The most relied upon method to accurately determine whether the SI joint is the cause of your lower back pain symptoms is to inject the SI joint with a local anesthetic. This diagnostic injection at iSpine Clinics is performed under X-ray guidance to verify accurate placement of the needle in the SI joint. If your symptoms decrease it can be concluded that the SI joint is either the source of or a major contributor to your lower back, hip, or pelvic pain. If the level of pain does not change after SI joint injection, it is less likely that the SI joint is the cause of your pain.

If diagnosis supports SI fusion, iFuse TORQ® is designed to stabilize and fuse the SI joint. The iFuse procedure involves inserting typically three threaded titanium implants across the SI joint to maximize stability, reduce pain, and improve function. The procedure is done through a small one-inch incision and takes about an hour. The 3D-printed iFuse TORQ implant was designed for osseointegration, which is the structural and functional connection between implant and bone. This allows your painful joint to be stabilized through binding of bone all along the implant.

iFuse TORQ® Implant System is one of the latest innovative solutions from SI-BONE, the creator of the minimally-invasive SI joint fusion device—the triangular titanium iFuse Implant. More than 100 peer-reviewed publications demonstrate the safety, durable effectiveness, and biomechanical and economic benefits of the iFuse implant (www.si-bone.com/results).

• Incision Care: A small bandage covers the incision; stitches or staples may be used.
• Immediate Sensations: Mild soreness or swelling at the incision site and some low back or buttock discomfort are common for a few days.
• Mobility: You’ll typically use crutches or a walker for short distances right after surgery to limit pressure on the joint.

Recovery and Aftercare

• Weight Bearing:
• Partial weight bearing is usually recommended for the first 2–3 weeks.
• Full weight bearing is gradually increased as advised by your surgeon.
• Physical Therapy: A rehabilitation plan often begins within a few weeks to improve strength, stability, and flexibility.
• Pain Management: Over-the-counter or prescribed medications can help manage mild post-surgical pain.
• Healing Time: Initial recovery takes about 6–12 weeks, with full fusion and long-term pain relief continuing to improve for several months.
• Follow-Up Visits: Your doctor will monitor healing with periodic exams and imaging.

Risks and Considerations

As with any minimally invasive surgical procedures, there are potential risks associated with the iFuse Implant System. It may not be appropriate for all patients and all patients may not benefit. For information about the risks, visit www.si-bone.com/risks.

• Infection or bleeding
• Nerve irritation
• Implant movement (rare)
• Continued or recurrent pain if other pain sources exist

The first step to finding out if you’re a candidate for the iFuse procedure is making an appointment at iSpine Clinics to review your case and discuss your options.

To make an appointment, call 763-201-8191.