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Sacroilitis and Degenerative Disc

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:29 AM in Chronic Pain
I have been seeing a great Pain Doctor for the past two years. He stated I had Disorders of the Sacrum, Degenerative Disc with the L4 & L5 had bulges going into
the nerve canal. Iam going thru physical therapy now but
all that seems to do is make it worse.I wake up at night with such pain in the buttocks and back that I cant even lie back down. My question is Should I continue therapy or what? I cant walk very far without it shooting extreme pain
in the hip and back area.Help


  • I was diagnosed with DDD and sacroiliac joint dysfunction. I also saw a PM doctor for years and had so many steroid injections I lost count. PT never helped much other than to stretch me out. I saw a surgeon who decided to have me get a recent MRI and X-rays and surgery was the decision. What a difference that visit made in my treatment. I was informed that I needed surgery to repair my L4/L5 and an artificial disc to replace the bad one. I had my fusion and ADR 4 months ago and I feel great! I had surgery and went home the next day free from that constant back pain. I had some incisional pain for a few days but I was truly amazed that I had no back pain. I have not had any painful issues in my SI joint since surgery. So, maybe you also have that same issue? Have you had any steroid injections? Early on they worked for me to control swelling and therefor the pain. Please get a second opinion or third and if PT hurts tell your doctor and maybe try something else. Good Luck to you.
  • Have you seen a spinal specialist, either an ortho surgeon who specializes in the spine and back, or a neurosurgeon in addition to your pain management doctor? If not, I would highly recommend that you do so. The spinal specialist will have the definitive knowledge about your back and will be able to provide an accurate diagnosis. Pain management physicians have their place in the scheme of things, but to get an accurate diagnosis you should see a spinal specialist, and, preferrably, several for a variety of opinions.
  • Pika
    Thank you for your advise.I have had so many steroid injections also. they didnt seem to work but for a day or so.The Doctor I am seeing is a back specialist but I think he is afraid to do anything major due to my heart condition.
    He treats me great and did suggest surgery but he seemed to be alittle bit scared due to the heart. I am still working but in pain all the time.I am on light duty but that still doesnt help with the pain.I will talk to him about the surgery again.
    Thanks Again
  • When I first herniated a disc in my back I tried physical therapy and it made things worse and I ended up having to get surgery. I think that physical therapy is good in some situations and bad in others. I think it can be good after a successful operation to stengthen the back to hopefully avoid future problems, but I think it can make things worse in someone battling a bulging or herniated disc. If its making the pain, especially the pain down the leg, worse and you dont feel that its just soreness I would possibly stop it, or atleast tell the therapist so maybe you can change things up.
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