SI joint dysfunction after L5 S1 fusion

SI joint dysfunction after L5 S1 fusion

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Anonymous (not verified)
Title: Member
SI joint dysfunction after L5 S1 fusion

Hi,
I am 28 year old and have undergone L5 S1 fusion operation for disc prolapse and spondylolisthesis.Its been 1 year 6 months now.As per doctor I am fused a month back.Now I suffer from pain in and around my left SI joint.My lumbosacral Xrays and MRI looks fine as per the doctors.But I still have lot of pain in my buttocks and SI joints.Also the operated area feel very stiff and heavy most of the times.Does anybody has any such experience after this operation.Any suggestion to alleviate the pain will be helpful.
Thanks!

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janiski
janiski's picture
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Last seen: 7 months 3 weeks ago
Title: Member
Joined: 09/05/2008 - 3:09pm
SI joint pain after fusion

Hi,

I have had a laminectomey at L4/5, 2 fusions, first L4/L5 and then 6 months later L1/L5. I am almost a year out from the last fusion but have been getting SI joint pain lately. I understand it is quite common as it is the first articulating joint below the fusion. I have tried accupuncture without much success and am having a steroid injection in about a week. I cannot sit its so painful. I do use a doughnut pillow/cushion and that helps some. I swim a lot and of course being weightless is wonderful. I also still ride my bike. I have a very narrow saddle and it seems to work as one of those sacro wedgie pillows where the pressure is taken off the SI joint. I have much less pain when I ride. I have had many steroid injections in my back, prior to my surgeries and none were effective. I hope this one will be different.

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.

valewil (not verified)
Title: Member
SI Joint Dysfunction

That is EXACTLY what I am going through. I had a fusion at L5/S1 12 months ago and have been having a lot of pain in my back when I even do pelvic tilt, not even bending over. The worst thing though is the buttock pain. I just had my 1 year follow up with my neuro and they said that fusing that segment can put stress on the SI joints and I am probably experiencing some inflammation there. She said if it gets too bad, I can have ESI. I had never heard that before. I have other residual problems from my original disc herniation that caused Cauda Equina Syndrome which I am almost recovered from. I just have a lot nerve pain which I take meds for and numbness and tingling which I am used to.

Val

mybacktrouble wrote:
Hi,
I am 28 year old and have undergone L5 S1 fusion operation for disc prolapse and spondylolisthesis.Its been 1 year 6 months now.As per doctor I am fused a month back.Now I suffer from pain in and around my left SI joint.My lumbosacral Xrays and MRI looks fine as per the doctors.But I still have lot of pain in my buttocks and SI joints.Also the operated area feel very stiff and heavy most of the times.Does anybody has any such experience after this operation.Any suggestion to alleviate the pain will be helpful.
Thanks!
lovelyr (not verified)
Title: Member
L5 S1 question

I had a microdisectomy two years ago and six months ago i started to have spasms in my right calf and severe toe cramps. The doctor had me take a new mri which showed a reherniation at the L5 SI causing my spasms and pins and needles in my foot. He said unless I was in dire pain I should refrain from a spinal fusion and that the pins and needles in my foot would not get worse or affect my foot strength. ANy thoughts?

rbwindover (not verified)
Title: Member
mybacktrouble wrote:Hi, I am

mybacktrouble wrote:
Hi,
I am 28 year old and have undergone L5 S1 fusion operation for disc prolapse and spondylolisthesis.Its been 1 year 6 months now.As per doctor I am fused a month back.Now I suffer from pain in and around my left SI joint.My lumbosacral Xrays and MRI looks fine as per the doctors.But I still have lot of pain in my buttocks and SI joints.Also the operated area feel very stiff and heavy most of the times.Does anybody has any such experience after this operation.Any suggestion to alleviate the pain will be helpful.
Thanks!

I have just been through the same as you and had SI joint pain. Prolotherapy has completely cured the ligament type joint pain but the nerve pain still exists

SIGuy
Offline
Last seen: 1 year 6 months ago
Title: Member
Joined: 12/20/2008 - 4:49pm
SI Joint Dysfunction

I had L4-L5-S1 fusion almost 5 years ago (early 2004) and never got the pain relief I was looking for. Continued to have extreme buttock pain and had SI joints adjusted through chiropractic 50 times per year. (I had a bad fall years ago on my buttock, and it gradually just got worse.) Was told by WI doctors there is nothing that can be done with SI joints. After researching it further, I finally had my right SI joint fused this fall with great success. It is a desperate move, and all other options should be tried first (as I did). However, there are doctors out there that specialize in SI joint fusion and there is a pretty solid test to confirm the source of the pain (SI joint injection). Just don't look for a specialist in WI.

buckyD (not verified)
Title: Member
Me too

I had a fusion done on L5-L6(yes, I have six lumbar vertebrae) and L6-S1 in February 2008 and I have SI joint pain. It feels like soemthing is pinching me and my buttocks feel as if there is a pen knife in them. My left foot still has numbness and tingling and I have spasms in my legs just before bedtime. My Dr. says my joint is inflammed and I have had flector patches and percocet. The next step will be chiropractic. I guess this is normal for our type of fusions.

Carol (not verified)
Title: Member
Do you folks feel like your

Do you folks feel like your butt muscle is knotted in a small wad and if you could just cut it (which you can't), it would just release? Do you have pain & tightness along the lower edge of the sacrum? I'm wondering if the SI stuff is what I am experiencing?

RichT (not verified)
Title: Member
Thanks

Hello Everyone,

Thanks much to each one of you for what you have shared regarding your experiences with the L5/S1 area/fusions.

My L5/S1 have "slipped" (spondyloisthesis) and your info makes me better realize the risks involved with surgery.

I certainly don't need more pain in that area than I currently have (about 1-2 with ESI).

RichT

G. (not verified)
Title: Member
walking after SI fusion

I'm very curious, does this affect your walking at all? can you walk without a limp? how many screws/rods did it take to fuse your SI joint?
G.

nycgirl (not verified)
Title: Member
Hi! I had the same pain in

Hi! I had the same pain in the bootie you all are talking about since just before my fusion surgery. It came back about 3 months after as well. It also spread to sciatica down my leg and a very swollen painful feeling in that side's SI joint. I have been diagnosed with piriformous syndrome which along with my back issues has been a major problem. It sound like some of you may have this as well, I would recommend asking your doctors about it. I got the shot(lidocane/cortisone) into the muscle(in the butt cheek) which helped not just the butt pain but also the leg and SI joint pain for about 2 months each time. My case is pretty severe and I may have to have a surgery for it. Carol, there is a surgery and they do actually cut the piriformous muscle. I will be having this if the next option (botox shot) does not work. Just my suggestion of what may be bothering some of you. Good luck!

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