Check my Xrays, do I have Sacroiliac joint dysfunction?

Check my Xrays, do I have Sacroiliac joint dysfunction?

Welcome to Spine-health's Sacroiliac Joint patient community, sponsored by SI-BONE. SI-BONE representatives and health care professionals will join the discussion each week, sharing their answers and insights on Sacroiliac (SI) joint topics: when lower back complaints might be caused by the SI joint, how SI joint problems are diagnosed, treatment options for the SI joint, preventive advice, and more. Learn more in: Could My Low Back Pain Be Caused By Sacroiliac Joint Dysfunction? Education Center on Spine-health sponsored by SI-BONE. SI-BONE is the maker of the iFuse Implant System® for minimally invasive surgical (MIS) sacroiliac joint surgery.

Discuss: when lower back complaints might be caused by the SI joint, how SI joint problems are diagnosed, treatment options for the SI joint, preventive advice, and more with the Spine-health patient community plus our physician faculty and guests from SI-BONE.

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SearchRescueGuy
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Last seen: 3 years 1 month ago
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Joined: 09/17/2011 - 7:30pm
Check my Xrays, do I have Sacroiliac joint dysfunction?

I see a 10mm gap at the top of one joint.

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janiski
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Last seen: 9 months 1 week ago
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Joined: 09/05/2008 - 3:09pm
SI joint

Hi, Welcome to Spine Health. I have SI joint issues but my spine surgeon says an x-ray doesn't show much of the SI joint because of the internal organs and you need an MRI to really see whats going on.

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.

LaCansada
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Last seen: 2 years 10 months ago
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Joined: 05/23/2011 - 5:55pm
I have no idea how to read

I have no idea how to read an x-ray, however, it is my understanding that your basic x-ray will only show gross problems such as a fracture of the sacrum or vague signs of other problems such as "abnormalities". My recent x-ray was suggestive of a septic joint (infection in the joint), however, an MRI of the sacral plexus showed sacroilities- inflammation and edema in the bone, no infected joint. It is important the the MRI is of the sacral plexus and NOT a lumbar MRI which doctors seem to love to do, This is b/c it does show the sacrum, but not in enough detail. My lumbar MRI was "negative". End of interpretation. The sacral MRI reflected the source of my pain.

ohioispine
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Joined: 09/18/2011 - 3:06pm
Hello

hi Jani imaging studies is just one component towards formulating the diagnosis of sacroiliac joint pain/dysfunction. Unfortunately plain xrays, just like other imaging studies do not detect pain. Sometimes an MRI of the pelvis may show inflammation or bone edema (swelling) of the sacroiliac joint. However understanding your symptoms 1. Where they start (lumbar, lumbosacral, sacral) 2. Activities that flare it up (sitting, standing, walking) 3. How does the pain refer (thigh, calf, both) 4. Does any of the sacroiliac joint exam maneuvers increase the pain? 5. Did you have a diagnostic sacroiliac joint injection under xray? If so how much did your pain feel within 15 minutes to 3 hours? 5. Also remember there are other structures that can mimic sacroiliac joint pain. Hope this helps.

Amish R Patel DO, MPH

janiski
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Last seen: 9 months 1 week ago
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Joined: 09/05/2008 - 3:09pm
ohio spine

Thank you very much for that info. I have had cortisone injections into each SI joint and it got rid of most of the pain. So we know that is where the pain is coming from. And yes it was done under the flouroscope.

I have a mass of fused spine bolted to my pelvis putting a lot of pressure on the SI joint. I am trying to control it with anti-inflammatories, cortisone and pain killers before I have to go to the next step.

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.