Key Takeaways
- Sacroiliac (SI) joint pain is something that anyone can experience. It is still most prevalent in athletes, pregnant women, and individuals with a prior injury. Without knowing what exactly is causing the patient’s pain, it’s impossible to provide effective treatment.
- Common conservative treatments for SI joint pain have focused on physical therapy, corticosteroid injections, and changing lifestyle factors. A bilateral buttock lift (BBL) is under investigation as a promising alternative for certain patients.
- Early studies have indicated that BBL can make gluteal support and pelvic alignment more functional. Definitive scientific studies are required to validate its efficacy for SI pain.
- Prior to trying BBL for SI joint pain, you should have a complete medical work-up. Be informed with realistic expectations and knowledge of possible risks, recovery, and costs.
- Patients should discuss all available treatments with their healthcare team, weighing both surgical and nonsurgical options to find the best fit for their needs.
- By being proactive, informed, and receptive to new therapies, patients can effectively manage SI joint pain and set themselves up for better long-term results.
BBL, or bilateral buttock lift, greatly improves quality of life for patients suffering from SI joint pain. This surgical technique provides increased stabilization in the lower back and hip area. Millions of Americans are looking for BBL to treat their sacroiliac joint pain.
This pain can severely impact everyday life, leading to stabbing pains when patients sit, stand, or move. Many doctors in Los Angeles and other big cities offer BBL as an option when physical therapy and shots do not work well enough. Patients want to have less pain and more movement—those are the things that patients prioritize after surgery.
Risks, recovery time, and results vary based on the patient’s overall health and specific needs. In this article, we’ll demystify how BBL works. It will talk about who it benefits and what to expect post-op.
Understanding SI Joint Pain
Sacroiliac (SI) joint pain, referred to as sacroiliitis, is a major contributor to joint pain. For many, it does primarily impact the lower back and pelvis. The SI joint is the main connection between the spine and pelvis, serving as a shock-absorbing mechanism for the entire body.
Though small, it is an important joint that helps the spine remain stable while allowing you to move freely. Pain typically presents below the bony protrusion of the back, above the buttocks. It can radiate into the hips and groin, and sometimes even down the legs.
SI joint pain can be difficult to identify, since its symptoms are similar to other back issues. Your doctor will have to employ some combination of physical exams, diagnostic scans, and on occasion, diagnostic numbing injections to identify the culprit.
What SI Pain Feels Like
SI joint pain can range from sharp, stabbing pain to being a dull, deep ache. In the majority of cases, individuals experience the pain in the lower back, directly beneath the waist, or in the buttocks.
At times, this discomfort moves to the back of the thigh or even the calf. The discomfort may be rather constant and dull or as extreme as to prevent even basic movements. Usually it increases with prolonged sitting, uphill walking, or unipedal (one leg) standing.
Common SI Pain Causes
These can be due to previous traumatic injuries, degenerative arthritis, or physiological changes associated with pregnancy. Minor variations in leg length or alignment issues can put additional stress on the SI joint.
Whether due to natural aging and wear and tear, or an autoimmune condition, inflammation tends to be a factor. It’s important to understand that a lack of movement can exacerbate SI pain, including sitting for long periods.
Who Gets SI Joint Pain?
Athletes, pregnant women, and older adults are particularly prone to developing SI joint pain. Individuals with a history of trauma or surgery around the pelvis or spine are at increased risk.
Getting care early is important to prevent issues from becoming chronic.
BBL for SI Pain: A New Idea?
This new application provides a novel framework to pain management. This method takes things to the next level. It looks at whether surgical alterations to the buttock area can reduce pain that originates from the SI joint.
The SI joint is located at the base of the spine. It sometimes results in persistent lower back pain that’s difficult to remediate with traditional conservative care approaches. Far too many people in Los Angeles and other U.S. Cities undergo extensive physical therapy or even surgical fusion. Unfortunately, not all patients find rock-solid relief.
In spite of these challenges, some care teams are pushing the envelope with their ideas. They’re looking at BBL as a potential alternative for anyone living with chronic pain.
1. The Surprising BBL Connection
A BBL improves the shape and tone of the buttocks. Early anecdotal reports indicate this may improve the function of the muscles surrounding the SI joint. It provides better pain relief and greater functional support.
Early anecdotal reports of relief after BBLs suggest a positive trend. A handful of patients have received this treatment with success, and large-scale data are not yet available. Still, these stories bring up a key point: pain is complex, and improving muscle support might play a role.
2. How BBL Could Ease Pain
Improved alignment and increased gluteal support could reduce pressure on the SI joint. The first is that when the pelvis is more stable, the pressure on the SI joint decreases.
Improved positive body image can influence the experience of pain. Even so, anyone considering BBL for SI pain should expect a thorough physical examination and frank discussion with their physician.
3. Are You a BBL Candidate?
Surgeons consider your overall health, the type of pain you have, and your goals with the surgery. They look for obvious causes of SI pain.
They help set realistic expectations and ensure that patients know what a BBL can and can’t achieve. Realistic expectations and honest conversations with a healthcare team are essential.
4. BBL vs. Standard SI Care
| Treatment | Recovery Time | Success Rate | Risks |
|---|---|---|---|
| BBL | Weeks-months | Unclear | Infection, poor results |
| Physical Therapy | Weeks | Varies | Low |
| SI Fusion | Months | 60-80% | Adjacent segment issues |
5. BBL Risks: Be Aware
Risks associated with the BBL include infection and outcomes that are not long-lasting. Recovery is lengthy and requires careful monitoring.
If the aesthetic isn’t on point, it might increase anxiety rather than reduce it. Informed consent would be essential before proceeding.
Pinpointing Your SI Joint Problem
Locating the source of sacroiliac (SI) joint pain can be complex. The SI joint’s profound position and pain gait overlap with the lower back or hip can create confusion. That’s why a diagnosis is so important—the last thing you want is to make the wrong diagnosis leading to years of pain and ineffective treatments.
Recording your symptoms is important. Record details of when your pain is worse, what the pain feels like, and what aggravates or relieves the pain. This data empowers you and your health care team to identify trends. In difficult cases, teams consisting of physicians, physiotherapists, and radiologists frequently collaborate. They analyze multifaceted pain from every perspective.
Getting an Accurate Diagnosis
An accurate diagnosis begins with a discussion of your history and a physical examination. Your physician will want to know about any previous trauma, what your daily routine entails, and the location of your pain. They’ll look for pain in areas just below the beltline and at the sides of the buttocks.
This pain usually means you have an SI joint problem, particularly if it radiates to the lower back or thigh. Imaging begins with standard X-rays to exclude bony pathology. When necessary, an MRI may be used to identify inflammation, though it can fail to detect ligament abnormalities.
In Los Angeles, several practitioners have begun using SPECT-CT scans. These scans are great to identify if the SI joint’s ligaments are not working as they should. At each step, patients’ questions serve to remind everyone that the process needs to stay patient-centered.
Key Diagnostic Tests
Physicians perform tests such as the sacral thrust and thigh thrust to elicit pain in the SI joint. These maneuvers apply stress to the SI joint in order to test if pain occurs. Using clusters of tests increases accuracy, but results are still inconsistent provider to provider.
Diagnostic injections—either with X-ray or ultrasound guidance—are definitive for confirming the SI joint is the source of pain.
Quick Reference:
- Distraction test: checks joint mobility
- Thigh thrust test: stresses the SI joint
- Sacral thrust test: presses on the sacrum
- Imaging (X-ray, MRI, SPECT-CT): rules out other issues, finds inflammation
- Diagnostic injection: numbs the joint to confirm diagnosis
Other Ways to Treat SI Pain
Managing sacroiliac (SI) joint pain requires a multifaceted approach. BBL is making it possible for more people to experience relief. Yet, different treatment alternatives frequently complement one another, producing even better outcomes.
With a combination of basic adjustments and specialized treatment, patients can find improved function and reduced pain. When other treatments fail, these specialized procedures offer an extra level of relief. Continuing to be proactive and open to various strategies will be essential for long-term success.
Starting with Simple Fixes
Most begin by resting the area and icing the painful joint. Short breaks can go a long way in calming unexpected flares, and ice can be useful to reduce swelling. OTC nonsteroidal anti-inflammatories usually provide relief early on.
Home exercises and stretches, with a focus on the gluteus maximus, help restore strength and alleviate pain. People who have SI problems usually benefit from improving their stability and maintaining control of the pelvis.
Using an SI joint belt may reduce joint rotation by as much as 30% and increase comfort on a daily basis. Adjusting your work/home environment to change how you sit, stand or lift reduces stress on the joint too.
For people who experience gait abnormalities, shoe orthotics and gait re-education can help reduce their pain and increase their mobility. Here’s a quick checklist: rest, ice, NSAIDs, simple stretches, SI joint belt, ergonomic tweaks, and shoe inserts.
Injections and Physical Therapy
When pain does not go away, corticosteroid injections can provide temporary relief. Some patients experience effective relief through radiofrequency ablation, with effects that can last longer than steroid injections.
Physical therapy is essential—PTs create treatment regimens with targeted exercises and manual therapy to reduce pain and increase mobility. Strengthening the glutes and core helps stabilize the joint, and gait training can fix movement patterns that may be putting unnecessary strain on the SI joint.
Staying connected to your care team allows you to adjust your plan as you recover.
Considering SI Joint Fusion
When other remedies have failed, SI joint fusion might be presented as your next step. This surgery is typically applicable to patients with chronic pain that has not improved with more conservative treatment.
The goal of the procedure is to fuse the joint, thereby reducing movement, usually through minimally invasive techniques. Risks do exist such as infection and nerve injury, but some say the risk is worth the potential payoff of lasting pain relief.
A thorough pre-operative evaluation ensures that candidates are appropriate and potential outcomes are realistic.
My View: BBL for SI Pain
BBL, short for Brazilian Butt Lift, is one of the most sought-after cosmetic procedures today. It improves the contour, proportion and symmetry of the buttocks. In Southern California, that’s where cosmetic trends meet chronic pain management, for example. Individuals living with sacroiliac (SI) joint pain might be curious whether BBL can help them find relief.
Many chronic pain patients report improvement after undergoing BBL. However, the surgical community has no concrete evidence that this procedure successfully alleviates SI pain. The majority of studies continue to focus on BBL for aesthetic improvements, rather than investigating pain relief.
Separating Hope from Hype
When examining the use of BBL for SI pain, many of the claims made are anecdotal and not supported by adequate research. The majority of patients continue to report pain relief following the surgery. However, there is not sufficient data to ensure that this will be the outcome for everyone.
Making the right choice means understanding the difference between what someone claims was effective for them and what the evidence shows is actually effective. People dealing with chronic pain need to stay alert to new treatments but be careful not to jump at something just because it’s new or trendy.
Patient education is critical. Having the right conversations with physicians, asking clinical questions, and seeking out evidence-based alternatives will empower individuals to make informed choices.
The Missing Research Links
There is currently a significant lack of research on BBL for SI joint pain. Sixty-one of those studies looked at alternative non-surgical treatments for SI pain such as physical therapy or targeted injections.
There’s an obvious gap in research that tracks all patients long-term after BBL to determine if pain relief endures. It’s imperative that doctors and researchers come together to establish clinical trials in ways that provide the clearest answers for all patients.
A Surgeon’s Honest Thoughts
If you’re looking into getting a BBL for SI pain, consult with an experienced, well-informed physician. Find someone who understands pain management and surgery equally well!
Since recovery can be challenging and results are often not what patients expect, it’s important to set realistic expectations from the start. While the risks of infection or fat embolism are tangible, BBL does not address the underlying causes of SI pain.
That’s why most experts recommend exhausting nonsurgical options—such as exercise, physical therapy, or medications—before opting for surgery.
Considering BBL? What to Know
Thinking about getting a Brazilian Butt Lift (BBL) to get rid of your SI joint pain. Knowing what to expect at each stage can be very empowering.
Step 1: Liposuction BBL begins with liposuction—typically from your belly, back, or thighs. The fat the surgeon removes is purified and then injected into your hips and buttocks. This is a great way to sculpt your lower body!
It can enhance back support and posture, an important consideration for those suffering from SI joint pain. A key factor is the technique used during surgery. The safest surgeons only inject fat above the gluteal muscle, which really reduces the risk of hitting large blood vessels.
This is where what is essential for safety is really important. In comparison, past BBLs have carried a much higher risk, including fatal outcomes such as fat embolism. Today, thanks to improved techniques, that risk is less than 1 in 15,000. Yet even with those risks, infections, fat loss, or irregular shape can still occur.
Though you will go home the same day as surgery, recovery will take several months. The average patient is able to go back to all normal activity in about four to six weeks. No sitting or lying on your behind for a minimum of two weeks.
Approximately 60-80% of the fat will remain long-term, and you’ll be able to tell the final appearance by three months.
The BBL Procedure Itself
- Plan for four to six weeks of downtime.
- Follow all post-op care instructions to lower problems.
- Start moving slowly. Check your pain as you go.
Recovery tips:
- To sit down…
- Use BBL pillows.
- Avoid soaking wounds, like in baths or swimming pools.
- Don’t sleep on your stomach or side.
Your BBL Recovery Path
This is one reason why BBL prices range from $8,000 to $15,000 in Los Angeles. Additionally, it’s not typically covered by insurance unless performed for medical necessity.
Be sure to discuss any financial considerations upfront with your chosen doctor, and inquire about specific payment plans should you require one.
Costs and Insurance Facts
Have an honest discussion with your surgeon. Create a plan that meets all of your requirements. Get to know your surgeon and their practice to ensure you get the best care possible.
New research will continue to advance the field.
Conclusion
BBL for SI joint pain provides an alternative. A lot of folks aren’t ready to jump in until they see a bit more evidence. Many people say they experience reduced pain and improved mobility following a BBL. The long-term results are still unknown. Everyone’s pain is unique, so discuss all options thoroughly with your physician if considering BBL. Consider what has previously succeeded, what the research supports, and what aligns with your community’s objectives. Some people have been receiving injections or physical therapy and sticking with it, others are ready to try something new. With so many options available at Los Angeles clinics, it’s important to ask direct questions and establish achievable goals. Have additional questions or need more information? Get in touch with a reliable local health professional and find out what works best for your lifestyle.
Frequently Asked Questions
What is a BBL and how might it help SI joint pain?
What is a BBL and how might it help SI joint pain? Some believe it may provide a protective cushion for the SI joints, but there’s no substantial medical proof that it relieves pain.
Is a BBL safe for people with sacroiliac joint pain?
BBL surgery has significant risks, even more so if you suffer from back or SI joint pain. Make sure to discuss with a board-certified plastic surgeon and your pain specialist before pursuing one.
Can a BBL treat the root cause of SI joint pain?
Can a BBL treat the root cause of SI joint pain? It’s one thing to make a case for this use of BBL on cosmetic grounds.
Are there proven treatments for SI joint pain?
Yes. Traditional treatments, including physical therapy, pain management techniques, SI joint injections, and occasionally surgery. These include injections and other procedures that aim directly at the joint itself.
Should I get a BBL if my main concern is SI joint pain?
As a result—generally speaking—no. No, a BBL is not appropriate if your main concern is medical pain relief. Talk to your doctor about evidence-based medical treatments for your SI joint pain.
Does sitting after a BBL affect SI joint pain?
Reminder— Yes, recovery from BBL involves not sitting for several weeks. This may be a challenge if you suffer from SI joint pain to begin with. Have an open dialogue with your physician about the challenges of recovery.
Who should I consult before considering a BBL for SI joint pain?
Consult a pain specialist, orthopedic doctor, and a board-certified plastic surgeon in Los Angeles. They’ll work with you to determine the best approach for your health and lifestyle.









