The sacroiliac joint is a joint that is located at the very lowest part of the lower back. Pain coming from the SI joint will be felt in the lower back, buttocks, groin, and upper legs. The pain usually comes about when lifting a heavy object then twisting and may result immediately with a sharp pain in the lower back. Women are prone to injury in this joint because the ligaments are made loose by the hormones of pregnancy and by the shape of their pelvis. SI may be the cause of as much as 50% of all back pain. Even though this is one of the most common causes of lower back pain, many highly trained pain physicians cannot and do not treat this joint pain because it is difficult to see and access even with the use of fluoroscopy. This a specialty at Brier Creek Integrated Pain & Spine where fluoroscopic visualization and the treatment of this joint using test injections and radiofrequency ablation has been advanced.
Physicians limit the number of epidural steroid injections to a maximum of three to avoid systemic side effects of the steroids. Side effects are minimal and consist mainly of mild tenderness in the area of injection which disappears in 1-2 days. Success is dependant on the cause of the pain and how long the pain has existed. The sooner the treatment is instituted, the better are the chances of getting well. This treatment, along with analgesics and physical therapy has brought relief to thousands of patients, avoiding , in the majority of cases, the need for surgery.
This is awful,and you need to understand that it’s not you. My belief from what you described is there is real damage to you cord, muscles, and nerves at the location. I personally went in for a C4-5 bone graft, and was woke with a C4,5,6,7 cage installation, 2 different neck cuts to access the site, and in pain as if the surgery was still being 4th day of refusing to leave,unable too. On 5th day I was able to stand and walk loaded with alot of IV pain discharged me that evening, 9 days later I barely made it in for visit,4 weeks later i found myself being dismissed when unable to walk, speak, lose control of my urine. In short it was the beginning of nothing else I can do, to i won’t see you again, and had me removed using the police. This was back in Dec3,2013, now I’ve got narrowing of the spinal cord at every level of the c2,3,4,7, now same at the L1,2,3,4,and S1. Since this I’ve been provoked to no pain meds, always u need pain pump,i injections, and suffering until insane. If I had the chance to go back in time, I’d went to assisted living where they had to manage the pain, and rest until I got better. In short I went to Florida, done nothing but rest for 7 months before I got to this point of variable pain. They are slow killing is, and don’t care what you go through as they dont even remember you doctor visits. It was hard to except. My point is, Everytime I listen to them instead of my body, I was just a pitiful mess. You need to get with the best spine people and pray they can fix it, but don’t worry about getting back to normal or even the simplistic things as it will take you back to hell and it takes longer Everytime you have flare it up. I laid like a vegetable for 18 months before I figured it out. Now I’m in bad shape and they are offering only injections, I’m thinking really hard, shame they are not made to get you better. This is what’s going on with society today, they’ll have to answer one day. But you make sure your not stubborn like I was and demand treatment it takes and the proper care. I’m praying for you, and I hope we get this country on the right track again as well as the compassion for others comes back