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Rockville, MD
A 48-year-old female asked:

Mri showed annular fissure/disc herniation at l5 s1, w/abutment of s1 nerve root but no canal stenosis. i have si joint stiffness and pain daily, but no "nerve pain" type sensation and no weakness/numbness. what's the treatment and is this dangerous?

2 doctor answers3 doctors weighed in
Dr. Hiep Le
Dr. Hiep Leanswered
Nephrology and Dialysis 44 years experience
Sacroiliitis is likely the cause of your pain not herniated disc with radiculopathy. This condition is not dangerous. You can read more from this link: https://www.mayoclinic.org/diseases-conditions/sacroiliitis/symptoms-causes/syc-20350747. If possible, you should be referred to see a rheumatologist.
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Dr. Bennett Machanic
Neurology 54 years experience
Would agree with Dr Le that your pain generator is most likely the sacroiliac joints. Evaluation of causation, such as ankylosing spondylitis appears appropriate. A sacroiliac belt will relieve symptoms when worn, but will not be curative. Osteopathic manipulation may be helpful. Exercises can be learned from a physical therapist.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Dec 15, 2021

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