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Old 06-06-2005, 03:50 PM   #1
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Posts: 60
BettyJ HB User
Question Can Mri Detect Si Joint Problems?

I believe that I am experiencing SI joint problems along with weak right hip muslces....I have been dealing with pain since 2001.....had a benign tumor removed in 2003....whereas the pain near the tailbone/SI joint area never left......the tumor threw doctors off quite a bit....but the truth is....I believe I had two things going on at once....

I am at a point of complete exhaustion as to how to proceed with finding qualified doctors to help...and wonder now if it isn't the time for me to ask for an MRI of the SI joint??

I am currently seeing a chiro....but I am not sure if all he is telling me is right.....the main problem is sitting.......and laying also causes pain.....on the right side where tailbone is...and to the right of the tailbone.....


on a side note....I may from time to time ask what may seem like stupid or repetitive questions, please understand that my doctors do not educate me on anything, and all my info has had to come from what I can find either from books or the internet.....I have switched doctors from time to time, and usually end up worse off.....so, please be patient with my questions....thanks....BettyJ

 
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Old 06-06-2005, 10:31 PM   #2
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Join Date: Jan 2003
Location: OK USA
Posts: 229
L5S1 HB User
Re: Can Mri Detect Si Joint Problems?

Hi BettyJ

I had SIJD after L4/L5 fusion 7 months ago. During the past 7 months, I had 2 SI joint injections with minimal help and was advised that an MRI; x-ray; or CT Scan will not detect SIJD. The other possible test other SI injections is an SI arthrogram which injects dye into the SI joints. I was told by my doctors they no longer perform SI joint fixation (I was not told the reason why) and my only choice was continue the injections; pain medication for the rest of my life; or try removing the hardware to see if it was putting stress on the SI joints. Since I did not have much choice, I had the hardware removed 3 weeks ago and so far I have seen improvement in my SI joint pain (but it is hard to tell for sure due to the post-op pain medication). I know you do not have hardware to remove as an option to help your SIJD but I suggest going to a pain management doctor who specializes in SIJD.

I hope you will be able to find a PM doctor in your area who will be able to help you.

Take Care
__________________
Spondylolisthesis - level 2 L5/S1
Pars Defect
End Plate Separation
2 Nerve Root Blocks (no effect)
L5/S1 Posterior Fusion with hardware (no BAK cages due to lack of disk space) - August 2002
Right side hardware removed due to loose screw and rod rubbing against facet joint - March 2003
Sciatica returned 8/03 - Tried Neurontin and Elavil - Eased sciatica but could not tolerate medicine.
11/03 MRI of cervical and thorasic spine

 
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Old 06-09-2005, 06:41 PM   #3
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BettyJ HB User
Re: Can Mri Detect Si Joint Problems?

Hey There...thanks For The Response......do You Know What The Dye Injected In The Si Joint Would Disclose? I Am Seeing A Pm Dr....but He May Not Be A Specialist In The Si Area.....i Am Looking Into Finding One In My Area Of Hampton Roads Virginia....if Anyone Knows Of Any....in Va...please Let Me Know....

Also....what Is The Fixation That You Spoke Of That They No Longer Do?? I Want To Make Sure My Dr Isn't Doing This Now....i Haven't Much Faith In My Treatment

I Did Have A Si Injection (cortisone) About 6 Weeks Ago.....and It Did Give Some Relief, But Definitely Not Pain Free...just A Different Level......

Also....in Your Case...if You Removed The Hardware...won't That Cause Other Problems??? Betty

 
Old 06-09-2005, 09:44 PM   #4
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Join Date: Jan 2003
Location: OK USA
Posts: 229
L5S1 HB User
Re: Can Mri Detect Si Joint Problems?

Hi BettyJ

I believe the dye that is used in the SI arthrogram is just the typical x-ray dye (or contrast) used in epidural injections and MRI's (possibly Gallium).

The Si fixation is similar to lumbar fusion where a bone graft is inserted between the SI joints and hardware is used to stablize the fusion. This will prevent the SI joints from moving. I know there are some doctors which still practice SI joint fixation but I do not know why my ortho and PM doctors have said this procedure is no longer practiced and was not an option for me.

The hardware removal has helped my SI joints but I am now experiencing pain on the left side of my L5/S1 area. Since it has only been 4 weeks post-op, I do not know if the pain will get better over the next several weeks. As far as my fusion, I am completely fused so the hardware is no longer needed. The problem resides of having another surgery which can cause more scar tissue and possible complications from the surgery. Since this was my 5th back surgery, my back has taken a real beating and it just takes longer to heal. I can only pray, once I heal, this will correct all my back problems I will not need another back surgery!!

I hope you will be able to discuss your SIJD with your PM doctor and able to find a treatment which will eliminate your pain.

Take Care
__________________
Spondylolisthesis - level 2 L5/S1
Pars Defect
End Plate Separation
2 Nerve Root Blocks (no effect)
L5/S1 Posterior Fusion with hardware (no BAK cages due to lack of disk space) - August 2002
Right side hardware removed due to loose screw and rod rubbing against facet joint - March 2003
Sciatica returned 8/03 - Tried Neurontin and Elavil - Eased sciatica but could not tolerate medicine.
11/03 MRI of cervical and thorasic spine

 
Old 06-10-2005, 04:01 PM   #5
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Join Date: Feb 2004
Posts: 2,139
injured betty HB User
Re: Can Mri Detect Si Joint Problems?

MRI's even with dye, won't show SI dysfunction. CT scans with dye might show inflammation. Mine showed that my joint had moved higher on the side that is in pain.

You might want to ask for a CT scan with contrast as well as a body scan to check for inflammation.

 
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