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SI Joint or Sciatic

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Old 01-01-2013, 11:44 PM   #1
Join Date: Jan 2013
Location: kentucky
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stumpmtsr HB User
Question SI Joint or Sciatic

Hello All. I fell 4 months ago onto my right buttock and have had severe pain in my SI Joint area, which radiates to my right groin area. The pain does not go down my leg or in my spine. I cannot sit or lay on my right side. Raising my leg to get in the car is a no, no and getting up from sitting causes my hip to give on me. I have to ease myself into bed using my left side only--cannot raise my right leg up first to get into bed. I cannot walk without crutches because my hip won't carry me without buckling under me.

My back Dr. said my back is okay and sent me to an Orthopedic, who in returns says my pelvic region is okay. They both can't be right! The Ortho decided to send me to PT and I had about 8 sessions and they did not help at all. Seems as though they were treating me for Sciatic Nerve problems. I told PT that the pain was in a generalized area and did not radiate how can it be Sciatic nerve? Everything points to the SI Joint and I have done extensive research. PT did not help so the Dr. is going to send me to a back surgeon. My back doesn't hurt!! Help!!

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Old 01-02-2013, 06:23 AM   #2
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Re: SI Joint or Sciatic

Welcome to the board.

Usually pain coming from a SI joint can bereplicated by an experienced physical therapist manipulating the patient through a series of body positions...perhaps not all issues that might cause SIJ pain, but any caused by SIJs being out of position.

Siince you mentioned hip I am wondering if you may be having issues with the piriformis. You might look up "piriformis syndrome" and see if anything there matches what you are feeling.

The piriformis is a strong muscle that attaches by the SI joint and runs across the buttock and then attaches over by the hip. If it becomes taut or inflamed (which it could from a fall) it creates a feeling of pain in the hip which makes it feel difficult to move or walk, etc. It also can affect the sciatic nerve as the nerve is located directly beneath the piriformis, and in some people the sciatic nerve actually bisects the piriformis.

Remember that when a nerve is irritated or compressed, a person can feel pain or have movement affected anywhere along the path of the nerve. In the case of the sciatic nerve, you don't have to have pain radiating down your leg or feel anything in your back to have it hurt just in a specific area....

Did they do a MRI to check on lower lumbar issues?

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hip pain, sciatic pain, si joint

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