A 40-year-old female asked:
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chronic sij pain. becomes displaced often. 2 steroid inj with min brief relief (2wks) now pain seems even worse 8/10 on pain scale constantly.surgery?

2 doctor answers
Dr. John Goldman
54 years experience Rheumatology
No surgery : Discuss with your physician about getting mri. The joint may also need to be cultured to be sure it's not infected. You need a clear diagnosis as to why it's so painful.
Answered on Sep 28, 2016
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Dr. Kristi Kohl
19 years experience Family Medicine
Probably not surgery: Sacroiliac joint pain occurs because the muscles where the spine and pelvis meet are involved in bending, twisting, and lifting. Pain from a sprain or strain may be helped with nonsteroidals or local injections. You may need physical therapy to strengthen and stretch your muscles so there's not so much strain on that joint. Surgery probably won't help your pain and may decrease function.
Answered on Nov 8, 2013
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