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What Tests Should Be Done For Extreme Pain From An SI Joint Injection?

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Posted on Fri, 6 Jun 2014
Question: What tests do I need to have for extreme pain from an SI joint injection?
doctor
Answered by Dr. Mukesh Chugh (34 hours later)
Brief Answer:
MRI is the best Investigation

Detailed Answer:
Hello
Thanks for posting
I have gone through your query, please tell me the name of injection given at sacroiliac joint (SI), that has lead to the increase in pain in the follow up.
You may get MRI test done to assess the health of sacroiliac (SI) joint.

Hope this helps and I shall be glad to answer any further query
Regards
Dr.Mukesh chugh

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mukesh Chugh (8 hours later)
I will check records and send the name. Thank you very much.
doctor
Answered by Dr. Mukesh Chugh (12 minutes later)
Brief Answer:
Thanks

Detailed Answer:
Hi
It's good to see you
I am waiting for your MRI report; you may forward the same as soon as you get it.
Take care and wish you good health
Dr.chugh

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mukesh Chugh (3 hours later)
I was injected with corticosteroid which contains
DepoMedrol 80mg mixed with 2 cc of 1 % PF Lidocaine. The skin and subcutaneous tissues were infiltrated with 1% Lidocaine using a 25 gauge 1 1/2" needle. A 25 gauge 3.5" spinal needle was advance into the caudal, posterior portion of the joint.
The only exam he did was have me twist and bend. He did not read my MRI's or check me thoroughly.Before he injected, he said I'd be angry with him for a few days because the pain would increase; I waited and waited and finally, on the 20th of Dec (Injecton was Dec 13) I was still in agonizing pain and tried 7 times to call him; he refused to return my call. To date, I have no idea why my situation is far worse. Another MRI would have to be justified here and I don't know if this can be done. Hope this helps you. He covered his back by writing a two page letter of lies; we reported him; we'll see the outcome, but, being in worse pain after than before is hard to understand.
doctor
Answered by Dr. Mukesh Chugh (7 hours later)
Brief Answer:
Drug pregablin and lumbo sacral belt help

Detailed Answer:
Hi
I have gone through the whole discussion we had regarding your suffering, while we wait for MRI to be done,you may start following treatment for few days (7-10 ). I am hopeful that you may not require MRI.My suggestion are-
1.Hot water fomentation with Lumbo sacral belt will help to reduce pain.
2.A few days course of drug Pregablin 75mg and Delazacort 6mg under medical guidance will be helpful.Rest off he medicine you may continue as before.
3.Do the spine exercises as tolerated.
Hope this information suffices and I shall be glad to answer any further query.
Take care and wish you good health
Regards
Dr.chugh http://bit.ly/drmchugh
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
doctor
Answered by
Dr.
Dr. Mukesh Chugh

Orthopaedic Surgeon, Joint Replacement

Practicing since :1997

Answered : 1619 Questions

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What Tests Should Be Done For Extreme Pain From An SI Joint Injection?

Brief Answer: MRI is the best Investigation Detailed Answer: Hello Thanks for posting I have gone through your query, please tell me the name of injection given at sacroiliac joint (SI), that has lead to the increase in pain in the follow up. You may get MRI test done to assess the health of sacroiliac (SI) joint. Hope this helps and I shall be glad to answer any further query Regards Dr.Mukesh chugh