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Sacroiliac Joint pain on both sides :(

AnonymousUserAAnonymousUser Posts: 49,321
edited 06/11/2012 - 8:35 AM in Lower Back Pain
Good Morning All!!

I was wondering what everyone does for pain treatment for sacroiliac joint pain? I have the pain on both sides. The pain shoots down both sides and is very unbearable. Instead of a little pain I can deal with it and put it into the back of my mind but this pain is constantly on my mind. I can't sit for longer than five minutes. I can't lay on either side to go to sleep. I can't lay on my back then my lower back hurts nor can i sleep on my belly because I end up overextending my back. I'm taking a perscription anti inflammatory now twice a day and it really doesn't work. I start PT on Thursday. Will PT help the pain. I'm miserable and I'm having a hard time concentrating on my family and work. Thanks for reading and have a great day!


  • Hi,
    I have SI joint issues, and PT really helped me. They taught me how to put in back in place, which helps with the sitting, and to strengthen the core muscles, and pelvic muscles which hold it in place. I had severe lower back issues, and surgery in Jan. of 2009, so my SI joint was really a issue for me, but the more I do my core exercises, the better it is getting. How come you don't have your MRI results yet? I think I would want those results, before I started PT. That way, they know what exercise to give you, and what could hurt you. Just my thoughts, and I would want a surgeon to go over my results with me, and to make sure nothing is going on in the lower back, as that can mimic SI joint issues. Mine was at L5 S1. Hope this helps, sweetpotatoe57
  • i was going to ask how you knew your problems were coming from the si joints?

    i agree with sweetpotatoe -- i would be very cautious starting pt before knowing what the lumbar mri reveals. at least have that thought in your mind when you start pt and do not blindly follow along with whatever the pt tells you to do. some pts are ok but, unfortunately, too many have a standardized way of dealing with issues (i.e., if it hurts here, you must do ten of x and ten of y)and this can prove to be harmful. many people end up worse off than when they went in. i'm not trying to discourage you, but just to say "pay attention" and think through what you are being asked to do. if it hurts, make that clear and don't let them force you into doing something you question.

    this part of the body is somewhat tricky to diagnose as so many different "parts" are in close proximity.
    things like l5-s1 segment, piriformis muscle syndrome, a trapped sciatic nerve, weak pelvic floor muscles, pelvic floor dysfunction, and si joint instability can all create similar symptoms. sometimes it is hard to sort out what is causing the pain and doctors tend to assume it is the most common thing, when that might not be the case for you.

    have you tried icing the area several times a day? did you engage in any repetitive activity that brought on this pain?

    i'm sorry i do not have any good suggestions for you. i do agree that appropriate exercises should go a long way in helping to stabilize the joints...but, again, i would want those results from the mri first.

    i am enclosing a link to a website that shows how to reset the si joints through exercise...but again, please consult with your doctor first. these exercises are very simple and should not hurt anything, but please check first. https://www.chiroweb.com/mpacms/dc/article.php?id=50535

    good luck to you.
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  • Hi,

    I went to the pain management doc after my lumbar mri. I have a bulging disc. Can't remember which one. He wrote the script for PT for Sacroiliac Joint Apathropy and Lumbar facet apathropy. He doesn't like to give pain meds so i'm trying to deal with this pain the best I can. I did move up my appt with PM from Sept 18 to Sept 2. Hopefully, I can get a better diagnosis and some different treatment. Do you take meds for you Sacroiliac Joint pain?
  • Glad you moved up your appt. I would really wait until you see your Dr. before doing any PT. I just take Tylenol, and Ice it. But, I have had 12 weeks of PT and know what I can and cannot do, with my issues, and post surgery. Let us know what you find out on the 2nd. I also have done 2 medrol dosepaks, which really helped. I had issues at L5 S1, and that caused many issues, so please get your Dr's. go ahead for any exercises. sweetpotatoe57
  • Yesterday I was thinking about it and I forgot to tell my PM doc that my brother had a hip replacement last september. He was 48 when he had it. He needed it for about 4 or 5 years but couldn't take time off from work. I'll have to mention that to doc just in case there is a congenital thing going on with our hips. I've never had exrays taken of my hips so that will probably need to be done. had mri on lumbar spine and nothing lower. I've tried tylenol but doesn't cut the pain. haven't done ice. maybe today when I get a chance to sit. thanks for your reply.

    I have a question: Does any people here who have sacroiliac joint dysfunction take pain meds inbetween treatments? I take the anti inflammatories and I'm constantly in pain. It's unbearable and I would like to lead a somewhat normal life with work and kids and not be grumpy stuck on the sofa cuz I hurt to much.

    Thanks for answering.
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  • Hi,
    I have not taken pain meds. The only thing I take is tylenol. That works for me, and then I still take Neurotin at bedtime for the nerve pain, I still have after my back surgery. Just a small dose, as I am cutting that back now. Ice really helps, and I do exercises for the SI joint, but again, you need to have your Dr. approve everything for you, and get your results of your MRI. Like gwennie said in her post, L5 S1, and other issues can mimic SI joint problems. Mine was at L5 S1, and that did cause my SI joint issues. Walking is good for you, and try to walk, as much as you can. It is great for the SI joint. Slow, constant walk. Ice as much as you can, and I find it helps to Ice just before bed. Hope this helps, sweetpotatoe57
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