A member asked:

How can i fix sacroiliac joint instability?

4 doctors weighed in across 3 answers

Fix?: The only fix is a fusion. Be careful as I have seen many unhappy patients after such an operation. Are you sure the joint is unstable and not just arthritic?

Answered 10/4/2016

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Dr. Mitchell Cohn answered

Specializes in Pain Management

Prolotherapy: I have had much success treating sacroiliac (si) & other joint instabilities with prolotherapy - aka 'stimulated ligament reconstruction': injecting si ligaments with a mild irritant (could even be a form of sugar & water). The body 'thinks' it has a new injury and rushes to 'repair' the ligament - laying down new fibers, shortening & strengthening the ligaments. Osteopaths & mds can both do this.

Answered 1/18/2014

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Dr. Laurence Badgley answered

Specializes in General Practice

Prolotherapy/fusion: Sacroiliac joint (SIJ) instability causes 13-30% of chronic low back pain & is a joint hypermobility disorder; due to damaged & weakened ligaments. SIJ belts, yoga, cannabis & massage might provide intermittent relief. Prolotherapy is best natural non-toxic long-term solution to reestablishing pelvic girdle stability. Failing Prolotherapy, SIJ fusion provides a low risk definitive solution.

Answered 11/11/2014

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