The sacroiliac (SI) joints lie between the sacrum (the large, triangle-shaped bone at the base of the spine) and the right and left ilium (the large bones in the hip). The SI joints are where these bones meet.
The SI joint is what is known as a synovial joint. This is a type of joint that has free nerve endings which can cause intense pain if the joint does not move properly, degenerates, or cannot bear forces that cross it. As much as 25% of lower back pain results from SI joint problems. SI joint pain is felt most often when walking, running, or lifting.
A diagnosis may require certain imaging tests but some of the symptoms your physician looks for include:
Lower back pain (also known as lumbago)
Leg instability (giving way or buckling)
Pain that disturbs normal sleep patterns
Inability to sit for long periods
Pain due to sitting or standing
Traditional open surgery performed for SI Joint degeneration involves a 7-to-8-inch incision through soft tissue and muscle to access the joint. A portion of the patient’s own pelvic bone is harvested and grafted onto the joint and screws are often used to fix the graft in place. This surgery often takes as long as 3 hours followed by up to 5 days of in-hospital recovery.
iFuse implant surgery is much less invasive, requires less general or spinal anesthesia, and requires less time in the hospital. The iFuse Implant surgical technique provides maximum protection to tissues during the surgical procedure. Because iFuse patented implants are used instead of bone grafts, no bone has to be harvested from the pelvis. Most patients report less pain than those undergoing traditional surgery.
We accept assignment from Medicare, Worker's Compensation, and most PPO's. Here is a short list of just some of the plans we accept. Unfortunately, we do not accept HMO or Medi-Cal.
We accept cash, checks and most credit cards for your convenience. We will bill your insurance company; however, payment is the patient's responsibility. We will help in every way we can to assist in handling claims. Insurance co-payments are due at the time of service.
For billing or insurance questions, please contact our office.
"Dr. Gross took a pragmatic approach and looked first to be the least invasive as possible, which i always suspected surgeons to do the opposite."
"Dr. Gross is the best. Nice man but no nonsense when it comes to our health and his profession. I trust him with my body, hence, my life."
"I am now once again playing college baseball and doing very well. Thank you for your help and your concern and for doing such a great job healing my back."
"I'm moving around without any tension, pain or medications and I feel great about that. I am extremely thankful to Dr. Gross and his team."
"After Dr. Gross and his team were finished most of my back pain was gone. Now 3 weeks later, after my nerve endings have had time to heal, my back pain has disappeared."