Question 1

had lumbar mri for acute butt pain. says " loss of disc height seen at the l4/5 and l5/s1 levels.  degenerative changes of the sacroiliac joints.

Accepted Answer

Coccydinia: Degenerating discs in the lumbar spine lose elasticity and cushioning which can lead to tail bone pain. Cortisone injections  (caudal block) along with physical therapy and bracing can help reduce the pain. See a neurosurgeon to identify the source of  the pain.

Question 2

what do "sclerosis at the mid left sacroiliac joint with interval change" and "minimal sclerosis of the acetabular lip is present" both mean?

Accepted Answer

See details: They indicate minor degenerative changes that likely do not cause any clinical symptoms.

Question 3

what is degenerative sacroiliac changes with vacuum phenomenon in si joints, spurs anteriorly and sclerosis, also have thoracic bone spurs and fusion?

Accepted Answer

SI joint: This is a radiographic description of your sacroiliac joint where your pelvis meets the spine. There are degenerative changes to this joint that may or may not be a source of your pain. It's possible that you've had these changes for years and you are having a flare up in this area.

Question 4

does mild sclerosis of bilateral sacroiliac joints due to mild degenerative changes have chance of no further degeneration? constant quad spasms, trouble sleeping, neck,spine,hip, ankle pain. symptoms worse quickly. i get iron infusions,iga,g,m def?

Accepted Answer

Mild degen changes: There is always a chance that mild degenerative changes can progress to moderate or severe issues, depends on how well you take care of yourself to prevent more damage

Question 5

i did mri lumbar spine found : moderate to severe stenosis of the thecal sac at l4/5 and l5/s1, multilevel lumbar facet degeneration most marked at the l4/5 ,sacroiliac joint degeneration change .what is the treatement to the above probleme ?

Accepted Answer

: If you are chronically symptomatic and problem has not improved with aggressive physical therapy +/- local therapy, you need to see a spine orthopedist for laminectomy or a minimal invasive spine surgery with vertiflex procedure for the described LS spine changes.

Question 6

what does this mean? there is asymmetrical uptake in the left l5 pars interarticularis and the sacro iliac joints bilaterally

Accepted Answer

Recommendation : This is absolutely necessary to discuss this result with your doctor, who knows your clinical presentation. Otherwise it's not conclusive.

Question 7

what is sacroiliac disease?

Accepted Answer

Not a disease at all: It is a 'disorder' not a 'disease' of the sacroiliac joint.The sacrum (tailbone) sits between the 2 halves of the pelvis in the low back. It has 2 long joints, 1 with each half of the pelvis.If anything interferes with function of these joints: injury, malalignment, short leg syndrome, etc., inflammation can start which is very painful. A good osteopathic doc can often discern the cause & treat it.

Question 8

does anyone suffer from sacroiliac dysfunction?

Accepted Answer

Many people do: Sacroiliac joint is the most complex joint in the spine. It moves in six planes of motion and is l shaped. Has innervation from the back and in the front. It can become misaligned and cause a lot of pain due to abnormal friction of ilium on sacrum. In someone young like you it is usually due to pelvic imbalance from short leg syndrome or psoas muscle spasm.

Question 9

how can i fix my sacroiliac instability?

Accepted Answer

Prolotherapy: I have had much success treating sacroiliac (si) & other joint instabilities with prolotherapy - aka 'stimulated ligament reconstruction': injecting si ligaments with a mild irritant (could even be a form of sugar & water). The body 'thinks' it has a new injury and rushes to 'repair' the ligament - laying down new fibers, shortening & strengthening the ligaments. Osteopaths & mds can both do this.

Question 10

sacroiliac pain  are  any new studies being done?

Accepted Answer

There are no new : Ones but standard testing after beginning with a complete history and physical exam with appropriate blood work, plain radiographs, mri, ct and possibly bone scan as well as diagnostic blocks for diagnosis and to rule out other possible causes such as hip or spine pathology or intrapelvic issues.

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Doctor answers about:

What does degenerative changes of the sacroiliac jonits mean

A member asked:

Had lumbar mri for acute butt pain. says " loss of disc height seen at the l4/5 and l5/s1 levels. degenerative changes of the sacroiliac joints.

A member asked:

What do "sclerosis at the mid left sacroiliac joint with interval change" and "minimal sclerosis of the acetabular lip is present" both mean?

A member asked:

What is degenerative sacroiliac changes with vacuum phenomenon in si joints, spurs anteriorly and sclerosis, also have thoracic bone spurs and fusion?

A member asked:

Does mild sclerosis of bilateral sacroiliac joints due to mild degenerative changes have chance of no further degeneration? constant quad spasms, trouble sleeping, neck,spine,hip, ankle pain. symptoms worse quickly. i get iron infusions,iga,g,m def?

A member asked:

I did mri lumbar spine found : moderate to severe stenosis of the thecal sac at l4/5 and l5/s1, multilevel lumbar facet degeneration most marked at the l4/5 ,sacroiliac joint degeneration change .what is the treatement to the above probleme ?

A member asked:

What does this mean? there is asymmetrical uptake in the left l5 pars interarticularis and the sacro iliac joints bilaterally

A member asked:

What is sacroiliac disease?

A member asked:

Does anyone suffer from sacroiliac dysfunction?

A member asked:

How can i fix my sacroiliac instability?

A member asked:

Sacroiliac pain are any new studies being done?

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