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Old 04-10-2012, 05:04 AM   #1
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Back pain and exercise

Hi,

I have sacroilitiis which causes...from best to worst pain...lower back pain, sore SI joints, bone pain, pinching pain, full blown shooting pain from buttock down leg. My doctor keeps stressing that I should be exercising but whenever I try, it ultimately causes a flare up.

This past week I have been doing 12-18 minutes of careful moving eliptical (I don't even break a sweat). At the moment, I don't have the shooting pain....which is what I fear as I cannot move when I have this and the pain is so sudden and sharp, but my left SI joint really burns.

Have you all been told to exercise to help your back pain? I think my rheumatologist wants me to keep my joints active, but am just so scared of a flare up. I'm only 38 with 2 young kids I need to look after.

 
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Old 04-10-2012, 06:25 AM   #2
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Re: Back pain and exercise

Gentle exercise is very necessary. You will find yourself in much worse shape if you give up most activity in an attempt to protect the joint. I would suggest that you would be much better off taking short, frequent walks.

You have to be really careful with elliptical trainers when you have lower lumbar or sacroiliac joint issues. Obviously I do not know the machine you are using, but elliptical trainers in general cause a "shearing" movement in the hips and across the buttocks. If you don't know what I mean by this, watch someone on an elliptical trainer and notice the action through the hips and buttocks as the person uses one leg and then the alternate one. You will notice them going up and down in quite a pronounced manner. This movement can really aggravate SI joint dysfunction and the associated issues.

By the way, since you mention pain running down your leg, have you had a MRI and/or have you consulted with a spine specialist to determine if you may have a mechanical problem of the lumbar spine that is causing the sacroilitiis? If not, I would strongly suggest seeing a spine specialist.

Last edited by teteri66; 04-10-2012 at 06:28 AM.

 
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Old 04-10-2012, 09:52 AM   #3
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Re: Back pain and exercise

Hi. Thanks for much for your response.

Strangely enough, when I mentioned taht I have an eliptical and stationary exercise bike at home, my rheumatologist said tho try the eliptical. I can picture the movement you mean. When i go on it, I hold back a lot as I'll go quite slow and in controlled movements. It's frustrating as I'd like to be able to push myself but don't as to fear of the shooting pain.

About a year ago, I had an MRI done along with xrays. Nothing showed; however, when I had an appointment last week, my rheumatologist suggested another MRI. He missed an area for testing and said something about checking the nerves. I believe the pain I exerience is sciatica-like but without the numbness. Not fun!

 
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Old 04-10-2012, 12:14 PM   #4
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Re: Back pain and exercise

12 years post op from a L4-L5 fusion. I also have a bulging disk above my fusion and S1 narrowing AND arachnoiditis and nerve clumping. The only form of exercise I've ever done is walking - which is the best exercise anyone can do. Good Luck!

 
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Old 04-11-2012, 05:59 AM   #5
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Re: Back pain and exercise

There are some good sources of exercises to do for those with SI joint issues online. There are also some differences in some of the exercises depending on whether your SI joint is hyper-mobile (too loose) or hypo-mobile (too tight). Hopefully you can manage things with exercise, and maybe some physical therapy.

 
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Old 04-11-2012, 06:46 AM   #6
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Re: Back pain and exercise

Roadvibrations, ouch. You poor thing. :-( I find the impact of walking hurts my SI joints. Plus it's not something I can do at 8pm (i.e. when my kids go to bed).

Lefty, I think my SI joints are hypomobile since the physiotherapists always comment how tight everything is. They have given me stretching and abdominal muscle building exercises, but I'm looking for cardio exercise I can do.

Well, after a few days of doing the eliptical my SI joints fell ok (hope I'm not jinxing myself), but my lower back is burning. Is this just the muscles working, or is it irritation? If it's just muscle working, then I'd be ok to try another day, but lasdt thing I want to do is cause the shooting pain again.

 
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