The prognosis of sacroiliac joint dysfunction varies depending on the cause of the dysfunction. When the problem is caused by pregnancy, the prognosis is excellent, as the condition usually improves after pregnancy during the postpartum period. Conditions affecting the sacroiliac joints such as ankylosing spondylitis and psoriatic arthritis are chronic, but excellent treatments are available. These treatments can minimize the SI joint pain and prevent destruction of the joints. Degenerative arthritis affecting the SI joint is also a chronic condition and cannot be reversed, but treatments are generally very effective in improving symptoms.
The current "gold standard" for diagnosis of sacroiliac joint dysfunction emanating within the joint is sacroiliac joint injection confirmed under fluoroscopy or CT-guidance using a local anesthetic solution. The diagnosis is confirmed when the patient reports a significant change in relief from pain and the diagnostic injection is performed on 2 separate visits. Published studies have used at least a 75 percent change in relief of pain before a response is considered positive and the sacroiliac joint deemed the source of pain.    However, several other injection studies have compared intra-articular with extra-articular injection, and indicate that the ligament injection behind the joint is oftentimes superior to injection in the joint and seems to be a very underutilized diagnostic tool.  
When non-surgical treatments for the SI joint fail, surgical options provide permanent stability and pain reduction. Our surgeons remain on the forefront of providing innovative evidence-based spine treatments. Our very own Dr. Christopher Good was the first surgeon in North America to perform robotic guidance sacroiliac fusion in June 2013. We are also very proud of Dr. Michael Hasz and his leading expertise in SI joint related pain. He has been performing SI fusions for nearly 20 years using various techniques, and in more recent years the iFuse Implant System. Dr. Hasz is a lead principal investigator in SIFI, an SI-BONE national prospective outcome study. Our collective expertise in SI fusion techniques and involvement in SIFI allows the Virginia Spine Institute to offer an array of treatment options for our patients suffering from sacroiliac related pain.