Latest in our patient community

Rehabilitation for SI Joint Pain and/or Dysfunction

Patient Education

The sacroiliac (SI) joint is the joint between the  sacrum and the ilium bones. The sacrum supports the spine and is itself supported by the ilium on either side. The SI joint is meant to remain relatively stable as opposed to a highly mobile...

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Meeting your Insurance Company’s Definition of Medical Necessity for Minimally Invasive Sacroiliac

Patient Education

Many health insurance plans have established patient selection guidelines for minimally invasive SI joint fusion. Like all procedures, your medical records must justify why a minimally invasive SI joint fusion procedure is the right procedure for you. Some health plans have their own internal patient selection guidelines. Other plans follow guidelines published...

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Post-partum Pelvic Girdle Pain

Patient Education

Many women have complaints of back pain during and after pregnancy.  One study showed that up to 45% of pregnant women have musculoskeletal low back and/or pelvic pain.1  Musculoskeletal pain describes pain coming from the bones, joints, ligaments and muscles as opposed to pain coming from internal organs. ...

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How to write a “Patient Quality of Life (QOL) Letter”

Patient Education

If your health insurance company denies coverage for the iFuse Implant Procedure, options are still available. Patients and providers have options to appeal with hopes to overturn the denial. The best way to support an appeal is to provide your insurance company with a Quality of Life Letter. A Quality of Life...

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SI Joint Dysfunction, Patient Series Article #3– Adjacent Segment Degeneration Case

Patient Education

Health care practitioners specializing in the diagnosis and treatment of SI joint patients are frequently asked to describe a “typical” sacroiliac joint patient.  This is somewhat challenging as SI joint pain can occur in men and women and in adult patients who are young, middle aged and older. ...

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Understanding Coverage Determination / Appeal Options / Common Reasons for a Denial

Patient Education

Prior Authorization:  A decision by your health insurer that a health care service, treatment or procedure is medically necessary (also referred to as a prior approval or pre-certification). Peer-to-Peer Review: Typically one individual (a peer) discussing / reviewing the case (usually for insurance approval reasons) with the physician who...

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SI Joint Dysfunction, Patient Series Article #2 – Trauma Case

Patient Education

This is the second in a series of patient stories where we describe the clinical presentation, diagnostic work-up and treatment of patients with SI joint dysfunction and pain from three different causes.  The first patient has SI joint dysfunction that developed during pregnancy and continued into the post-partum period. The second...

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Postpartum Patient Case

Patient Education

This is the first in a series of cases where we will describe the clinical presentation, diagnostic work-up and treatment of three patients who have SI joint dysfunction and pain from different causes. The first patient has SI joint dysfunction that developed during pregnancy and continued into the post-partum period. The second...

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Why your insurance company may not pay for your care

SiJPC News

When a physician orders a test, medication or recommends surgery, in many cases, the insurance company will be notified for an approval.  In some cases the insurance company will not approve the service or procedure for payment.  If the insurance company denies coverage/payment, in most circumstances, you and your...

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The Sacroiliac (SI) Joint:  Function, Dysfunction and Pain.

Patient Education

Background The sacroiliac (SI) joints are the link between the triangular shaped bone at the base of the pelvis (the sacrum) and the pelvic bone on either side (the ilium).  The SI joints are meant to be stable unlike the shoulder and hip joints which are designed for mobility.  The...

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Spotlight on Nurses: What It’s Like to be in the Patient’s Seat

SiJPC News

Nurses are often the first line of defense in preventing illness or injury, but sometimes they become a patient in the process. Moving and lifting patients can result in an SI joint injury and ongoing back pain. These underlying problems can make an already physically demanding job even more difficult. With a 1...

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Anatomy of the Sacroiliac Joint

SiJPC News

The sacroiliac joints are located in the pelvis, linking the left and right iliac bones to the sacrum (lowest part of the spine above the tailbone). The SI joint allows some motion of the sacrum with respect to the iliac bones.  This motion allows the spine and pelvis to change position...

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iFuse Clinical Publications Levels of Evidence

Clinical Literature

Download iFuse Clinical Publications Levels of Evidence file:

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Evaluation of the patient with SI joint pain - Examination and Provocative Testing

SiJPC News

The Sacroiliac (SI) joint is the joint between the sacrum (the lowest portion of the spinal column) and the wing bone of the pelvis called the ilium. Everyone has a left and a right SI joint.  The bony pelvis is made up of three bones; the sacrum, the left ilium and...

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iFuse Clinical Evidence Outcomes Brochure

Clinical Literature

Download the iFuse Clinical Evidence Outcomes file:

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Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion

Clinical Literature

Click here to download the article summary:

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Triangular Titanium Implants for Minimally Invasive Sacroiliac Joint Fusion: A Prospective Study

Clinical Literature

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North American Spine Society (NASS) Coverage Committee Recommends Coverage for Minimally Invasive Sa

SiJPC News

NASS is a multidisciplinary medical organization dedicated to improving spine care. NASS is the largest spine society in the world with over 9,000 members.  NASS has issued a formal coverage recommendation for minimally invasive SI joint fusion titled "Percutaneous Sacroiliac Joint Fusion.” This evidence-based coverage policy states "the Coverage Committee recommends...

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Summer with SI-Buddies

SiJPC News

When we think about summer vacation, we often conjure up visions of relaxing on warm beaches, traveling, or curling up with a good book next to a quiet lake. However, if you are in pain, it may be difficult to think beyond the current moment let alone participate in summer fun. ...

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Coverage Updates

Patient Education

Nationally, some government and private insurance plans reimburse for minimally invasive SI joint fusion, many on a case-by-case basis. A written prior authorization is recommended prior to surgery to verify coverage and benefits for the procedure.  

  • Medicare Coverage:   Effective June 1, 2015, Medicare is reimbursing for minimally invasive SI...

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Checklist of Information to Gather for a Prior Authorization

Patient Education

Below is a checklist of items to include in a request for prior authorization.  Ensure that your surgeon has copies of these documents to initiate the request: 

  • Your surgeon will complete a letter of medical necessity including your diagnoses, your proposed surgery date, and why the procedure is...

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Know Your Plan’s Coverage Policy for Minimally Invasive SI Joint Fusion

Patient Education

Some Medicare, Medicaid, and commercial health plans provide coverage for minimally invasive sacroiliac (SI) joint fusion procedures.  Your plan may require a written authorization prior to surgery.  If your plan approves the request, an approval letter from your plan will be provided to you and your surgeon.   To determine...

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SI Joint Pain Burden of Disease

Clinical Literature

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From Orthopedic Nurse to iFuse Patient to Workers’ Comp Case Manager

Case Manager Information

At the time of her lower back injury, Janice had acquired over twenty years of clinical experience as an orthopedic nurse in Northwest Indiana. Her lumbar MRI showed L4-5 and L5-S1 central disc herniations, but she knew her symptoms did not correlate with those findings. Her pain wasn’t...

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Role of the Patient in the Appeal Process

Patient Education

If your request for surgery has been denied as “experimental or investigational,” below are some steps that you can take to support an appeal:

  • Request a letter of medical necessity from your surgeon detailing why minimally invasive SI joint fusion is medically necessary. A template letter is available...

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Covering All the Bases: Getting the Most out of Your Physical Therapy Evaluation

Patient Education

Many patients ask if their physical therapy evaluation for sacroiliac joint pain “covered all the bases”.  While many physical therapists’ practice using differing techniques, there are basic areas that should routinely be addressed. The list below includes areas that a physical therapist may consider when evaluating your sacroiliac...

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Questions for Your Physical Therapist

Patient Education

These are some questions that may assist you in getting the most out of your physical therapy appointment. After an initial evaluation, your physical therapist should have the information needed to answer the following questions.

  1. What is the best way for me to sleep, sit and move during my daily...

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Physical Therapy Educational Program

SiJPC News

Genné is the clinical coordinator of an innovative Physical Therapy educational program at SI-BONE, Inc. The goal of the program is to help promote the recognition and proper diagnosis of SI joint pain and create awareness among the professional medical community. "This program is very exciting because I get to share...

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SI-BONE, Inc. Garners a Gold MarCom Award for the Patient Advocacy Website

SiJPC News

FOR IMMEDIATE RELEASE SAN JOSE, Calif., Dec. 8, 2014 -- SI-BONE, Inc., a medical device company that pioneered the use of the iFuse Implant System®, a minimally invasive surgical (MIS) device indicated for fusion for certain disorders of the sacroiliac (SI) joint, won the Gold 2014 International MarCom Award for its SI...

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SI Joint Facts & Figure

Patient Education

  1. The SI joint is a common cause of LBP (low back pain) complaints (Bernard1, Maigne2, Schwarzer3, Sembrano4)
    1. SIJ (sacroiliac joint) is a true synovial joint (Vanelderen5)
    2. SIJ does move (Sturesson6)
    3. SIJ does...

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Learning about Case Managers

Case Manager Information

What is a Case Manager? Case managers help provide an array of services to help individuals and families cope with complicated situations in the most effective way possible, thereby achieving a better quality of life. They help people to identify their goals, needs, and resources. From that assessment, the case manager and...

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Learn About Spinal Injections

Patient Education

Spinal injections are used in two ways. First, they can be performed to diagnose the source of back, leg, neck, or arm pain (diagnostic). Second, spinal injections are used as a treatment to relieve pain (therapeutic). Most spinal injections are performed as one part of a more comprehensive treatment program. Simultaneous treatment...

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SI-BONE Clinical Studies

Clinical Studies

SI-BONE, Inc. believes clinical research is imperative and recognizes that product safety, effectiveness and reliability are critical factors for providing excellent patient care. Our investment in clinical research sets us apart from other companies making SI-BONE the industry leader in minimally invasive SI joint fusion surgery. Currently, SI-BONE is engaged in sponsoring...

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American Medical Association Casts Supporting Vote for iFuse Category I Procedure

SiJPC News

SAN JOSE, Calif., March 6, 2014 /PRNewswire/ -- SI-BONE, Inc. (San Jose, California), a medical device company that has pioneered the use of the iFuse Implant System®, a minimally invasive surgical (MIS) device used to fuse the sacroiliac (SI) joint, announced today that the American Medical Association's (AMA'...

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For comprehensive information about iFuse and some causes of SI Joint pain and dysfunction, please visit

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