How Alejandro Betancourt is Transforming Sacroiliac Joint Treatment

By  //  March 6, 2025

A Distinguished Neurosurgical Career

Dr. Alejandro Betancourt, MD, is one of the Rio Grande Valley’s most respected neurosurgeons. With a career spanning more than two decades of dedicated service to the community, Dr. Betancourt has become synonymous with excellence in complex spine surgery, particularly for his groundbreaking work in sacroiliac joint treatment.

After completing his medical education at Ponce School of Medicine in Puerto Rico, Dr. Betancourt continued his professional development through an internship and neurosurgery residency at the University of Puerto Rico School of Medicine. This comprehensive training formed the foundation for an illustrious career marked by innovation and patient-centered care.

Leadership in Medical Institutions

Dr. Betancourt’s influence extends beyond his clinical practice. He serves as a board member and Chief of Surgery for multiple institutions, positions that reflect the high regard in which his peers hold him. His board certification with the American Board of Neurological Surgery underscores his commitment to maintaining the highest standards in his field.

As a Fellow of prestigious organizations, including the American College of Surgeons, the American Association of Neurological Surgeons, and the Texas Association of Neurological Surgeons, Dr. Betancourt continuously contributes to advancing neurosurgical practice. His active membership in the Puerto Rico Heart Association, Puerto Rico Medical Association, and Texas Medical Association further demonstrates his dedication to remaining at the forefront of medical developments.

Specialization in Sacroiliac Joint Dysfunction

Among Dr. Betancourt’s most significant contributions to patient care is his specialization in diagnosing and treating sacroiliac joint dysfunction, which affects approximately 15-30% of patients with chronic low back pain but is frequently misdiagnosed.

Understanding the Sacroiliac Joint

The sacroiliac joint, often called the SI joint, is the connection between the sacrum (the triangular bone at the base of the spine) and the ilium of the pelvis. This joint plays a crucial role in:

  • Absorbing shock between the upper body and lower extremities
  • Providing stability for the pelvis
  • Limiting excessive movement during walking and other activities
  • Transferring loads between the spine and lower limbs

Despite its importance, the sacroiliac joint is often overlooked as a source of pain in favor of more commonly diagnosed conditions like herniated discs or facet joint problems.

Recognizing SI Joint Dysfunction

Dr. Betancourt has developed particular expertise in identifying the sometimes subtle signs of SI joint dysfunction, which can include:

  • Pain concentrated in the lower back, buttocks, or side of the hip
  • Pain that radiates to the groin or upper thigh
  • Discomfort that worsens when sitting for long periods
  • Stiffness or burning sensation in the pelvis
  • Difficulty with specific movements, such as climbing stairs or getting up from a seated position

Through careful diagnostic assessments, including specialized physical examinations and diagnostic injections, Dr. Betancourt has helped countless patients receive proper diagnoses for previously unexplained chronic pain.

Pioneering Minimally Invasive SI Joint Fusion

Dr. Betancourt has established himself as a regional leader in minimally invasive sacroiliac joint fusion, mainly through his work with SI-BONE technology. This innovative approach represents a significant advancement over traditional open surgical techniques, offering patients the following:

  • Smaller incisions
  • Reduced blood loss
  • Minimal disruption to surrounding tissues
  • Shorter hospital stays
  • Faster recovery times
  • Lower risk of complications

The procedure involves inserting specialized implants across the SI joint to provide immediate stabilization while promoting long-term fusion. For patients with SI joint dysfunction that has not responded to conservative treatments, this minimally invasive approach has proven transformative.

Comprehensive Approach to Spine Care

Beyond his specialization in SI joint treatment, Dr. Betancourt employs a comprehensive approach to spine care. He is skilled in numerous surgical techniques, including:

  • Computer navigation surgery
  • Discectomy procedures
  • Various fusion approaches
  • Laminectomy and decompression
  • Robotic surgery
  • Spinal cord stimulation

However, Dr. Betancourt firmly believes in exhausting all non-surgical options before considering operative intervention. His practice incorporates a full spectrum of conservative treatments, from medication management and physical therapy to injections and radiofrequency ablations.

Patient Testimonials Speak Volumes

The impact of Dr. Betancourt’s work is perhaps best reflected in his patients’ testimonials. Many speak of regaining mobility after years of debilitating pain, returning to activities they had abandoned, and experiencing a renewed quality of life following treatment under his care.

Patients consistently praise his technical skill and his compassionate approach and willingness to explore all treatment options before recommending surgery.

Personal Life and Community Commitment

Despite his demanding professional schedule, Dr. Betancourt maintains strong family ties. He is married to Aracelis and is the father to three children: Gabriela, Sophia, and Alejandro, Jr. His interests include hunting and fishing during his limited free time.

Dr. Betancourt’s commitment to the Rio Grande Valley community extends beyond his medical practice. Through ongoing education and adoption of innovative techniques, he continues to bring world-class neurosurgical care to a region that might otherwise have limited access to such specialized treatment.

A Legacy of Excellence

As Dr. Alejandro Betancourt continues his distinguished career, his legacy already includes countless patients who have found relief through his expert care. His pioneering work in sacroiliac joint treatment, combined with his mastery of minimally invasive surgical techniques, has established new standards of care for patients with complex spine conditions throughout the Rio Grande Valley.

Through his ongoing dedication to excellence and innovation, Dr. Betancourt remains at the forefront of neurosurgical advancement, improving outcomes and quality of life for the patients who entrust him with their care.