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Vicki Sims, PT, CHT
Gainesville Physical Therapy
1296 Sims Street, Suite A
Gainesville, GA 30501
Phone: 770.297.1700
sijd@gainesvillept.com
www.gainesvillept.com

David Mesnick, PT, cMDT
Atlanta Falcons Physical Therapy Center
550 Peachtree Street, Suite 1760
Atlanta, Georgia 30308
Phone: 404.367.2095
dmesnick@afptc.com
www.atlantafalconsptc.com
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Sacroiliac (SI) Joint Pathology Case Study Series

Bilateral Fixation of SI Joints with Cannulated Screws Percutaneously

David Weiss, MD, Vicki Sims, PT, CHT
Gainesville, GA




The patient is a 39-year old female who was referred to Gainesville Physical
Therapy for conservative treatment of Sacroiliac Joint Dysfunction, which did not
resolve her symptoms.


History
18 year history of LBP

Symptoms
Bilateral SI joint pain; L>R
Pain in lumbar spine, buttock, posterior left leg pain.

Limitations
Bending
Lifting
Stair climbing
Sleep was interrupted
Sustained positions

Pain Level
Constant 6

Tests
MRI: L4-5 disc desiccation with disc protrusion, L5-S1 disc protrusion producing slight posterior displacement of the left S1 nerve
EMG: negative for piriformis syndrome

Surgical Intervention
September 2009

Two Year Post-op
Functional Level:
   Stiffness in morning, but subsides once up and going
   No limitations other than heavy lifting
Pain Level:
   Intermittent 1
Patient: S.S.

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