Doctor insights on:
What Is The Best Alternative Medicine For Relieving My Si Joint Pain
Alternative medicine is the practice of healing that does not fall into the realm of conventional allopathic medicine. Many think it is usually based on cultural or historical traditions rather than scientific data. However, only recently is science catching up with history. For example, acupuncture meridians have finally been discovered by science. Types of alternative medicine include ...Read more
Post operative from FAI surgery in hip. Best case scenario when might I hope to see related SI joint pain go away/reduced?
Varies: Certainly varies tremendously, 4-6 weeks would be a good result certainly. It is based in part also on the surgical technique used as well. The other consideration is whether your SI joint is normal and it was symptomatic simply related to the hip problem, or if you have legitimate problems with the SI joint itself. Certainly would discuss with your surgeon. ...Read more
SI pain can be: Difficult to manage. Physical therapy can help. Consider an si belt which will aid in compression. Injections in the joint can help. Anything that can treat pain, from acupuncture to nsaids, if those are right for you, can help. Check leg length discrepancies as this can contribute. Manual manipulation (osteopathic or chiropractic) can help a great deal. Refractory pain can be treated surgically. ...Read moreSee 1 more doctor answer
I'm 38 weeks pregnant and having severe sacroiliac joint pain. What causes this, and what can I do for relief so I can walk?
Limited options: The pelvic joints soften and flex to assist the baby to squeeze through the birth canal during labor, and it is likely that the baby has dropped down some putting more pressure on everything. You can try massage and warm baths, but you are not likely to see much improvement until you have the baby. ...Read more
Cause?: Joint pain may have many causes. Once the cause of the pain is determined, an appropriate treatment plan can be made. However, drugs especially opiate (pain) analgesics are rarely warranted. Treatment may include bracing, physical therapy, injections, exercise, anti-inflammatory drugs and surgery. ...Read more
What is the best over-the-counter medicine to take to relieve joint pain in knees and hips? It is dull constant throbbing pain.
NSAID a good choice: Use of NSAID would be helpful if tolerated....Cannot use if you have active ulceration or esophagitis.Gastritis. Drugs such as aleve or advil are otc and may be helpful but too many used can be problematic and use in hyperacidity syndromes can be difficult and dangerous. Tylenol (acetaminophen) has less gastroesophageal toxicity. ...Read more
Examination: Physical examination by a qualified ors should be able to tell whether your pain is si joint related or due to piraformis syndrome. Si joint pain typically causes pain w/ pressure on the si joint and / or pain w/ faber maneuver. Piraformis pain is common in runners and commonly causes buttock pain and occasional sciatica (pain down leg) from muscle pressure on the nerve. Best of luck! ...Read more
I need to understand why an ORS despite their specialty is unable to DX SI Joint Pain and why is a proper evaluation reserved for a Physiatrist?
SI Jt Dx Frustration: Sorry that you are frustrated. What dx did your ortho surgeon give you? Sometimes the L5/S1 facet joint can cause overlapping pain into the butt and hip. Ortho surgeons are highly capable of eval, tx, &dx of SI jt pain just like PMR (me), PCPs, etc. Did you have a SI Jt Inj with Kenalog (triamcinolone) or for another jt? Was it done under ultrasound or x-ray guidance? Guidance yields the best results. ...Read more
Right si joint pain. Especially when forward bending. Feels like as if a string tied from si joint to spinal chord getting stretched. Solution?
Stretch: If your pain is originating in your sacroiliac joint than stretching exercises for this joint can be very helpful as well as nsaids, and other p.T. Modalities (us, elec. Stim., iontophoresis).Occassionally a si jt. Steroid injection can be used in cases that don't improve. See ors and be aware that pain in this region can be referred from a deg. Disc in lumbar spine. Si jt. Fusions last resort. ...Read more
Can anyone please help? Would SI joint pain be constantly all day and pirformis pain be on and off throughout the day? My docs haven't got a clue.
SI Joint: SI issues can be tricky as they can cause substantial pain but usually do not show up on MRI, CT or Xrays. Back pain the radiates to the buttock, back of the thigh to the knee, groin pain and pain in the front of the thigh can all come from the SI joint. A physical therapist with special training in manual therapy can resolve most SI issues. SI can cause constant pain. ...Read more
Yes but...: The definition and causes of sacroiliac joint pain or dysfunction is very broad and can be due to many different things. Musculoskeletal etiologies are common but that can be due to muscular, bony, ligamentous, tendon problems. Depending on the cause and severity of your pain you may need an MRI of the hip to detect the specific cause in order to get the correct treatment. ...Read more
What causes si joint pain? Strained back really bad 9 months ago and it never fully healed. Restrained 3 months ago. Right si joint pops sometimes.
Ligament injury: Simple sprains & strains heal in a few weeks. Several months of daily pain defines "chronic" disorder. Medical literature reports 13-30% of cases chronic low back pain have sacroiliac joint (SIJ) generation. "Popping" is phenomenon of SIJ & not lumbar spine. Best physician to discern either Osteopath or Physiatrist. Fluoroscopic guided diagnostic block of SIJ is "gold standard" test to diagnose. ...Read moreSee 1 more doctor answer
Left SI joint pain/piriformis symptoms so have been stretching pirifomis now starting to get pain in other joint. Can stretching it cause SI instabilit?
Don't Stretch Spasm: Stretching healthy musculature is often helpful to prevent injury. Once an injury has occurred however stretching tends to exacerbate a spasm in progress. Stretching itself is unlikely to cause instability of the SI joint. Pain in the opposite SI joint may result from compensation for the injured, more painful side. ...Read more
?: If it works at all the duration of result is highly variable. ...Read more
Hi I'm confused if someone was to have pirifomis release surgey wouldn't this cause SI joint pain because the muscle keeps the pelvis stable? Thanks
More info needed: Why the Pyriformis release surgery Have you had non-invasive treatment for "pyriformis syndrome"? What does your Physical Therapist say about your SI Joint. If is stable and not diseased exercide will maintain your SI joint stability/ BTW There are "semi-invasive" treatments for Pyriformis spasm including BOTOX injections Hope this helps Dr Z ...Read more
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