The sacroiliac joint is common source of pain. It is a cartilaginous joint between the base of the spine (sacrum) and the waist bone (ilium).
SI joint pain can occur in patients who have undergone lumbar fusion due to the increased biomechanical forces or following trauma. Conservative therapy includes physical therapy, core stabilization, prolotherapy and intra-articular joint injections with low dose cortisone .
BM is a talented athlete who hit a tree after going over a cliff on his snowboard. He struck his left back and buttock injuring his SI joint. He underwent extensive therapy directed at both his lumbar spine and SI joint which included PT, chiropractic care, lumbar facet injections, lumbar facet radiofrequency ablation, steroid injection in the SI joint and 40 sessions of prolotherapy without significant relief.
Surgery was the next option which BM declined. Instead he opted to undergo the Regenexx procedure which allowed him to use his own mesenchyml stem cells. The SI joint and associated ligaments were injected with stem cells. Yesterday, patient returned to clinic, 4 months post stem cell therapy reporting 90% improvement in pain. He is very excited about the results and is in training for the upcoming session.
Mesenchymal stem cells can differentiate into ligaments, bone, cartilage and tendons. Stem cell therapy allowed BM to avoid surgery, significantly reduced his pain and to return to his passion.