[quote]seekonk wrote:
Don’t pay too much attention to the leg length discrepancy talk. IMO that is mostly quackery. Nobody is symmetric but asymmetries seldom cause pain like what you have.
Sometimes SI injuries can trigger Ankylosing Spondylitis in people who are prone to it. People then stare themselves blind at the supposed injury and miss the diagnosis of the inflammtory condition. AS Is a chronic inflammatory condition that almost always starts in the SI joints. It would be a good idea to get a contrast MRI of the SI joints for diagnostic purposes, instead of continuing puttering around with chiros.
In the meantime, to determine if it is an inflammatory condition as opposed to a mechanical one, you can try a course of pretty high dose NSAIDs for a couple of weeks and see if it makes a difference. I would recommend something like Aleve (naproxen) two tablets in the morning and two in the evening (you can check the dosage for AS on rxlist.com - it is about double the over the counter recommended dose). If this starts to help after a few days, that is pretty clear proof that your pain is inflammatory and you should go to a rheumatologist toute suite. If it doesn’t help, that doesn’t necessarily mean it isn’t inflammatory, so you might still want to go to a rheumatologist anyway just to rule some things out, especially since you have been suffering for quite a while now.
Avoid antidepressants for pain. They have so many side effects and they are really at best only slightly effective for pain anyway.[/quote]
“Don’t pay too much attention to the leg length discrepancy talk. IMO that is mostly quackery. Nobody is symmetric but asymmetries seldom cause pain like what you have.”
lulz, false, but in this instance I do not believe that a leg length discrepancy is the source of OP’s pain.
"Sometimes SI injuries can trigger Ankylosing Spondylitis in people who are prone to it. People then stare themselves blind at the supposed injury and miss the diagnosis of the inflammtory condition. AS Is a chronic inflammatory condition that almost always starts in the SI joints. It would be a good idea to get a contrast MRI of the SI joints for diagnostic purposes, instead of continuing puttering around with chiros. "
more likely sacroliitis than a chronic condition such as AS
“(it is about double the over the counter recommended dose)”
zoinks^
OP your best course of action is to get a follow-up with a better ortho doctor, find the best one in your area based on reputation. They may do a steroid injection etc which may provide you with some relief while they sort out the proper diagnosis.
In the meantime you can give an SI belt a shot along with some soft tissue mobilization and a positioning program.