The Hardest problem is to convince people that the pain is from the ligaments of the SI joint and not the joint itself. Most patients are told that the joint is slipping or overly mobile and this is why they need to have the joint fused. We believe that the problem is the highly innervated tissues that surround the joint and not actually the joint itself. We determined this by performing our procedures on the patients while they are awake with mild sedation. The patients tell us exactly what is causing their pain and they tell us when it is gone. After performing hundreds of these procedures we determined that the soft tissues are the pain generator. This is totally different than the vast majority of doctors who believe that the pain is from abnormal joint mobility. Unfortunately, 50% of patients still have pain even after the joint is fused! If the pain was from a mobile joint, then the problem should have been solved once the joint cannot move but the problem often remains and patients are told that the joint is probably still mobile.

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