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Nanticoke, PA
A 31-year-old female asked:

i have sciatica and fibromagylia, l5 scrazilaztion and fusion. i just did a set of squats and my lower back and the back of thigh hurt so bad. why?

1 doctor answer1 doctor weighed in
Dr. Laurence Badgley
General Practice 53 years experience
SIJ ?: 31y female post-fusion L-5 has Fibromyalgia, low back pain & sciatica. lumbar fusion ablates lower spine spring action, causing greater force on sacroiliac joint, SIJ; stretching & loosening SIJ ligaments; evoking SIJ subluxation; tugging & impinging overlying nerves that conjoin as sciatic nerve. Hopefully, SIJ subluxation was not etiologic of pain that necessitated operation. See comments:
Dr. Laurence Badgley
General Practice 53 years experience
Provided original answer
The peer-reviewed medical literature reports that between 13 and 30% of persons with chronic low back pain experience pain generation from a disordered sacroiliac joint. Yet, the diagnosis is infrequently entertained. Interested clinicians can review my bibliography of sacroiliac joint disorder amongst my writings at Quora.com; on my Pain Syndrome Board.
Oct 26, 2015
Dr. Laurence Badgley
General Practice 53 years experience
Provided original answer
Chronic low back pain is reported, in medical literature, to be generated by sacroiliac joint, SIJ, ligament injury in 13-30% who suffer chronic low back pain. Diagnosis of SIJ injury is not aided by imaging studies; excepting for fluoroscopic-guided diagnostic block of SIJ; performed by Pain Interventionists; which study seems unknown to most physicians.
Oct 26, 2015
Dr. Laurence Badgley
General Practice 53 years experience
Provided original answer
The Occupational Disabilities Guidelines, ODG, offers 16 clinical Signs of SIJ disorder & criteria for diagnosing SIJ disorder; including criteria for performing the definitive test, the fluoroscopic guided diagnostic block of the SIJ; of which most physicians seem ill informed.
Oct 26, 2015

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Last updated Oct 26, 2015
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