Seems like you should be on anti-inflammatories, are you? I've been prescribed 600-800mg of ibuprofen every 6 hrs before for my issues. Other stuff I've used with varying success includes heating pads, heated buckwheat pillow/pad things, Voltarem gel (prescription), and Lidoderm patches (also Rx).
PT can often help tone up muscles in order to alleviate strain on the painful joint. I haven't had PT for SI pain but have for knee stuff so I'm assuming it's the same strategy.
Sorry you're in such pain; I know it wears a person down. (((Speechless101)))
No longer together
"There are times when our reality is nothing but pain, and to escape that pain the mind must leave reality behind." Patrick Rothfuss
The most conservative treatment is ice, stretches and NSAIDS like Advil or aleve . I treat myself that way routinely.
When sx get worse i give people muscle relaxants, steroids and painkillers; might send to PT at this point for more regimented exercises
My next step after that is to do SI joint injections with an anesthetic and steroid. After that I send the pt to a pain specialist. If it is bilateral I will check labs looking for an autoimmune disease that causes a worse form. In that case I treat with immune modulators.
PM me if you have questions
I now call her my miracle worker. I'll never forget the sound and physical sensation of that joint grinding back into place (or whatever it is that happened). Sounded & felt like two boulders scraping past each other. When it happened the pain was white-hot & filled my vision. When it was done the pain was immediately gone. Gone gone gone.
I had suspected it was my tailbone and attempted to treat it myself. However, the chiropractor said it was my SI joint. He helped a lot.
He has a massage therapist who also helped me a great deal.
Another thing that has helped is yoga. I wasn't the biggest yoga fan, until I tried several of the lower back stretches.
I didn't try physical therapy, but I'm interested in what you think. From what I've read, it seems different things help people differently with SI joint issues.
I have scoliosis and also had a slipped disc in my late 20s. Had to use crutches for a few months and was essentially crippled with the pain. There really is nothing like it (((Unagie))).
I found a great massage therapist who finally sorted me out. Also started a yoga class for people with bad backs.
Getting to the weight room made it disappear as well. Aligning and strengthening the surrounding muscles is key to recovery.
[This message edited by FaithFool at 7:14 AM, August 2nd (Friday)]
So.....on to the "other" SI! Yep, SI pain here, too. My chiropractor is a master--or should I say mistress?--though. She won't let me walk out of her clinic until I feel better. She throws TENS, laser, adjustments, massage, even accupuncture at it so I can walk out of there without crying.
Doing the exercises faithfully has more or less eliminated the need for all that. Except every once in a while, I will do something stupid like drag a heavy vacation suitcase up my front steps and wham! I'm over and I can't get up. Not much fun, but my jolly chiro fixes me up and sends me back into the world to sin again.
"I could have missed the pain, but I would have had to miss the dance." Garth Brooks
First line - Ice, NSAID's (I like Ibuprofen 600-800mg every 6 hours for 2 straight weeks, then stop), Oral Steroids (Prednisone taper/Medrol Dose Pack)
PT - SI joint mobilization, if refractory a pelvic therapist for women can be very effective.
Second Line - Injection by a specialist
Third Line - Fusion (minimally invasive options available now, but you would have to had failed all of the above and be miserable)
PM if you have further questions.
Purplejacket, I just want to say thank you for being here and for dispensing medical advice. It's really nice to be able to talk to a real doctor, and it's amazingly nice of you to donate your time this way.
So, thank you.
Speechless, I hope you feel better. I have sciatica sometimes---and it is not pleasant. I hope you find a resolution to your pain.
I was just diagnosed with such and have chronic back, feet, and hand pain. Since I'm not a huge fan of being crippled at age 60 we are keepin a close eye on it. If there is any progression I HAVE to go on immunosuppressive therapy. In the meantime I take mobic, which is a NSAID an have a non narcotic med for breakthrough pain.
Exercise and strengthening your core is essential to it not happening again and healing more quickly Pilates is my exercise of choice.
Feel better quickly!!!
It's a relatively noninvasive procedure and gives a good 12-18 months' relief. I had it for the first time in 2008, and have had it 3 other times. Each time, the relief lasts longer.
It's a Kimberly-Clark technology; their website currently has info geared toward medical professionals, but I know they in the process of adding information for patients.
I had my last treatment 15 months ago, and think I will likely last 2 years between treatments this time.
Do you have a good pain specialist? That's where I'd start. PT is great--but it does NOT relieve SIJ dysfunction. (It can help with sciatica, but that's a different issue altogether.)
Really, a pain specialist can help pinpoint the source of the pain, and help you weed through various treatment modalities.
I never have gotten much help from orthopedists for either SIJ dysfunction or sciatica. (And I say this reluctantly, because when my body could still handle it, I was an orthopedic RN.) They are geared toward ...well, viewing bodies as parts that need replacement or repair. When they can't do either, they don't have much else to offer (except PT--which may or may not help).
I did not BEGIN to get relief until I saw a pain specialist. And it was an arduous process to get a referral and get in with a good one. It required great persistence.
It was worth it.
(I also have disk herniations, and sciatica, for which my doc uses other treatment modalities.)
Really---a university-based pain clinic or excellent pain specialist is worth his/her weight in gold.