What Causes Sacroiliac Joint Pain Despite A Normal Blood Work?

Posted on Fri, 7 Oct 2016

Question: I HAVE INFLAMMATION IN MY SI JOINT AND MY MRI(JUNE 2016) SAYS ITS SACROILITIES ...I HAVE TAKEN MEDICATION FOR THE 1 MONTH(MAXNURON PG,CALOG,SPIREX PLUS AND HCQS) AND NOW FOR THE LAST ONE MONTH I AM DOING BACK STRENTHNING EXCERCISES AND ALSO ALL THE TEST HAS BEEN DONE AND ALL ARE NEGATIVE(ESR,,CRP,URIC ACID,BRUCELLA ANTIBODIES IGG AND AGM, HLA-B27 PCR ,MANTOUX TEST) MRI DONE RECENTLY SAYS (BONE MARROW EDMA IN SACRAL ALA HAS SIGNIFICATLY DECREASED WITH SUBTLE RESIDUAL CHANGES..NO DEVELOPMENTS ARE SEEN)..

PLEASE LET ME KNOW HOW MUCH TIME WILL IT TAKE TO HEAL COMPLETELY AND WHAT IS THE MEANING OF SUBTLE RESIDUAL CHANGES

Answered by Dr. Dr. Naveen Kumar Sharma (3 hours later)

Brief Answer:
These changes are irreversible

Detailed Answer:
Hello,
I haves studied your case and I think you are having seronegative arthritis. In this condition there is pain and inflammation in the sacroiliac joint. As you said that most of the tests are normal so you are having seronegative arthritis. Changes on MRI are also due to seronegative arthritis. You need to understand that sacroillitis is not cured completely but it can be controlled with drugs. So you need to take regular medicine jus like patient take for BP and Sugar. It does not healed completely.
Following steps are helpful.
1.Back muscle strengthening exercises and swimming.
2.Avoid forward bending or weight lifting.
3.Muscle relaxant like Myoril or Myospaz for symptomatic relief.
4.Steorid injection can be given by trained orthopaedic doctor.It gives good pain relief.
MRI showing sclerosis and some bone irregularities. So it is called subtle changes. It means that disease is under control and it is not going rapidly. Seronegative arthritis has better prognosis then Tb or Ankylosing spondylitis.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Sharma (13 hours later)

is it 100% sure that i have seronegative arthrities or it could be due to sports injury only as i am XXXXXXX active sports person

Answered by Dr. Dr. Naveen Kumar Sharma (8 hours later)

Brief Answer:
It can be both also

Detailed Answer:
Hello,
After studying MRI report I think it is seronegative arthritis as there is erosion of joint, which can not be due to sport. Buy yes sports may contribute to these symptoms. You need to continue HCQ and swimming. Avoid very strenuous exercises.
thanks

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar