Low Back Pain May Be Sacroiliac Joint Inflammation, Needing Special Treatment The new Mayo health letter’s lead article is two years too late for me, but corroborates my advice to friends with low back pain. Based on my experience, I urge them to press their spinal surgeons to put down their scalpel and do the hard work needed to confirm or rule out inflammation of the sacroiliac joints, which join our spine to our pelvis. My doctor failed to check for the condition, and as a result, my physical therapy was exactly wrong and almost ruined me for life. A standard PT treatment is to stretch the spine by strapping your upper body to an unmovable table and your legs to a movable table, then turn on the power to a motor that pulls the legs slowly downward. In my case, that simply widened the already inflamed joints between my spine and my pelvis, intensifying and extending the duration of the sacroiliac pain. An internist later confirmed the inflammation by injecting a pain killer directly into one sacroiliac joint, relieving the pain on one side and thus proving the diagnosis of a condition that rarely is fixed surgically. My point is: Be sure your low back pain is thoroughly diagnosed before allowing yourself to be talked into spinal fusion surgery of any kind.