of early recognition. Common signs of SI joint dysfunction include:

·         Pain localized in the lower back, buttocks, or groin.

·         Discomfort while sitting, standing for long periods, or climbing stairs.

·         Radiating pain resembling sciatica, but originating from the SI joint.

·         Stiffness and reduced mobility in the hips or pelvis.

·         Difficulty turning in bed or rising from a seated position.

Because these symptoms mimic other spinal or hip disorders, specialized diagnostic tests, physical examination, and sometimes image-guided injections are used to confirm SI joint dysfunction.

Dr. Khitish Mohanty’s Approach to SI Joint Care

Mr. Mohanty philosophy centers on accurate diagnosis, patient education, and stepwise management. Instead of jumping directly to invasive procedures, he believes in tailoring treatment to each patient’s needs. His solutions range from conservative measures to advanced interventions.

1. Conservative Treatments

In many cases, SI joint pain can be effectively managed with non-surgical options. Dr. Mohanty recommends:

·         Lifestyle modifications: Correcting posture, using ergonomic support, and avoiding activities that aggravate pain.

·         Medications: Anti-inflammatory drugs and muscle relaxants for pain relief.

·         Physical therapy: Exercises to strengthen core and pelvic muscles, improve flexibility, and stabilize the joint.

·         Supportive devices: Pelvic belts or braces to reduce joint strain.

2. Image-Guided Injections

When conservative methods are insufficient, Dr. Mohanty employs minimally invasive techniques. Corticosteroid injections directly into the SI joint help reduce inflammation and provide significant pain relief. These procedures, performed under imaging guidance, are precise and effective, often giving patients the opportunity to resume daily activities with greater comfort.

3. Radiofrequency Ablation (RFA)

For patients with persistent pain, radiofrequency ablation is another advanced option. This technique involves using heat energy to deactivate pain-transmitting nerves around the SI joint. Dr. Mohanty has successfully used RFA to offer long-lasting relief to patients who do not respond to injections or therapy.

4. SI Joint Fusion Surgery

In rare and severe cases where conservative and minimally invasive methods fail, surgical intervention may be considered. SI joint fusion stabilizes the joint by fusing the sacrum and ilium together, thereby eliminating painful movement. Dr. Mohanty performs this surgery with modern, minimally invasive techniques that reduce recovery time and improve outcomes.

Patient-Centered Care

What distinguishes Dr. Khitish Mohanty’s practice is his holistic, patient-first approach. He takes time to educate patients about the nature of their condition, sets realistic expectations, and involves them in every decision. By combining medical expertise with compassion, he ensures that patients feel supported throughout their treatment journey.

Many patients who have suffered years of undiagnosed back or pelvic pain have found lasting relief under his care. His dedication to advancing knowledge in orthopedics and pain management also contributes to raising awareness about sacro-iliac joint conditions in both the medical community and the general public.

Conclusion

The sacro-iliac joint, though small, plays a crucial role in maintaining spinal balance and movement. Dysfunction in this joint can lead to chronic pain, reduced mobility, and a diminished quality of life. With his expertise, Dr. Khitish Mohanty offers comprehensive solutions that range from simple lifestyle modifications to cutting-edge surgical techniques. His approach emphasizes accurate diagnosis, conservative management, and minimally invasive interventions, ensuring that patients receive the right treatment at the right time.


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