I had PLIF surgery in September 2009 at L4/L5 and had a short time where I felt great and the pain returned and also some new pain. I have pain in the left SI area (before and after surgery) and pain in both iliac crests (post surgery). My NS had told me that the surgery was healed and the only thing he could think of was that it was sacroilitis. The SI Joint injections increased the pain rather than it subsiding which to me would say that's not the problem. He did an MRI of each hip and SI joints and he said that I needed to see an ortho as the problem was in my hips. I have now seen the ortho and he said my hips are fine. He said that he can't tell from the x-rays, but he doesn't believe the fusion took. So he sent me for a CT scan and said he still cannot tell for sure if the fusion took and proceded with an x-ray extending and bending, still inconclusive. He said that my pain is all functional pain (hurts upon bending, twisting, moving in general) which leads him to believe that the fusion did not take. He also indicated that one of the pedicle screws is hitting the joint at L3/L4. He did an injection at L3/L4 and it did not help. He said basically my only option is to go back in and do exploratory surgery to see if there is movement in the joint at L4/L5 and then redo the fusion.
Does this sound right that nothing can confirm that the fusion did or didn't take? Any advice?