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Old 05-26-2013, 07:53 AM   #1
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S1 or sacrum pain

Hi everyone
Has anyone had cortisone shots for sacrum pain. its on both sides for me..
am seeing and sports doc on July 1 and would like to know how much success anyone on here has had with pain relief.. and how long it lasts..I'm very active ski, hike, kayak and like to gold pan but this pain is kinda annoying..and would like some relief..

Thanks
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Old 05-26-2013, 06:57 PM   #2
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Re: S1 or sacrum pain

Ask the sports doc about trigger point injections. Before my chronic back problems started I had sacrum pain. I saw an ortho doc and he gave me trigger point. Honest to God I was pain free from one shot for a year. You should really have Xrays, MRI, whatever to deduce if there are other conditions causing this, but if not trigger point injections may help.

Hope this helps. Best of luck.

 
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Old 05-26-2013, 09:13 PM   #3
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Re: S1 or sacrum pain

Do you have a diagnosis or have any idea what is the pain generator? Have you seen either an orthopedic spine or neuro surgeon to determine if you have mechanical issues, or whether it may be a lower lumbar issue rather than SI joint problem?

 
Old 05-27-2013, 06:09 AM   #4
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Re: S1 or sacrum pain

[QUOTE=LottyLiz;5179947]Ask the sports doc about trigger point injections. Before my chronic back problems started I had sacrum pain. I saw an ortho doc and he gave me trigger point. Honest to God I was pain free from one shot for a year. You should really have Xrays, MRI, whatever to deduce if there are other conditions causing this, but if not trigger point injections may help.

Hope this helps. Best of luck.[/QUOTE]

yes I have had a diagnosis and what helps the most is going to the chiropractor
or wearing a sacrum belt.had a problem with this for about a year..its worse in the morning and I put heat on it for a while..but lifting bothers it and hiking long walks. also putting hands over your head and leaning backwards hurts also.I still keep going skied all winter with it.because it doesn't make it any better sitting around..have been to the ortho guy a few times and had xrays also and they said that they could not see anything conclusive..but that the pain is in the s1 joints both sides where the sacrum joins the the big hip bones.
thanks for taking the time to respond
the replys are most helpful
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Old 05-27-2013, 07:31 AM   #5
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Re: S1 or sacrum pain

Did the x-rays include a flexion/extension x-ray to check for spondylolisthesis?

 
Old 05-28-2013, 01:34 PM   #6
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Re: S1 or sacrum pain

[QUOTE=teteri66;5180074]Did the x-rays include a flexion/extension x-ray to check for spondylolisthesis?[/QUOTE]

this is the the results of the last xrays
FINDINGS: The SI joints are intact. No significant SI sclerosis. The sacrum and
coccyx appear normally formed. I'm seeing a sports ortho doc on july 1st so maybe he will do more tests.
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Old 05-28-2013, 07:00 PM   #7
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Re: S1 or sacrum pain

Who made the diagnosis? Did you have a lumbar MRI? Why are you seeing a sports medicine doc rather than a spine specialist? Has someone ruled out lower lumbar issues?

 
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Old 05-29-2013, 12:31 AM   #8
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Re: S1 or sacrum pain

[QUOTE=jwatt;5179758]Hi everyone
Has anyone had cortisone shots for sacrum pain. its on both sides for me..
am seeing and sports doc on July 1 and would like to know how much success anyone on here has had with pain relief.. and how long it lasts..I'm very active ski, hike, kayak and like to gold pan but this pain is kinda annoying..and would like some relief..

Thanks[/QUOTE]

Hello jwatt -
I do not recommend injections because it does not take care of the origin of the problem. It only masks it. If I may, I would recommend seeing a physical therapist or a massage therapist (specialized in trigger point and other corrective therapies). It may be that the muscles in the sacroiliac joint have become dysfunctional. It may also be a combination of muscle groups have become dysfunctional, such as the quadratus lumborum, gluteus maximus, piriformis, or all of the above. The therapist would have to assess you. I think this would be more helpful than injections. Please let us know how it goes. Thank you.

 
Old 05-29-2013, 08:17 AM   #9
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Re: S1 or sacrum pain

[QUOTE=teteri66;5180686]Who made the diagnosis? Did you have a lumbar MRI? Why are you seeing a sports medicine doc rather than a spine specialist? Has someone ruled out lower lumbar issues?[/QUOTE]

yes had all the tests and the MRI did not show anything..the reason I'm going to a sports doctor is because I'm very active and I want to continue to hike and i'm talking mountains here and kayaking ..and if I don't get some pain relief I won't be able to ski this coming winter..I'm 67 and don't want to give these things up or be on drugs to dull the pain.I will let you know what the doctor says on july 1..I worked all my life and now that i'm retired I want to be able to try all the things I never got to try.
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Old 05-29-2013, 11:24 AM   #10
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Re: S1 or sacrum pain

Do you understand the difference in training between a sports medicine doc and either an orthopedic spine surgeon or a neurosurgeon?

After you consult with the sports medicine doctor, depending on what he/she advises, you may want to get another opinion with a spine specialist.

What specifically are your symptoms?

 
Old 05-30-2013, 05:01 AM   #11
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Re: S1 or sacrum pain

[QUOTE=teteri66;5180933]Do you understand the difference in training between a sports medicine doc and either an orthopedic spine surgeon or a neurosurgeon?

After you consult with the sports medicine doctor, depending on what he/she advises, you may want to get another opinion with a spine specialist.

What specifically are your symptoms?[/QUOTE]

pain is worse in the morning and gets better with heat for about 20 minutes ..I think I mentioned the symptoms in an earlier post. the pain is in both s1 joints and going on hikes and lifting makes the pain in the s1 joints painful like a pain in both sides of your butt ..going up stairs causes pain in that area..the reason I'm going to see a sports ortho doctor is because he understands the need to be able to get back to your life ..where the orthopedic doctors that I have gone to only want me to do physical therapy or nsaids which I cannot take after a week hurts my stomach..
have you had sacrum problems or s1...and what have you done for it. also chiropractor helps a lot

Thanks
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Old 05-30-2013, 06:56 AM   #12
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Re: S1 or sacrum pain

I have had SI joint problems off and on, as well as piriformis syndrome issues. My problems were a result of spondylolisthesis and a lower lumbar fusion, and was one of structural alignment. My left SIJ would pop out and it would cause what I thought was terrible pain in the "hip" when walking. I think my problem was primarily caused by too loose ligaments. I was considering having a PRP (Platelet rich plasma) injection or possibly prolotherapy, but after about a year, it got better and I haven't been bothered since.

If your issues are ones of hypermobility, you might look into those treatments.

 
Old 06-06-2013, 06:16 PM   #13
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Re: S1 or sacrum pain

Here2 chat
I'm going to see a massage therapist that does trigger point massage. my doctor appointment is not until july 1. so am going to give this a try. my appt is tomorrow and will let you know how that goes
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Old 06-09-2013, 05:54 AM   #14
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Re: S1 or sacrum pain

thanks everyone for all the great reply's
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Last edited by jw90; 06-09-2013 at 05:58 AM.

 
Old 06-09-2013, 05:57 AM   #15
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Re: S1 or sacrum pain

Hi Everyone
Just an update on the trigger point message on the trigger point massage..the therapist did tell me it might feel worse for a couple of days but had it done friday at 4pm and the burning and throbbing has lessened but is still there..have to say it hurts more now than before..just wondering if that happens to others.. right on top of the sacurm s1 joints both sides throbbing and burning but the knots that were there are smoothed out.. so it is better today but still feels hot and some throbbing..at first I was sorry I had it done the last thing I want is to feel worse.
Thanks
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