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I'm 24 and I've been having lower back pain for 4-5 years. I started going to a chiropractor who diagnosed me with sacroiliitis. My MRI is remarkable, I tried physical therapy for a while which did nothing. Now, I go to the chiropractor once a week and I've been getting get lidocaine injections in my lower back once every two weeks for almost a year now. I used to be able to go to my chiropractor less frequently, so I would say my pain is getting worse over time. Both the chiropractor and injections help with the pain, but if I fail to keep up with either treatment, my pain gets to be unbearable. My pain management doctor prescribed me Methocarbamol which does absolutely nothing for me so I don't even bother taking it. I'm now looking into acupuncture and considering surgery. I'm tired of feeling impaired and constantly being in pain, and it scared me being in such pain at such a young age. Just looking for suggestions or advice.


  • SavageSavage United StatesPosts: 7,385
    hello a_simmons!
    welcome to spine-health
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    Honorary Spine-Health Moderator
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  • Don't give up. It takes persistence. Even getting a second opinion on the diagnosis might give you more suggestions where to go next. I have fought this for over a year with therapy, injections, medications. My physical therapist finally said I should get another opinion and thanks to her I am recovering from an SI Fusion with the implant system. 
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  • DocmitchDDocmitch BOONVILLE, INPosts: 1
    Hang in there . SI joint pain can be life changing but rarely have I seen a case barring severe SI instability that can't be resolved over time if the correct approach is taken.  Without a thorough history and exam of my own I can only speculate but I would explore a treatment regimen that involves more exercises to support and strengthen the muscles of the lumbar and pelvis and lower extremities and involves less manipulation of what may be a hyper mobile SI joint. A common mistake. Manipulation of the SI RARELY involves more than a few treatments. First cuts on avoiding aggravating activity, and with some help from your MD and a good therapist or experienced Chiropractor minus the HVLA adjustments and give that 6 weeks . Bet you improve. Good luck. I'm not a fan of a fusion and should only be considered as a last option in my opinion.
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