Relieve Back Pain with “NADIA”


TAMPA, Fla. (Ivanhoe Newswire)— There are seven million people who have severe sacroiliac, or SI joint pain, in America. The SI joints link your pelvis to your lower spine. Many cases are misdiagnosed since SI pain can mimic other conditions, like a herniated disc, or hip problem. Back pain

These small steps for Anthony Mitchell … are a giant leap in the right direction.

“So many years of dealing with pain and putting you in in a state of depression where you just want to end your life,” shared Anthony.

For 16 years Anthony had so much pain he could barely bend down and tie his shoes. But after many misdiagnoses, Thomas Freeman, MD, USF Health Tampa General Hospital honed in on this: the SI joint.

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“Unfortunately, it’s been misdiagnosed in so many people for so long my average patient has had sacroiliac joint pain from anywhere from two years to 35 years,” explained Dr. Freeman.

Dr. Freeman had a solution for Anthony. A new procedure called Neurovascular Anticipating Distraction Interference Arthrodesis, or NADIA. Dr. Freeman inserted this device into the SI joint, which encourages bone to fuse to it, lessening the pain. During the procedure, surgeons approach the joint from the posterior, or behind, instead of the side, which Dr. Freeman says means less risk.

“It seems to be very reliable in our first few patients where we’ve done it,” continued Dr. Freeman.

Now, Dr. Freeman is hoping he can help more patients like Anthony put a stop to SI joint pain without being stuck with it.

“I tell anyone that’s dealing with what I’m dealing with there is light at the end of the tunnel,” said Anthony.

And hopefully, pain-free days ahead.

Dr. Freeman says the telltale signs that SI joint problems could be to blame for back pain are: pain in the buttock area that gets worse with sitting but also worse going from sitting to standing, laying on the left side, and walking up steps.

Contributors to this news report include: Emily Gleason, Producer; Chris Tilley, Videographer; Roque Correa, Editor.

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REPORT:       MB #4926

BACKGROUND OF SACROILIITIS: Sacroiliitis is an inflammation of one or both of your sacroiliac joints that are situated where your lower spine and pelvis connect. Sacroiliitis can cause pain in your buttocks or lower back and can extend down one or both legs. Prolonged standing or stair climbing can worsen the pain. Sacroiliitis can be difficult to diagnose, because it can be mistaken for other causes of low back pain. It’s been linked to a group of diseases that cause inflammatory arthritis of the spine. Treatment might involve physical therapy and medications.


DIAGNOSING SACROILIITIS: Axial spondylarthritis or psoriatic arthritis can cause inflammation in the sacroiliac joints, as well as the vertebrae in your spine, which leads to pain and stiffness in your lower back and hips. Osteoarthritis, which occurs when the cartilage that cushions and protects the ends of your bones gradually deteriorates, may affect the SI joint’s cartilage and cause pain. Other conditions that lead to sacroiliac pain include trauma, pregnancy, abnormal walking pattern, spine surgeries, and in rare cases infections. For some, sacroiliac joint pain could be dull and achy while for others it can be sharp and stabbing. You’re most likely to feel SI joint pain in your lower back and buttocks, but it can move out to your hips and down to your thighs, groin, and even your feet. A person experiencing sacroiliac joint pain may also experience lower back pain, pain with prolonged standing, pain that worsens with walking or running, pain that worsens with certain movements, such as getting up from a chair, climbing stairs, or turning in bed, or muscle tightness and tenderness in your hips or buttocks.


NEW STUDY FOR SACROILIITIS IN FMF PATIENTS: Familial Mediterranean fever, FMF, is an autoinflammatory disease characterized by recurrent episodes of fever and serositis. Sacroiliitis can be observed in some FMF patients. A new study aimed to compare the demographic, clinical, and laboratory findings, and treatment in children with FMF and sacroiliitis, and children with juvenile spondyloarthropathy. A small sample of pediatric FMF  were evaluated. 63 of those monitored were FMF patients with sacroiliitis. Patients were diagnosed with sacroiliitis an average of 12 months after the diagnosis of FMF. Among the FMF patients, 28 had enthesitis, 23 had heel pain, and 11 had low back pain. The results from the study showed that sacroiliitis is a common co-morbidity in FMF patients.





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Doctor Q and A

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