And the Medical Board answers to questions regarding surgeries on the chronically painful SIJ are:
Not here!!! Heck, they aren’t anywhere!?!?
The sobering fact is, there are no answers because there are no questions on board proficiency exams for either orthopedic surgeons or neurosurgeons concerning surgery for the chronically painful sacroiliac joint! This is particularly alarming as thousands of these surgeries are performed in America annually. Becker’s Spine Review is estimating that number to be up to 50,000 by the year 2020. The complication rates for the most common surgery (photos above) for fusing this joint have been published and are anywhere from 1-17%. Many of these complications require further surgeries and leave large numbers of patients with lifelong morbidities in their wake. If the American Board of Examiners in our country are doing nothing to ensure that our surgeons performing these reconstructive pelvic to spine fusion surgeries are proficient, then which of our many institutions are watching out for the well-being and safety of the thousands of patients undergoing these surgeries each year? The quick and dirty answer is none; zilch, nix!
It is because this dangerous and unfortunate reality exists in America today that I have written a book for the lay person who suffers with chronic sacroiliac joint pain and is either caught in the never-ending cycle of conservative treatments or is lacking a definite diagnosis for their chronic and disabling low back pain.
Sacroiliac Joint Pain: For Tens of Thousands the Pain Ends Here
Amazon (soft cover or kindle)
This book explains how our country got into this predicament with this joint, and how individuals suffering with this pain have become pawns of the medical device manufacturing mecca whose bottom line is profit. It lays out a detailed plan to help these patients navigate the American health care system in order to obtain the pain relief they are desperately looking for and deserve. The book educates everyone about the true facts of this condition to include; how it is definitively diagnosed, who should they see first for conservative treatments, when it is reasonable to consider surgery, how to go about finding that surgeon, who is doing successful surgeries primarily for the patients and not the profits, and what questions they should be asking as they continue their quest for pain relief.