Discussions that mention acetaminophen

Back Problems board

All - it's been two months since I posted and despite 3 PT sessions per week and twice weekly massage, I'm still struggling. About 10 days per month are decent, the other 20 are bad because of my monthly cycle & the rexalin hormone that prevents my ligament from holding my pelvic in place.

Here's what's I've learned. Your Ilia (the two big pevic bones) can upslip, tilt forward (anterior) or back (posterior). Usually due to some movement or accident that stretched or tore the ligaments that hold the ilia to the sacrum (base of spine). When they move, even a millimeter can cause terrible pain, but cannot be seen by xrays, MRI, or the wrong kind of physical exam. My D.O. will tell me I'm in alignment when I know I'm not, and then my PT will confirm I'm about a millimeter tilted forward. It's so painfull because the piriformis reacts by tightening to try to hold things stable, and the sciatic nerve runs by the piriformis - so you have muscles doing the wrong thing right by the huge sciatic nerve...hence lots of pain. I even get gynecological pain at the worst times of each month due to other nerves being affected (feels like a UTI but three tests confirm it isn't).

Get a Manual/Physical medicine doc to refer you to a PT who is familiar with SacroIliac Joint Disorder. They know how to feel that you're are out of alignment. Further, they use Manual Physical Therapy to correct you. Immediately relief results or after a few days when inflammation goes down. Strict attention to posture and movement can help prevent going out again, but it depends on how badly the ligament is stretched. I may have to try prolotherapy - they inject sugar solution in the ligament, which causes collagen to grow - it heals. (Ligaments don't heal easily on their own due to little blood supply.)

And personally, I believe any NSAIDs are bad news - why stop the inflammation that is part of the healing process? Try acetaminophen.