I have a fusion of the L5-S1 and since losing mobility and having an accident after the surgery, I too have noticed issues with my SI joints. My PT is really in depth on explaining how a person with a muscular figure can have SI joint pain as well as lower back pain. The meatier you are the stronger your muscles can tend to pull in directions you wouldn’t like them too.
Of course my issue sounds to be a little more extreme than yours, via the surgery, but I have had SI joint injections as well as just underwent a Radio Frequency Neurotemy, in my L4-3-2, to burn off nerve endings to see if that helps alleviate some of the pain. I noticed nothing from the SI injection, except for where my Dr. inserted the needle, it hurt a helluva lot, but no relief. I am noticing some relief from the latest procedure but until I get my ab muscles and inner thighs strengthened it sounds like I’ll keep getting worse or stay in the misery I’m in.
Best of luck to you! Just don’t go get anything lopped off or removed until you’ve tried all of the other less invasive procedures. A lot of those you can’t go back on.
[quote]strider7086 wrote:
I have had problems in my SIJ for about three years now. My underlying cause was due to an accident. I have started doing single leg RDL’s they do really help in stabilizing and strengthening the SIJ. I have a minor leg length discrepancy as well due to the lax SIJ. My right hip usually locks up when the SIJ is out - after RDL’s the SIJ seems stable and the hips loosen up as well.
In the thick of all this, I really miss running - Any advice anyone?
[/quote]
Hi Strider. I wanted to ask you if the single leg RDL’s that you did to help were done on the side of the painful joint (i.e. was the stiff leg the one on the same side of the pain during the RDL)? I’m assuming it was.
I would still go to a rheumatologist to rule out Ankylosing Spondylitis because if you have it, it must be treated or you are going to keep on getting worse damage with time. You mention that you had a scan showing SI inflammation, and now it has apparently started affecting your spine. That is classic for A.S. Orthopedists are NOT qualified to diagnose spondylitis.
I was sent back and forth between different spinal orthopedists for a couple of years before I went to a rheumatologist who finally diagnosed me. I did have injections as well, with only very temporary relief. It was only when the rheumatologist put me on Enbrel that I got much better quickly.
[quote]olifter1 wrote:
Before you get sucked into the quick sand that is
“your leg length is off”
“SI joint out of alignment”
“subluxation causing pain”
“you have a pelvic tilt/rotated sacrum/made up pathoanatomical lesion”
read a some literature demonstrating these statements are infact non-sensical. If these statements did have some validity (they don’t) your PT/Chiro/Osteopath/functional myokinesioarthrokinemechanical therapist cannot change it anyway.
Look for yourself. It’s free full text on pubmed. I suggest reading the reference list as well.
I read the link. It does not say or imply that manual therapy is “non-sensical”, it simply states that the mechanisms of how and/or why it works aren’t understood. It, in fact, states the opposite: “A body of literature already exists suggesting the effectiveness of MT. The proposed model is intended to compliment and provide underlying explanations to the existing body of literature suggesting the effectiveness of MT.”