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What Causes Increasing Pain Due To A Bad SI Joint?
Question: I already contacted you about back pain. I did MRI on my lower back and the doctor said there is nothing significant wrong exept he thinks that I have bad SI joint and he recomended pain management specialist to do some kind of injection with help of xrays. I hope that you will know what this is. Some of my friends said that i should not alow that because its bad for my back and some other said that I should go ahead. What is your opinion about that? And also can you tell me if there is nothing serious wrong with my back why is my pain increasing?
Brief Answer:
Local steroid injections help in reducing inflammation.
Detailed Answer:
Hello,
Thanks for posting your query.
The bad SI joint can cause minor nerve root compression causing the pain. The increase in pain may be related to muscle spasm or a ligament sprain due to constant exercise or strain on the back muscles.
The first line of treatment is pain killers along with muscle relaxants and calcium supplements. Regular exercise under the guidance of a proficient physiotherapist is also helpful.
In case there is no improvement on conservative treatments then traction can also be considered. If that also fails then local steroid injections are given to reduce the pain and inflammation. It helps in providing relief for few weeks and the muscles improve with the help of physiotherapy by then. There is no harm in taking the injections if you have tried all the medications and are not relieved. The injections are not harmful.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Local steroid injections help in reducing inflammation.
Detailed Answer:
Hello,
Thanks for posting your query.
The bad SI joint can cause minor nerve root compression causing the pain. The increase in pain may be related to muscle spasm or a ligament sprain due to constant exercise or strain on the back muscles.
The first line of treatment is pain killers along with muscle relaxants and calcium supplements. Regular exercise under the guidance of a proficient physiotherapist is also helpful.
In case there is no improvement on conservative treatments then traction can also be considered. If that also fails then local steroid injections are given to reduce the pain and inflammation. It helps in providing relief for few weeks and the muscles improve with the help of physiotherapy by then. There is no harm in taking the injections if you have tried all the medications and are not relieved. The injections are not harmful.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I did try pain killers like ibuprofen 800 which i got headaches from and feel presure in my head so i hold the pain how much i can before taking them. I cant do anything for over couple of hours like siting or walking etc. I dont know if thats relevant im maillady who was carrying mail i mean walking with bag for 6 hours a day. I broke my ankle on the job in january and after that in july when i start to walk without boot the pain started to afect me. I did phisical therapy for my back for two months but it didnt help much. Im now working with restriction 3 hours a day and im starting to have problems at work because the MRI didnt show significant injurie and i have feeling they think im pretending . Im in pain and my private life is suffering to i dont even have intimate contact with my husband in last 4 months because i cant find position not to hurt me. Why im having a lot of pain and sometimes piercing pain if there is nothing seriously wrong with my back?
Brief Answer:
The pain can be due to muscle spasms.
Detailed Answer:
Hello.
Thanks for writing again.
Since you cannot tolerate the pain killers and you have already tried physical therapy the steroid injections can help you. The pain that you have can be related to muscle spasms also. Oral muscle relaxants and hot compress can provide relief to some extent.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
The pain can be due to muscle spasms.
Detailed Answer:
Hello.
Thanks for writing again.
Since you cannot tolerate the pain killers and you have already tried physical therapy the steroid injections can help you. The pain that you have can be related to muscle spasms also. Oral muscle relaxants and hot compress can provide relief to some extent.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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