05 DEC 2025

Meet the Experts: Top Doctors for SI Joint Dysfunction in Minnesota

Sacroiliac (SI) joint dysfunction is a frequently overlooked cause of chronic lower back and hip pain, often misdiagnosed due to symptom overlap with other conditions. Finding the right specialist is essential for accurate diagnosis and effective treatment. This blog highlights what makes Twin Cities Pain Clinic one of the top SI joint experts in Minnesota and explains how specialized care can lead to lasting pain relief and improved mobility.

 

 

KEY TAKEAWAYS

  • Sacroiliac (SI) joint dysfunction can cause persistent lower-back, hip, and leg pain that impacts everyday movement. Its primary symptoms often resemble other spinal or hip disorders, making expert diagnosis crucial.
  • Proper evaluation typically includes a detailed medical history review, physical exam, imaging, provocative maneuvers, and diagnostic injections to pinpoint SI joint dysfunction and distinguish it from other causes of pain.
  • The board-certified pain management and rehabilitation specialists at Twin Cities Pain Clinic use evidence-based, minimally invasive therapies — such as SI joint injections, radiofrequency ablation, and SI joint fusion — tailored to each patient’s needs.
  • Alongside procedural interventions, care often includes integrated physical therapy and supportive planning, with emphasis on improved mobility, pain reduction, and quality of life.
  • Initial appointments prioritize listening, thorough assessment, clear communication of findings, and development of a customized care plan, with coordination of follow-up and insurance support.

 

Table of Contents

 

Understanding SI joint dysfunction

The sacroiliac (SI) joints connect the lower spine to the pelvis and play a vital role in supporting body weight and absorbing shock. When these joints become inflamed or misaligned, patients may experience localized pain in the lower back, buttocks, or hips, often radiating into the legs.

 

Illustrated x-ray image of human pelvis with glowing red sacroiliac joints

 

According to research studies, SI joint dysfunction accounts for up to 15%–30% of all chronic low-back pain cases. Because its symptoms can mimic other spinal or hip disorders, accurate diagnosis requires a skilled and experienced pain specialist.

At Twin Cities Pain Clinic, our team uses advanced imaging, diagnostic injections, and comprehensive assessments to pinpoint the true source of pain, ensuring that every patient receives the most appropriate and effective treatment plan.

Why choose Twin Cities Pain Clinic for SI joint care

Our providers combine clinical expertise, compassion, and the latest interventional techniques to help patients regain mobility and quality of life. Each treatment plan is carefully tailored to the individual — taking into account activity level, overall health, and previous therapies.

What sets our team apart

  • Board-certified pain management physicians and physical medicine and rehabilitation specialists.
  • Access to minimally invasive procedures such as SI joint injections, radiofrequency ablation, and SI joint fusion when appropriate.
  • Integrated physical therapy and psychological evaluations for whole-person care.
  • Convenient clinic locations throughout the Twin Cities metro area.

Experts in addressing SI joint dysfunction

Properly diagnosing SI joint dysfunction is an involved process that requires unique knowledge and clinical experience. Along with a medical history review, physical exam, and imaging assessment, diagnosing SI joint dysfunction may also require performing provocative maneuvers (moving and arranging the limbs and joints in specific ways to trigger a response) and/or a diagnostic injection. After gathering and analyzing this critical data, a skilled practitioner can accurately determine if SI joint dysfunction is the cause of a patient’s chronic pain.

The experts at Twin Cities Pain Clinic have undergone extensive training and obtained substantial clinical experience in diagnosing and treating SI joint dysfunction. Coming from a variety of medical backgrounds and deploying diverse skillsets, they specialize in delivering coordinated, compassionate care – addressing SI joint pain from all angles and prescribing the most effective treatment plan.

Advanced treatment options for SI joint pain

Once SI joint dysfunction has been diagnosed, our team will prescribe the appropriate course of treatment. Twin Cities Pain Clinic offers several minimally invasive, opioid-free therapies for treating SI joint pain, allowing us to tailor treatment plans that match each patient’s needs.

  • Image-guided SI joint injections: Local anesthetic and anti-inflammatory medications are introduced into the SI joint to relieve pain. These injections serve two purposes. They can be used as a diagnostic procedure to confirm whether pain is originating in the SI joint as well as a therapeutic procedure for pain relief.
  • Radiofrequency Ablation (RFA): RFA uses heat generated by radio waves to disrupt pain signals coming from nerves around the SI joint. The heat destroys the nerve endings, essentially “switching off” the pain. RFA can provide pain relief that often lasts between six months to two years.
  • Minimally invasive SI joint fusion: This interventional procedure stabilizes the SI joint using small implants that promote natural bone fusion. This fusion restores alignment and stability within the joint, preventing mobility disruptions and offering many years of pain relief.

Every patient’s treatment is personalized, and our specialists continually monitor progress to ensure the safest and most effective outcomes.

What to expect at your appointment

During your first visit, our care team will:

  1. Listen closely and carefully to understand how your pain is affecting your life.
  2. Perform a thorough physical exam, review your medical history, assess imaging or past treatments notes, and if necessary, perform provocative maneuvers or prescribe a diagnostic injection.
  3. Discuss all diagnostic findings in clear, compassionate terms.
  4. Recommend a customized care plan focused on pain relief, mobility, and prevention of future flare-ups.

Our staff will also help coordinate insurance authorizations, therapy sessions, and follow-up visits to make your journey as smooth as possible.

Living well with SI joint dysfunction

Chronic SI joint pain can impact many aspects of daily life, including work, activities, time with family, and even sleep. With proper diagnosis and treatment, however, many patients experience significant improvements in function and quality of life.

Here are some tips for simple daily steps that can also help make a difference:

  • Maintain good posture when sitting or standing.
  • Stretch regularly to support flexibility and core strength.
  • Avoid prolonged sitting or repetitive heavy lifting when possible.
  • Follow any and all care plans and at-home exercise routines prescribed by your providers.

FAQs

What is SI joint dysfunction?

SI joint dysfunction occurs when the sacroiliac joint—located where the spine meets the pelvis—becomes inflamed or moves abnormally, causing lower back, hip, buttock, or leg pain. It is a common but often misdiagnosed source of chronic pain.

How do I know if my pain is coming from the SI joint?

SI joint pain typically worsens with standing, walking, climbing stairs, or transitioning from sitting to standing. A pain specialist can confirm the diagnosis using physical exams, imaging, and diagnostic injections.

What type of doctor treats SI joint dysfunction?

SI joint dysfunction is commonly treated by pain management specialists, physical medicine and rehabilitation (PM&R) physicians, orthopedic spine specialists, or interventional pain doctors with experience in spine and joint conditions.

What are the most effective treatments for SI joint dysfunction?

Treatment options range from conservative care like physical therapy and anti-inflammatory medications to minimally invasive procedures such as SI joint injections, radiofrequency ablation, and, in severe cases, SI joint fusion.

Are SI joint injections safe and effective?

Yes. SI joint injections are a commonly used, minimally invasive procedure that can both diagnose and relieve SI joint pain by reducing inflammation and confirming the joint as the pain source.

When should I see a specialist for SI joint pain?

You should see a specialist if lower back or hip pain persists for several weeks, limits daily activities, or does not improve with rest or basic treatments. Early evaluation can prevent prolonged pain and improve treatment outcomes.

The best doctor for SI joint dysfunction in Minnesota

If you are seeking the best doctor for SI joint dysfunction in Minnesota, the experienced team at Twin Cities Pain Clinic is ready to help. Our physicians and rehabilitation experts provide compassionate, comprehensive care to relieve pain and restore mobility.

Schedule an appointment online or call 952-841-2345 today. Our clinics serve patients across the Twin Cities area and beyond, offering expert pain management in a supportive, understanding environment.


The contents of this article are intended for informational and educational purposes only and are not intended as a substitute for professional medical advice, diagnosis or treatment. Always consult with a physician or other qualified healthcare provider before engaging in any action or decision-making based on the content of this article. Never disregard or delay seeking professional medical advice or treatment because of the content of this article or any other content on the Twin Cities Pain Clinic website. Reliance on any information conveyed on the Twin Cities Pain Clinic website without direct consultation with a healthcare professional is solely at your own risk.


REFERENCES

    1. “Buchanan P, Vodapally S, Lee DW, Hagedorn JM, Bovinet C, Strand N, Sayed D, Deer T. Successful Diagnosis of Sacroiliac Joint Dysfunction. J Pain Res. 2021 Oct 8;14:3135-3143. doi: 10.2147/JPR.S327351. PMID: 34675642; PMCID: PMC8517984.

Author Bio

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Dr. Andrew Pisansky, MD
Pain Management Physician
Twin Cities Pain Clinic
Dr. Andrew Pisansky is an experienced physician with board certifications in both pain medicine and anesthesiology. He earned his doctorate degree from the University of Minnesota Medical School before completing his residency in anesthesiology at Harvard Medical School, during which time he was named Chief Resident. He remained at Harvard Medical School to complete his fellowship in pain medicine. Since joining Twin Cities Pain Clinic in 2022, Dr. Pisansky has distinguished himself as one of Minnesota’s premier authorities in pain management therapies and outpatient procedures.
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