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sacroiliac joint

BirdbackpainBBirdbackpain Posts: 39
edited 06/11/2012 - 8:46 AM in Lower Back Pain
I was hoping someone could explain this a little for me:

I am starting to believe that I have sacroiliac joint problems instead of a herniated disk causing my pain.

Daily my pain consists of dull to sharp pains radiating into my hips, down my glutes, down my thighs and in my groin area. Lower back is usually stiff.

Other symtoms; Tight hamstring in left leg, problems getting comfortable in bed while on back and on stomach.

Here is the question. The most pain free I have been since having bad backpain was after a month of manual adjustments from a chiropractor. Ever since I have been very active by running and light weights at least 4 times a week. A couple times in the last year I have stoped going due to a knee injury and being sick. Everytime I stop doing cardio the pain increased. would this mean that my sacroiliac joint is too tight and the running/eliptical loosens it up a bit?

MircoD of L4-S1 on 3/5/2014

MRI stating either re-herniation or post-op granulation tissue- 5/16

Re-herniation confirmed, ESI on 5/29
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13

Comments

  • Were you diagnosed as having a herniated disk causing your pain?
  • Yes I was but was never happy with my diagnosis.

    The thing is from the beginning after I hurt myself getting a snowmachine unstuck I was told by a chiropractor that I had a twisted pelvis. He done adjustments over a month of time and I felt good for about 2 months.

    Went to a ortho doctor and had a MRI done. These are the findings:

    The spinal canal is lower normal in size. The foramina and lower normal to small in size developmentally. The conus medullaris appeared normal and terminated at a normal level at T12.<br /><br />T11-12 and t12-l1 appeared normal<br /><br />at l1-2 there is a mild disc bulging slightly narrowing the thecal sac and formina.<br /><br />l2-3 is unremarkable<br /><br />at l3-4 there is a minor posterolateral disc bulging slightly narrowing the foramina. The thecal sac is not impinged apon.<br /><br />at l4-5 there is a narrowing and disc bulging. There is a mild facet degenerative change and hypertrophy on the rights. There is mild narrowing of the thecal sac and moderate narrowing of the foramina.<br /><br />at l5-s1 there is mild disc bulging. a small posterolateral disk protrusion is present on the right measuring 2-3 mm. in thickness. The disk protrusion is impinging on the rights S1 nerve root. The thecal sac is not impinged apon. There is moderate narrowing of the intervertebral foramina bilaterally more marked on the right.

    The more I read though my pain seems to be more SI than herniated/bulged.
    MircoD of L4-S1 on 3/5/2014

    MRI stating either re-herniation or post-op granulation tissue- 5/16

    Re-herniation confirmed, ESI on 5/29
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  • Why are you not happy with the diagnosis??? Just curious because the MRI report seems to follow the diagnosis you were given. I'm actually suprised that your chiro adjusted you.... So you currently run?? If you do I'm amazed.... Have you been to Pt and explained your symtoms and what makes it better worse? They might be able to answer some of your questions and help figure it out....Good luck!!
  • I feel as if that was the case I would be in more pain. I run, lift weights, and am totally active except when a injury arises. As soon as I slow down on my cardio the pain slowly gets worse and worse.

    (at least this has happened in the past)

    I also do not get the shooting sharp pain that comes with most herniated disk patients. Just a dull annoying ache.
    MircoD of L4-S1 on 3/5/2014

    MRI stating either re-herniation or post-op granulation tissue- 5/16

    Re-herniation confirmed, ESI on 5/29
  • No one can say whether your bulging discs are the cause of your pain except a qualified doctor. I have SI Joint Dysfunction that flares up rather frequently. It's very different from the pain I felt from my herniated discs but that only means that it was different. For my SI Joint pain, it starts to the right or left of center of my back around the belt line and radiates from there.

    If your concerned about the diagnosis, you could seek out a second opinion or suggest to your doctor that you think this may be a problem. You could have a multitude of issues contributing to the whole. Another source to discuss SI Joint pain with would be a Physical Therapist. My therapist several years ago was fantastic in helping me deal with this issue.

    Dave
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  • bird, the answer to your question is yes it's possible.

    have you read this thread?
    https://www.spine-health.com/forum/lower-back-pain/do-you-get-your-sacroiliac-joint-adjusted
  • Or it could be that both are true and causing pain, or that neither are the cause of your pain, or that the original physician is correct.

    When it is so difficult for a well educated and board certified physician to diagnose these things with an MRI in front of him, it's probably unwise to do so via internet or conjecture. Why not see another orthopedist for a second opinion and ask him what he thinks?



  • As the others have mentioned, no one here can assist in verifying or giving a possible diagnosis. I have a question or two. What are your long term and short term goals in regards to dealing with your pain? What steps have you taken towards those goals? How may we assist you here at Spine Health?

    "C"

  • What are your long term and short term goals in regards to dealing with your pain?

    My goal is to be healthy.

    What steps have you taken towards those goals?

    Many chiropractor visits, Ortho doctor, pain specialist which included a ESI. Dedicating my life to be healthy(I.E: eating well, working out)

    Why not see another orthopedist for a second opinion and ask him what he thinks?

    I have already put out thousands of dollars and have seen no significant improvment. Already in debt, basically im a broke college kid.

    I think its funny only ONE person has answered the ONE question that I originaly posted. I figured that the people that have had the pains that I am feeling or have seen this in their journey. Where did I ask for a diagnosis? Once again here is the question.

    Everytime I stop doing cardio the pain increased. would this mean that my sacroiliac joint is too tight and the running/eliptical loosens it up a bit?
    MircoD of L4-S1 on 3/5/2014

    MRI stating either re-herniation or post-op granulation tissue- 5/16

    Re-herniation confirmed, ESI on 5/29
  • If Chiropratic adjustments help and exercise helps then you probably have a hypermobile SI joint.
    Bird, did you read through the link I posted above?

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