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Check my Xrays, do I have Sacroiliac joint dysfunction?

SearchRescueGuySSearchRescueGuy Posts: 1
edited 06/11/2012 - 7:56 AM in Sacroiliac (SI) Joint Problems
I see a 10mm gap at the top of one 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.
  • 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.
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  • 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
  • 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.
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