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I think I have SI issues, but been burnt by previous bad doctors- how to choose?

goacomggoacom Posts: 1
edited 12/04/2014 - 7:50 AM in Sacroiliac (SI) Joint Problems
I have had the symptoms of sciatica and lower back pain for over a decade. I've spent endless sums of money and time on treatment, shots, PT etc to little or no avail. Until now the working hypothesis had been disk herniation, though the MRIs were always inconclusive. I had a shot in the back, but it did not help. Relief using PT is always temporary.

I stumbled (not funny, because I actually do that sometimes thanks to my sciatica symptoms!) upon SI belts and purchased one made by Serola. Using this belt has made a big a difference, so I am thinking I should follow this up with proper diagnosis and if verified, treatment.

Based on my limited research, it looks like one can get shots in the SI area to diagnose this issue, followed up with specific treatment (physical therapy or even surgery). Bottom line is that how does one go about choosing the right doctor to treat this? I live in Austin, Tx. Is there a way to get specific references, though I understand it may be against forum rules for people to give specific recommendations.



Welcome to Spine-Health

It would be very helpful if you could provide us with more details. Here are some questions that you
should answer:

  • - When did this first start?
    - Was it the result of an accident or trauma?
    - What doctors have you seen?
    - What Conservative treatments have you had? Which ones?
    - What diagnostic tests have you had? And their results
    - What medications are you currently using?
    - Has surgery been discussed as an option?
    - What is your doctor’s action plan for treating you?

Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

Please take a look at our forum rules: Forum Rules

--- Ron DiLauro, Spine-Health System Moderator : 12/04/14 13:50



  • Hi! I know I have a disc herniation at l4/l5 & l5/s1. But I too often wonder if the pain is coming from the herniated discs or from the SI joint as most of my pain is in my hip and the dimple part of my back, but I do have severe radiating pain down my entire left leg. Searing pain and tingling. Awful! My pain started 4 months ago in August 2014 and the pain has not gotten better just worse. PT, minimal help. Epidural steroid injection near the herniated disc at l4/l5, no help at all. I would love to know what belt you got to get pain relief. If that helps me, it begs to dig deeper. Talk to your dr. As will I. My PT therapist agrees the pain could be more related to SI, and we are now focusing on that. If the pain subsides, I see no reason for my upcoming microdiscectomy. My thoughts are all over the place with this condition! Could be this, could be that! I wish it was more cut and dry!
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