In this video, Dr. Webb talks about a commonly missed caused of low back pain, called sacroiliac joint dysfunction.

What is the SI joint?
Sacroiliac joint (SI joint) is formed by the connection of the two bones in the pelvis, the sacrum and ilium. The sacrum is the triangle-shaped bone near the bottom of your spine just above your tailbone. The ilium, one of the three bones that make up your hip bone, is the uppermost point of your pelvis. The SI joint provides support and stability, distributing your weight across your pelvis. It also acts as a shock absorber by absorbing the impact of walking and lifting.

What causes SI joint pain?
Inflammation of one or both SI joints is called sacroiliac joint dysfunction, or sacroiliitis. Sacroiliitis may be caused by SI joint dysfunction. This is a general term that may be caused by:
1. Osteoarthritis: as we age, the cartilage or cushion between our SI joints starts to break down. As with any other joint (such as your knee or hip), this leads to arthritis in the SI joint which can cause pain.

2. Too much movement around the joint: if it is hypermobile or unstable, it may generate pain that is felt in the lower back or in the hip

3. Too little movement around the joint; if it does not allow movement, it causes stiffness, which causes low back pain

4. Pregnancy or recent childbirth: women undergo physiologic and hormonal changes during childbirth. For example, they release hormones that cause their ligaments to be looser to allow more room for the baby to grow. This loosening may cause pain. Weight gain during pregnancy may also cause low back pain.

5. Prior low back Fusion: having a lower lumbar fusion causes increased stresses onto the SI joint. For example, a fusion at L5-S1 may cause more pressure to be applied to the SI joint because the fused levels are now immobile and act as a unit.

6. Contact sports or stressful jobs: Jobs that overload the SI joint, such as football (squatting) or construction may cause the SI joint to wear out quicker than normal.

7. Trauma: injuries such as falls or vigorous exercise can lead to SI joint pain

8. Autoimmune disorders: certain autoimmune disorders can lead to SI joint dysfunction and pain. These include ankylosing spondylitis, juvenile rheumatoid arthritis, reuters syndrome, and psoriatic arthritis.

What are symptoms of SI joint pain?
Common symptoms of SI joint pain include:
-Constant low back pain
-Pain which radiates to the bottom of the leg, such as sciatica
-Pain localized to the low back, pelvis, buttocks, groin
-Pain when sitting or moving your legs, such as when walking
-Instability, such as a feeling your legs will give out or buckle
-Increased pain when standing up from a sitting position
-Pain and inability to sit for long periods or sitting on one side.

How is SI joint pain treated?
-Most patients with SI joint pathology can be treated successfully with conservative treatments. Physical therapy, low impact exercises like yoga or pilates, and massage can help stabilize and strengthen the SI joints and ease pain.

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Who is Dr. Webb?
Dr. Antonio Webb is a fellowship trained Spine Surgeon located in San Antonio, Texas who specializes in degenerative, artificial disc replacement, and minimally invasive spine surgery.

Dr. Webb is a highly decorated combat veteran who spent 8 years in the US Air Force as a medic/LVN including a deployment north of Baghdad, Iraq in 2005. His medical training also afforded him the opportunity to operate and perform surgery in Liberia, West Africa, Bangkok, Thailand, and Port Au Prince Haiti.

Dr. Webb completed a combined Neurosurgery/Orthopedic Spine Surgery fellowship at the prestigious Texas Back Institute. TBI was the first practice in America to implant an artificial disc replacement. He took the best practices from all his mentors to formulate his own unique approach to spine care believing that conservative treatment is the ultimate goal, using surgery only as a final and last resort.

To be seen or have your patients seen by Dr. Webb, please contact:
South Texas Spinal Clinic
9150 Huebner Road Suite 290
San Antonio, Texas 78240
Office: 210-614-6432 Fax: 210-293-4171
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