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I've had a Lumbar Spine MRI a couple of years ago for my back pain and was given a diagnosis of DDD, Osteoarthritis, Spinal Stenosis & 2 bulging discs. The majority of my pain is felt in my SI joint area. I know my spine conditions can be the reason I have so much pain in my SI joint area, but...having said that, I need another MRI prior to seeing a back surgeon for a consultation. Can I request for a certain type of MRI? i.e would a Lumbar/Sacral MRI be appropriate? I'm concerned I may have Arthritis in the SI joint or SI dysfunction. Any suggestions or advice would be greatly appreciated.

Take care.


  • alexhurtingaalexhurting Posts: 1,991
    edited 12/20/2012 - 11:59 AM
    You might be able to bring up your concern of the SI joint before the MRI is ordered so they can request a full MRI of the spine and the SI joint, Or they might want to do MRI of spine and CT scan of the Si joint,

    Not sure what test they use for best results for the SI joint dysfunction,
    Flexicore ADR 2004 resulting nerve damage l4l5 Fusion 2006 same level, 2009 hardware removal with lami !
    2012 scs implant ,
  • Magnetic resonance imaging (MRI) is done for many reasons. It is used to find problems such as tumors, bleeding, injury, blood vessel diseases, or infection. MRI also may be done to provide more information about a problem seen on an X-ray, ultrasound scan, or CT scan.
    david flora
  • HI,

    After many years of test, I finally understand why its so hard to diagnose si joint problems. The si joint does not move in the traditional sense. It also has more ligaments muscle tendons and nerves around it than most parts of the body. At this time, it is not possible to use imaging (mri,x-ray, Cat scan, etc) to evaluate its condition. Specialist use a diagnostic si joint injection to evaluate the joint as a pain generator. The injection must be done with fluroscopic guidance and contrast to ensure the medication enters the joint. Also, only a numbing agent like novacaine should be used...no steroids. If this injection removes over 80% of the pain for a few hours, then a second injection is performed several weeks later. If both relieve at least 80% of the pain, then it can be concluded that the si joint is a pain generator. I am typing this on my kindle, so I cant type as well as I would like to explain it better. If I am not clear enough, I can get on my computer and give a more detailed explanation.
  • krysy_8kkrysy_8 Posts: 9
    edited 01/11/2013 - 11:54 AM
    Oh my goodness. i have been given DDD & other DX as well, BUT i too think i have SI joint probs. i brought this up to my pain dr, and he dismissed my suggestiion. he had me lay on the tabble with one side kindof hanging of, and moved my leg-and siad since i didnt have an increase of pain, it oculdnt be the SI. BUT i have been looking around on the internet, and it seems that the table exam may not be enough to determine if its SI or not. the ESI i have been getting are not helping, NOR did the Radiofreqeuncy neuopathy to my L4 & L5. i think it didnt help cuz my pain is SI
  • There are certain movements which suggest si problems. Generally my Dr does like 6 or 7 different ones and only 5 or so cause the pain. I am embarrassed to say it, but when I went to a doctor that was less experienced in diagnosing the problem, I just said yes to the tests that I knew were the si test. That was the only way to get them to listen. I can tell the specialist the what really hurts, cause he knows how to do the tests correctly, unlike non-specialist which sometimes do them wrong. I AM NOt suggesting that you do this, but I was desperate and there are not a lot of doctors in my area to choose from. Good luck in finding a doctor who is experienced in si problems. They are the best to go to if you feel this might be your problem.
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