Patient Education

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

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