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Person with nighttime lower back and hip pain from sacroiliitis.
By Dr. Gautam Gandhi • September 15, 2026
Sacroiliitis can feel worse at night because of sleeping position, pelvic stress, inflammation, stiffness, or poor mattress support. Read to learn more.
Person in black clothes bending on a foggy beach, with waves and distant hills in the background
By Dr. Gautam Gandhi | Spine Surgeon • September 3, 2026
Sacroiliitis flare-ups can be triggered by standing, walking, sitting, stairs, exercise, lifting, or poor sleep. Learn more about when to see a spine specialist.
Man bent forward on a grassy field, holding his knee in apparent pain while wearing athletic clothes.
By Dr. Gandhi • August 19, 2026
In some cases, a spinal cord stimulator may be the right treatment for chronic pain. Learn more about the trial period and who may be a good fit.
Close-up of a person clutching their forearm in pain against a white brick wall
By Dr. Gautam Gandhi • August 4, 2026
When a damaged spinal disc causes persistent neck pain, arm pain, numbness, weakness, or spinal cord compression, surgery may be considered after nonsurgical treatments have not provided enough relief. Two common surgical options are artificial disc replacement and spinal fusion. Both procedures begin by removing the damaged disc and relieving pressure on the spinal cord or nerves. The main difference is what happens afterward: artificial disc replacement is designed to preserve motion, while spinal fusion permanently stabilizes the treated level.  Neither option is automatically better for every patient. The right choice depends on the location and severity of the spinal condition, the number of affected levels, spinal alignment, joint health, bone quality, and several other factors.
Man in blue shirt holding his lower back on a sunlit trail, appearing to feel discomfort
By Dr. Gautam Gandhi • July 21, 2026
Hip pain does not always come from the hip joint itself. In some patients, pain around the hip, buttock, groin, or lower back may actually be coming from the sacroiliac joint , also called the SI joint . When this joint becomes inflamed or irritated, it can cause a condition called sacroiliitis , which may feel very similar to hip arthritis, sciatica, or a lumbar spine problem. Sacroiliitis can be difficult to recognize because the pain often overlaps with other common causes of hip and low back pain. Dr. Gandhi, the spine surgeon at Pinnacle Spine & Neurosurgery, treats patients experiencing sacroiliitis throughout Central Arkansas, including Conway, Hot Springs, and Little Rock, AR.
Man sitting at desk, rubbing his neck while working on a laptop in an office setting.
By Dr. Gautam Gandhi • July 6, 2026
Neck pain with arm pain, hand numbness, or tingling may be caused by a pinched nerve in the neck. Learn about cervical radiculopathy, cervical stenosis, and ACDF surgery.
Person in a blue shirt stands with hand on hip, overlooking a green hillside park.
By Dr. Gautam Gandhi • June 18, 2026
Learn whether herniated discs can heal without surgery, common symptoms, treatment options, recovery timelines, and when surgery may be necessary.
Close-up of a person walking on a paved path in pink sneakers and black shorts
By Dr. Gautam Gandhi • June 2, 2026
People with spinal stenosis may notice that their symptoms feel more intense when they walk. Read more to learn about the reasons why. Contact us for a consultation.
Hand on a blue shirt over a belly, with jeans visible.
By Dr. Gautam Gandhi • May 15, 2026
Compare spinal cord stimulators and pain medications for chronic pain management. Learn the benefits, limitations, and treatment considerations from Pinnacle Spine & Neurosurgery.
Close-up of a person in black athletic wear, seen from behind with a hand on their lower back.
By Dr. Gautam Gandhi • May 8, 2026
Many with persistent lower back pain assume the problem is from a disc, muscle strain, or sciatica. However, in some cases, the true source may be the SI joint.