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SI pain

msfloridammsflorida Posts: 5
edited 06/11/2012 - 8:53 AM in Sacroiliac (SI) Joint Problems
So I was told there is a "sugar shot" and than you wear a belt for 6 weeks, but if your SI joint is not in place when they do the shot, it will be worse in the long run. Also, I was told only physical therapy can help with this problem.

Clearly, I am wrong, thank you all for postings and experience with the SI joint.


  • This can be a tough problem to treat for some folks. Usually, treatment begins conservatively with physical therapy. If that does not work then a cortisone injection can be placed into the SI joint. If the pain returns following that, you may be looking at some of the more involved interventions such as radio-frequency nerve ablation and other options. However, if you are just beginning your treatment, I would take it one step at a time, from the beginning, and your pain might resolve without having to use one of the last resort treatments. I did not find the belt to be of any use, but many people do find it helpful if you are in the early stages of treatment. Some pain medications can be used as well if you are uncomfortable as can a tens unit which you can buy online for about $50. Best wishes to you. Lisa.
  • I have had both an SI joint injection and I've worn the belt...the injection made me worse and gave me new symptoms that took over a year to go away. I wore the belt almost continuously for about a year, and now I just wear it when I'm either in a lot of pain or I know I'm going to be sitting for a long time. It definitely makes me feel better, but it hasn't cured me.
  • I have had belts and not found a lot of relief from them. I recently had cortisone injections in both SI joints. I have never had success with cortisone and was very hesitant to have it done, but this would be the firs time in the SI joint. The first injection was not successful as they were not able to get in very far. The 2nd one went in further and I got relief, along with new anti-inflammatories - Voltaren. Along with my pain meds the pain is somewhat under control. I am glad I went for the 2nd round of shots.

    Next step is radio frequency ablation and I have had those in my back without much success. Hoping to avoid the next step tho. The pain management doc says pinning the SI joint is the best thing but I have already had 3 fusions - am fused L1-S1 and can't even think of another one. The SI joint is a long recovery as you are non weight bearing for 2-3 months and I think they do each side separately. As long as I can control the pain I won't have to have that done.

    Good luck!!

    L4/L5 laminectomy, L4/L5 360 fusion with instrumentation, L1 to L5 fusion, L5/S1 fusion w/ disc replacement, left and right SI joints fused.
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