It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Back Problems Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 03-27-2011, 04:36 PM   #1
Newbie
(female)
 
Join Date: Mar 2011
Location: US
Posts: 5
holiday219 HB User
SI Joint Pain

I am dealing with SI joint pain. I'm 32, female. It's been 7 months and it's not getting better.

Iíve stopped running, tennis, and pretty much every activity I used to do. Walking irritates it. Sitting irritates it. Iím in constant pain.

I tried PT, massage, and I do yoga when I'm not in too much pain. Nothing seems to help. Iím thinking about trying acupuncture.

What can be done about SI joint dysfunction? Has anyone had success with a particular treatment? Can it be cured?

Please help!

 
The Following User Says Thank You to holiday219 For This Useful Post:
backache11 (06-09-2012)
Old 03-27-2011, 06:06 PM   #2
Senior Veteran
(female)
 
Join Date: Nov 2010
Location: USA
Posts: 6,489
teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
Re: SI Joint Pain

Welcome to the board. I am wondering how you know that you pain issues are coming from the SI joints? Have you had a diagnosis? Is it just on one side?

SI joint dysfunction is one of those gray areas in orthopedic medicine. Many spine specialists still do not acknowledge that it can be just as much a source of pain as an issue in the lower lumbar spine. But, some are starting to come round and even beginning to treat it! I've noticed more of a willingness in my own doctor within the past five years to acknowledge that it is contributing to some of my issues.

I have used accupuncture for many years. You may find it useful in treating your SI joint issues, but know that it is a long process. I doubt you will see anything bordering on a quick result! More useful than accupuncture might be prolotherapy. But it depends what is causing your SI joint problems.

The SI joint is held in place with ligaments. Sometimes these ligaments stretch out and lose their ability to hold the joints in place. Prolotherapy is the only current therapy that works to strengthen the ligaments. It is difficult to perform any type of exercise to accomplish this. Exercise may build up muscle strength but it doesn't change the stretchiness of ligaments.

I have not tried this myself, although I am probably going to be having another treatment that is similar, where an injection is made with the patient's own blood that is spun out to separate the platelet rich plasma.

Sometimes as a last resort, fusion is performed. I have known several people that had unhappy experiences with fusion of the SI joint. It is even more problematic than a lumbar fusion, so it would definitely only be tried if every other treatment has failed.

Have you had any steroid injections or have you tried wearing a SI belt?

 
Sponsors Lightbulb
   
Old 03-29-2011, 03:50 PM   #3
Newbie
(female)
 
Join Date: Mar 2011
Location: US
Posts: 5
holiday219 HB User
Re: SI Joint Pain

[QUOTE=tetonteri66;4716962]Welcome to the board. I am wondering how you know that you pain issues are coming from the SI joints? Have you had a diagnosis? Is it just on one side?

SI joint dysfunction is one of those gray areas in orthopedic medicine. Many spine specialists still do not acknowledge that it can be just as much a source of pain as an issue in the lower lumbar spine. But, some are starting to come round and even beginning to treat it! I've noticed more of a willingness in my own doctor within the past five years to acknowledge that it is contributing to some of my issues.

I have used accupuncture for many years. You may find it useful in treating your SI joint issues, but know that it is a long process. I doubt you will see anything bordering on a quick result! More useful than accupuncture might be prolotherapy. But it depends what is causing your SI joint problems.

The SI joint is held in place with ligaments. Sometimes these ligaments stretch out and lose their ability to hold the joints in place. Prolotherapy is the only current therapy that works to strengthen the ligaments. It is difficult to perform any type of exercise to accomplish this. Exercise may build up muscle strength but it doesn't change the stretchiness of ligaments.

I have not tried this myself, although I am probably going to be having another treatment that is similar, where an injection is made with the patient's own blood that is spun out to separate the platelet rich plasma.

Sometimes as a last resort, fusion is performed. I have known several people that had unhappy experiences with fusion of the SI joint. It is even more problematic than a lumbar fusion, so it would definitely only be tried if every other treatment has failed.

Have you had any steroid injections or have you tried wearing a SI belt?[/QUOTE]
Thank you for your replies.

An orthopedic dr. told me it might be my SI joints. He said it's hard to diagnose SI joint dysfunction. From my research, my pain is consistent with SI joint pain. It's both sides--sometimes both, but usually one or the other. I have some good days where the pain is mild and I'll do something like walk my dog for 10 minutes and I'm in severe pain again. I can't do anything that involves impact--even walking.

I'm going to try acupuncture tomorrow.

I've read some about prolotherapy and it sounds scary. I read that it can do damage if not done EXACTLY correctly. I guess that's a lot of procedure though.

I use an SI belt at night sometimes. Sometimes it helps, sometimes it seems to irritate the area.

Does you know of anyone who has recovered completely from SI joint pain? I want to be better, not just manage the pain for the rest of my life!

Last edited by holiday219; 03-29-2011 at 03:59 PM.

 
Old 03-29-2011, 05:24 PM   #4
Facilitator
(female)
 
SpineAZ's Avatar
 
Join Date: Oct 2005
Location: Wisconsin
Posts: 5,097
SpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB User
Re: SI Joint Pain

I had an SI joint nerve ablation that did help for 6-8 months.
__________________
Rt&Lt thumb arthroplasty 2012 ; RT TKR & Bilat CTS 2011
Fusions: L5-S1 (87), L4-S1 (93), C5-C7 ('06), L3-S1 ('10)
C5-C7 foraminotomy 08

 
Old 03-29-2011, 06:35 PM   #5
Newbie
(female)
 
Join Date: Mar 2011
Location: US
Posts: 5
holiday219 HB User
Re: SI Joint Pain

[QUOTE=SpineAZ;4718614]I had an SI joint nerve ablation that did help for 6-8 months.[/QUOTE]
After the 6-8 months, it hurt again? As bad as before?

 
Old 03-29-2011, 07:09 PM   #6
Facilitator
(female)
 
SpineAZ's Avatar
 
Join Date: Oct 2005
Location: Wisconsin
Posts: 5,097
SpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB User
Re: SI Joint Pain

No, not as bad as before but episodic. I'd do the ablation again if the pain were more constant.
__________________
Rt&Lt thumb arthroplasty 2012 ; RT TKR & Bilat CTS 2011
Fusions: L5-S1 (87), L4-S1 (93), C5-C7 ('06), L3-S1 ('10)
C5-C7 foraminotomy 08

 
Old 03-30-2011, 04:33 PM   #7
Senior Veteran
(female)
 
Join Date: Jun 2006
Posts: 2,067
Baybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB User
Re: SI Joint Pain

I get pain in my SI joints but not sure why. It'll be okay for a while, then suddenly it hits me out of the blue. It hurts so much and is agonizing when I have to sit at work all day. When it comes it, it just feels very inflamed. I'm at a loss about it. My x-rays and MRI's didn't show anything significant, but as I said, it comes and goes and I can't come up with a reason as to why it happens. I also get pain and feel inflamed in most of my spine as well...again, some days aren't so bad, other days it's awful.

 
Old 03-30-2011, 08:39 PM   #8
Senior Veteran
(female)
 
Join Date: Nov 2010
Location: USA
Posts: 6,489
teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
Re: SI Joint Pain

Baybreeze--

Perhaps it is something as simple as arthritis. The SI joints are synnovial joints just like the facet joints, knees, hips, ankles, etc. Most people who have some arthritis are affected by changes in temperature or barometric pressure, affected by what they eat, ir they exercise, or get little exercise, etc. That would help explain why it comes and goes, is sometimes inflamed, and not other times, etc.

 
Old 03-31-2011, 08:19 AM   #9
Senior Veteran
(female)
 
Join Date: Jun 2006
Posts: 2,067
Baybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB User
Re: SI Joint Pain

Lord knows the weather affects my joints, today included. I do have arthritis in my spine and some other joints, so I guess my SI pains are probably arthritis, too, as you mentioned, though nothing showed up on x-rays or MRI. It's just no fun when you have to sit 10 hours a day. I wish I had some advice for the poster, but I don't know what to do about it either.

 
Old 03-31-2011, 11:15 AM   #10
Newbie
(female)
 
Join Date: Mar 2011
Location: US
Posts: 5
holiday219 HB User
Re: SI Joint Pain

I am going to try acupuncture today. I'll let you know how it goes. What's so annoying about this pain is that it's so unpredictable. It always hurts, but at times it's not too bad. It will get really bad at times and I can't find a pattern.

I'll do yoga and sometimes it feels better afterward, while other times I can't get off the couch I'm in so much pain after the yoga.

I'm considering that nerve ablation procedure, but that's a last resort.

I can't imagine never being able to workout or play tennis like I used to, but it appears that may be my life. It's just really frustrating at 32.

Does anyone know if chronic SI joint pain eventually leads to arthritis? I'm wondering what's in store for me in 20 years.

Also, do you think doing activity that irritates the joint is causing irreparable damage?

 
Old 03-31-2011, 11:30 AM   #11
Senior Veteran
(female)
 
Join Date: Jun 2006
Posts: 2,067
Baybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB UserBaybreeze HB User
Re: SI Joint Pain

Unfortunately there's really no way to predict what could happen down the road. If it's due to arthritis, some people have very mild pain while others are disabled by it.

Mine is unpredictable as well, so I know what you mean. Then again, I have other issues, like my nerve pains, that are very unpredictable as well. Even my entire spine...it always hurts, but some days it feels like the inside of my spine is on fire and just really inflamed, I can hardly move and other times my usual meds help it so that the pain isn't so bad.

I've been doing physical therapy exercises since (I think) early 2006 or thereabouts and I really can't say if it helps me at all. Perhaps I could be even worse if I didn't do it. I strengthen my core all I can, but yet I still constantly get disc herniations over and over and I don't know why. Now I get tennis elbow on & off and no clue why, amongst other things.

Sometimes the only thing one can do is seek out all possible treatments and learn to accept one's limitations. I am wondering if there are any doctors that specialize more in SI problems...maybe that might be worth checking into.

Last edited by Baybreeze; 03-31-2011 at 11:33 AM. Reason: Please do let us know if you feel the accupuncture works or not!

 
Old 03-31-2011, 12:22 PM   #12
Newbie
(female)
 
Join Date: Mar 2011
Location: US
Posts: 5
holiday219 HB User
Re: SI Joint Pain

I am considering the prolotherapy if the acupuncture doesn't help. I'm glad to hear that it helped you.

I need to find a good dr. I went to one who gave me celebrax for inflammation. I went to another one who seemed dismissive of the problem. He said that because I'm fairly young, my body will probably just heal itself. I wish that was the case, but after 7 months I've lost hope in that.

 
Old 03-31-2011, 12:35 PM   #13
Facilitator
(female)
 
SpineAZ's Avatar
 
Join Date: Oct 2005
Location: Wisconsin
Posts: 5,097
SpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB User
Re: SI Joint Pain

A good interventional pain management doctor may help. Interventional means while they may prescribe meds they also do various spinal treatments like epidural injections, nerve ablations, discograms, etc.

If it's any help, the nerve ablation was done in my pain mgmt doctors office in their treatment suite. If a PM doc doesn't have a treatment room they use some type of outpatient facility. The doc gave me IV versed (like Valium only given by IV ). Versed relaxes the patient and has an effect whereby you forget much of what happened. The actual ablation was a bit painful but thanks to versed I don't remember much. They gave me some IV pain meds after the ablation, sat me up and I walked to a comfy recliner where I stayedfor 30 minutes. Then home. First 1-3 days I was sore but I have a potent medication regimen.
__________________
Rt&Lt thumb arthroplasty 2012 ; RT TKR & Bilat CTS 2011
Fusions: L5-S1 (87), L4-S1 (93), C5-C7 ('06), L3-S1 ('10)
C5-C7 foraminotomy 08

Last edited by SpineAZ; 03-31-2011 at 12:38 PM.

 
Old 03-31-2011, 06:54 PM   #14
Inactive
(female)
 
Join Date: Feb 2009
Posts: 3,894
Blog Entries: 12
jennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB User
Re: SI Joint Pain

Has anyone suggested you try to find out WHY you have SI joint problems? Pregnancy can cause OA to invade the joint(osteoarthritis...the arthritis of trauma and aging)but so can several types of inflammatory arthritis. In fact, there is an entire group of arthritic disorders that have SI joint arthritis as the primary symptom. They are called the sero-negative spondyloarthropathies. Sero-negative as no blood work is positive for them and a spondyloarthropathy is arthritis of the spine and specifically the SI joints. This group of disorders has definite treatments and even one form may have a new cure.

So rather than wonder how to treat it, why not see an arthritis specialist(rheumatologist) and find out if you have one of those and get the actual treatment you need. they can rule out things and get you into pain management if you need it. But many are good at that too.

Worth a try in my book.

hugs...........Jenny

 
Old 04-01-2011, 08:44 PM   #15
Senior Veteran
(female)
 
twohands's Avatar
 
Join Date: Dec 2010
Location: USA
Posts: 583
twohands HB Usertwohands HB Usertwohands HB Usertwohands HB Usertwohands HB Usertwohands HB Usertwohands HB Usertwohands HB Usertwohands HB Usertwohands HB Usertwohands HB User
Re: SI Joint Pain

I think it would be best to find a doctor who specializes in SI joints to confirm whether or not your pain is even coming from your SI joints. People with SI joint dysfunction usually have one or the other side that bother them, but not both sides bothering them to such an extent as you're describing. It's probably less than 5% who have major problems on both sides. This alone makes me question whether your problem really is your SI joints.

There are other problems that can cause pain which can be mistaken as SIJD, including hip problems, gynecological problems, low back problems, etc.

You can contact SI Bone on their website to find a doctor in your area who does SI joint fusions who can diagnose you. Otherwise, do an Internet search or ask one of your current doctors about finding doctors who do SI joint fusions so you can get a proper diagnosis.

If you find out you do have SIJD and a surgeon recommends an SI joint fusion, think long and hard before you proceed. I had severe SIJD and did proceed with a fusion which didn't fuse. I'm worse now than I was before, and will likely need to have the procedure repeated now. However, I have talked to a number of patients in the waiting area of my surgeon's office who have had very positive results. The science of SI joint fusions is in its infancy compared to back surgeries, so having an SI joint fusion today would be similar to having a lumbar fusion in the 1960's or 1970's.

SIJD has numerous causes. Some people have temporary SIJD during pregnancy. Some people develop SIJD due to trauma such as car accidents or falls, some people due to lifting injuries, some due to low back surgeries (the ligaments between the hips/SI joints/low back are very interconnected), leg length differences, osteo and rheumatoid arthritis, etc. You don't need to be old to have SIJD. SIJD can also cause sciatica. One of the biggest symptoms of severe SIJD is difficulty/inability to sit.

It would also be good for you to realize that you will likely never be as you were in the past with no pain. Once you have low back/SI joint/hip problems, you will probably always have some pain, so trying to find the magic procedure or therapy which "fixes" you is almost always unreasonable. However, once you accept that you will live in some pain, you can then focus on avoiding that which causes pain, and work toward that which alleviates the pain so you can live more comfortably.

Best wishes!

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Sacral joint problem please help soapies777 Back Problems 9 09-21-2010 04:42 AM
Sacroillac Joint Disorder .... groin pain naveall Back Problems 2 09-19-2010 08:00 AM
Steroid shot in SI join = more pain? ancdc Back Problems 13 04-25-2008 04:24 PM
Any suggestions or remedies that helped your SI Joint pain? Lgrove Back Problems 10 10-26-2007 09:48 AM
can anything be done for SI joint pain while pregnant? livinTX Back Problems 1 10-23-2007 12:12 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is Off
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Ibuprofen
Lyrica
Morphine
Neurontin
Oxycontin
  Percocet
Soma Tylenol
Valium
Vicodin




TOP THANKED CONTRIBUTORS



teteri66 (1120), gmak (131), SweetPeainSF (78), maltluver (71), twohands (64), pebblebeach3 (63), cheryl1213 (51), Moldova (46), ibake&pray (41), workinmom572 (40)

Site Wide Totals

teteri66 (1180), MSJayhawk (1013), Apollo123 (909), Titchou (856), janewhite1 (823), Gabriel (763), ladybud (755), midwest1 (670), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 05:37 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!