Man on beach suffering from piriformis syndrome

Sacroiliac (SI) Joint Procedures

Advanced Treatments for Chronic Sacroiliac Joint Pain

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What Are Sacroiliac Joint Procedures?

Sacroiliac (SI) joint procedures are specialised treatments designed to diagnose and relieve pain originating from the sacroiliac joint, which connects the sacrum (base of the spine) to the pelvis. Dysfunction in the SI joint can cause lower back pain, hip pain, and leg discomfort. These procedures aim to reduce inflammation, interrupt pain signals, or stabilise the joint for long-term relief.

Whenever possible, Mr. Gordan Grahovac prioritises non-surgical treatments before recommending intervention. His patient-first approach ensures that physiotherapy, pain management, and lifestyle modifications are considered before proceeding with sacroiliac joint procedures.

Who Benefits from Sacroiliac Joint Procedures?

SI joint procedures may be beneficial for individuals experiencing:

  • Chronic lower back pain localised to one or both sides of the sacroiliac joint.

  • Pain radiating into the buttocks, hips, or legs that worsens with movement.

  • Difficulty standing, walking, or changing positions due to sacroiliac joint instability.

  • Limited response to conservative treatments such as physiotherapy, pain medications, and lifestyle changes.

  • SI joint dysfunction following pregnancy, trauma, arthritis, or spinal fusion surgery.

Each case is carefully assessed to determine the most effective procedure for relieving pain and restoring function.

Types of Sacroiliac Joint Procedures

  • Sacroiliac Joint Injection


    A targeted corticosteroid injection to reduce inflammation and relieve pain in the SI joint.

    How it works: A local anaesthetic and corticosteroid are injected into the SI joint under image guidance to reduce inflammation and provide pain relief.

    Conditions it treats: SI joint dysfunction, arthritis, and lower back pain caused by inflammation.

    Recovery time: Most patients experience significant pain relief within a few days, with effects lasting for weeks or months.

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  • Sacroiliac Joint Radiofrequency Ablation (RFA)


    A minimally invasive procedure that disrupts pain signals by ablating the lateral branch nerves supplying the SI joint.

    How it works: A specialised probe is used to deliver heat energy to the lateral branch nerves, reducing their ability to transmit pain signals.

    Conditions it treats: Chronic SI joint pain that has not responded to injections or conservative therapy.

    Recovery time: Most patients experience pain relief within 1–3 weeks, with results lasting for six months to a year.

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  • Sacroiliac Joint Fusion (Minimally Invasive)


    A stabilisation procedure to fuse the SI joint and eliminate movement-related pain.

    How it works: Small incisions are made, and stabilising implants are placed in the SI joint to promote bone fusion and prevent excessive movement.

    Conditions it treats: Severe or persistent SI joint dysfunction causing chronic pain and instability.

    Recovery time: Initial recovery takes 6–12 weeks, with full bone fusion occurring over several months.

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Recovery & Long-Term Results

Recovery varies depending on the procedure performed, the severity of the condition, and individual healing factors. Mr Gordan Grahovac provides a structured rehabilitation plan to optimise recovery and ensure long-term pain relief.

    • Most patients undergoing SI joint injections or RFA can return home the same day.

    • SI joint fusion may require an overnight hospital stay.

    • Pain management includes prescribed medications and gradual return to activity.

    • Patients should avoid excessive bending, twisting, or strenuous activity.

    • Walking and light stretching are encouraged to promote circulation and healing.

    • Physiotherapy may be recommended to restore joint function and strengthen surrounding muscles.

    • Postural adjustments and ergonomic modifications help reduce strain on the SI joint.

    • Most patients return to light activities within a few weeks.

    • SI joint fusion patients may require up to 3–6 months for full stabilisation.

    • Significant reduction in pain and inflammation.

    • Improved mobility and quality of life.

    • Reduced reliance on pain medications and conservative treatments.

Woman recovering from Sacroiliac Joint Procedures

Why Choose Mr Gordan Grahovac for Sacroiliac Joint Procedures?

Mr Gordan Grahovac neurosurgeon uk

With over 20 years of experience, Mr Gordan Grahovac is a leading Consultant Neurosurgeon & Complex Spinal Surgeon in London specialising in SI joint treatments. His expertise includes:

  • Minimally Invasive Techniques – Reducing recovery time, surgical risks, and post-operative discomfort.

  • Precision-Guided Procedures – Using advanced imaging technology for accurate diagnosis and treatment.

  • Personalised Treatment Plans – Tailored approaches based on the severity of symptoms and patient needs.

  • Comprehensive Rehabilitation Strategies – Ensuring optimal recovery and long-term spinal health.

His patient-first approach ensures that each treatment is designed for the best possible outcome, combining innovative techniques with compassionate care.

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What Patients Are Saying

Frequently Asked Questions:
Sacroiliac Joint Procedures

  • SI joint pain is typically felt in the lower back, buttocks, and hips and may worsen with prolonged sitting, standing, or movement. A diagnostic injection can confirm whether the SI joint is the pain source.

  • SI joint injections provide temporary relief, while RFA can offer longer-term pain reduction. SI joint fusion is a permanent solution for severe instability or dysfunction.

  • Initial healing takes 6–12 weeks, but full fusion and stabilisation can take several months. Patients typically experience gradual pain relief over this period.

  • Yes, but high-impact activities should be avoided during the initial healing phase. Low-impact exercises such as walking, swimming, and targeted physiotherapy are recommended.

Take the First Step Towards Pain Relief

Sacroiliac joint procedures provide effective, long-lasting relief for chronic SI joint pain. If you're struggling with lower back discomfort and reduced mobility, expert spinal care can help.

Book a consultation with Mr Gordan Grahovac today to discuss whether sacroiliac joint treatment is right for you.

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