Even though I have seen three case of painful transverse-alar articulation pain, the vast majority of these articulations are not painful. Suprapubic pain generally is not related to the spine. Some individuals can have hip impingement syndromes which can induce these type of symptoms. A visit to a hip specialist and MRI and an intraarticular injection that yields temporary relief can diagnose this disorder.
L5-S1 injections that help the sacral pain could indicate radiculopathy, degenerative disc disease or even facet syndrome. The injections have to be specifically placed to diagnose which disorder is causing the sacral pain.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.