Sacroiliac (SI) Joint Pain

Sacroiliac (SI) Joint Pain/Dysfunction

What is Sacroiliac (SI) Joint?

SI Joint is the largest joint in the body and connects the ilium with the sacrum, thus connecting the spine to the pelvis. Its primary function is to transfer weight to and from the lower limbs to the axial skeleton.

What causes SI Joint Pain?

SI joint pain can be from trauma, pregnancy, repetitive stress, sports, and following spinal surgery. It usually presents as pain in the lower back and or the buttock area. Pain at times radiates down the back of the thigh. In 25% of patients with back pain, the SI joint may be the cause of the pain.

How is SI Joint Dysfunction diagnosed?

A thorough history, physical examination, with or with out a nerve block will help the physician diagnose SI Joint dysfunction.

What are the treatments available?

  • Conservative therapy (oral medications/topical medications/physical therapy)
  • SI Joint Injections (local anesthetic/steroid)
  • Radiofrequency Ablation
  • SI Joint Stabilization
  • LASER Therapy
  • Cryoneurolysis
  • Cryotherapy

What is SI Joint Stabilization?

At this time, Dr. Kalava is able to offer his patients SI joint stabilization.

Schedule a consultation today to see if you have SI Joint Pain/Dysfunction

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Frequently Asked Questions

Ketamine is an anesthetic medication. It is a schedule 3 dissociative anesthetic, which has shown promising antidepressant effects that are both rapid and robust. It has been safely used for years as the ideal anesthetic in hospital and medical settings. When used under medical supervision, studies have shown ketamine infusions to have significant effects in healing treatment-resistant depression. It is on the World Health Organization’s List of Essential Medicines because of its safety and efficacy for anesthesia.

More recently, ketamine has been discovered as a safe and effective treatment for depression, and randomized controlled trials have shown rapid improvement in mood as well as reduction in suicidality compared to people who receive a placebo or another drug. Ketamine has the ability to go to work right away, unlike most antidepressants, which take weeks, sometimes months, to provide relief.

Ketamine infusion therapy is an IV procedure performed in-office by Dr. Kalava. Dr. Kalava & his associates will monitor your response and level of consciousness throughout the infusion.

Please contact our office to discuss Ketamine Infusion Therapy, and see if it is right for you.

The most important factors when choosing a ketamine provider are the doctor’s experience and commitment to providing safe, compassionate care. Dr. Kalava is the nation’s leading practitioner of ketamine infusion therapy and is a recognized expert in the field of anesthesiology.

[Scientific articles on Ketamine published by Dr. Kalava: Article 1 & Article 2 ]

Every patient is unique and deserves special care. Whether determining dose, infusion duration, the number of initial infusions, or the interval between return visits, we make individual assessments and structure ketamine treatments to match each patient’s response and unique needs.

Low dose ketamine is administered by Dr. Kalava, who is a Double Board Certified, Mayo Clinic fellowship trained Anesthesiologist. Ketamine, as we know, is an anesthetic and is best administered under the constant vigilance of a qualified anesthesiologist.

Depending on the medical condition being treated, IV ketamine can be administered over 1 minute, 40 minutes, one hour, or 4 hours. The actual type of treatment will be discussed with you during your initial consultation. The number of infusions and duration of ketamine therapy varies and is individualized. An average of 6-8 treatments are required for a good clinical response.

There are a handful of studies since 2014 that show promising results in managing symptoms from PTSD after ketamine infusion. (Study 1) (Study 2)(Study 3).

Mild psychotomimetic (confusion, hallucinations) effects, increase in heart rate, blood pressure, mild headache, and nausea are possible in some patients and are usually well tolerated.