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Old 06-25-14, 11:58 AM  
luvcritters
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Join Date: Nov 2001
SI Joint Dysfunction

Has anyone had an x-ray guided cortisone injection in their SI joint? When my SI joint is out it affects my hip, knee, and foot on the same side and my shoulder on the opposite side. It seems like a shot in the joint won't help all of the alignment issues because the joint will still be out. Anyone with experience?
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Old 06-25-14, 05:17 PM  
rosepetals
 
Join Date: Apr 2004
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I would read about the adverse reactions. Do a google search. It tends to create future issues with further weakness, bone loss, muscle strength loss. Yes, it helps some people to decrease inflammation, but the adverse side effects are costly. Once you loose it, in my experience it won't come back. I have had steroids for other issues. It creates a vicious cycle of pain needing injections. Medicine can be a quick fix, but it does not treat the cause of the problem. Often the cause is muscle related weakness. Though there are many causes. Do the research and dig to find answers. It is very personal.

Chiropractors can help along with physical therapy. There are some rare PTs who know how to retrain muscles to work properly which helps to decrease the pain. Much of the pain I learned came from weakened muscles. Internal accessory muscles. They teach you how to locate them to strengthen them. It's not as easy as it sounds, but it helps.

Mine was damaged by a surgeon during a hysterectomy. It is not completely healed even with treatment, but it is tolerable. How good it feels depends on how much I work out those muscles. Classical stretch helps as well as techniques found in T-tap, Barre workouts, and somatic yoga by James Knight. They utilize some of the techniques that were used in PT. Again you first must learn how to activate the muscles before you explore on your own or it can make the issue worst.
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Old 06-25-14, 05:36 PM  
luvcritters
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Thanks for responding. I asked the M.D. for a referral to physical therapy and it's her idea to get the injection. I had 10 epidural spinal injections 5 or 6 years ago. I expect my spine to turn to mush any day now. Only one of the injections worked so they weren't very helpful at all.

I know I have tight and/or weak muscles pulling on me. Stretching only makes it worse but I don't have a clue as to which stretch or stretches specifically do the damage. That's why I asked for pt.

I've seen a chiropractor pretty regularly for over 15 years minus the few years Pilates kept me straight. My SI went bad during/after a knee replacement almost 8 years ago. I haven't been the same since. I have a set appointment every 2 weeks and lately have been needing to go every week. This is ridiculous but I don't know how to fix it. I can't see an injection being helpful because the SI joint connections affect the upper and lower body. Taking the pain away at the joint will only lead to more pain elsewhere.

I've tried Classical Stretch - used to love it before the knee, T-Tapp, and James Knight and they all sent me running to the chiropractor. Barre is fine as long as I leave out Pretzel. Pilates is okay but after over 10 years of doing Pilates I'm pretty sick of it.

I guess I'm pretty much screwed whether I get the injection or not. I seriously doubt that there's a knowledgeable pt in this area, which is why I waited years to request it. I've been to different pt's three times for different things and it all went bad sooner or later.

Thanks again for responding.
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Old 06-25-14, 05:50 PM  
cyana
 
Join Date: Dec 2001
Linda - no personal experience with this. I think your concern: It seems like a shot in the joint won't help all of the alignment issues because the joint will still be out. is quite valid. I wish your P.T. could help you with some body work to get straightened out.

I've been going for acupuncture and electrical stimulation for about a month now, trying to get my hip issues under control. I went to a chiropractor....not a good fit so I didn't go back. I also did one massage, which helped for about a day.

It's so frustrating and I know your symptoms are far worse than mine. I sure hope you can find some help soon.
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Old 06-25-14, 06:03 PM  
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Cyana - I'm sorry you're still having pain. I'm about at the end of my pain limits. I've had enough as I'm sure you have, too. My chiropractor told me to do runner's stretch but "don't go too far." And how far is too far??

I'm glad you're getting help. My chiro used to give me electrical stimulation. I loved relaxing there for 20 minutes even though it was so uncomfortable. It didn't help the sciatica but it felt good while I was getting it in it's own weird way. The sciatica was the only thing the epidural injections helped.

Even though I need a hip replacement my hip only hurts when the SI joint is out. I can't see getting the hip fixed when there's no pain from it. It's the SI joint but since the medical doctors see in parts instead of the whole body, I don't think there's relief in sight. Aargh!

I hope acupuncture and electrical stimulation help you. Maybe I should try acupuncture. I've thought about it for the dog so why not me?
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Old 06-25-14, 07:23 PM  
beyond.omega
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Hi Linda,

Sorry you are going through this. This may be simplistic of me, but have you tried Barbara Benagh's Yoga for Stress Relief? There is an SI Joint routine on it which I like, although I don't have the type of problem you have. YfSR has helped my immeasuably with my neck, so its my go to relief workout anyway.
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Old 06-26-14, 01:34 AM  
starbelly
 
Join Date: Jun 2012
Location: Netherlands
I'm not sure where you live, but have you considered consulting a Restorative Exercise Specialist? If there isn't one near you, perhaps you could work out a Skype session (not as good as hands-on, but better than a needle in your back). I have hypermobile joints and a lot of instability in my SI; a visit to a Restorative Exercise Specialist helped me to pinpoint areas of misalignment and I work on them every day. In the space of a few weeks I noticed a huge difference in my lower back and have had so much pain relief.
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Old 06-26-14, 01:39 AM  
suzannaerin
 
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Quote:
Originally Posted by beyond.omega View Post
Hi Linda,

Sorry you are going through this. This may be simplistic of me, but have you tried Barbara Benagh's Yoga for Stress Relief? There is an SI Joint routine on it which I like, although I don't have the type of problem you have. YfSR has helped my immeasuably with my neck, so its my go to relief workout anyway.
Thanks for suggesting this DVD. I found it on Amazon for $10 and ordered it.
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Old 06-26-14, 06:12 AM  
horsemom2
 
Join Date: Jan 2002
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Linda,
I am so sorry to hear your knee replacement caused even more problems

I did not have any surgery or injury to trigger my pain problem areas.
For over 40 years, I have had problems which I believe were mostly from misalignment and a nerve becoming compressed. Probably from poor posture since one leg is longer than the other. I have learned never to do lying spinal twists and a few other triggers.
The Egoscue Supine Groin Stretch was my go-to whenever I had a flare till I discovered the SacroWedgy.
What has really worked for me has been Arnica gel at the very first twinge then lying on the SacroWedgy and strangely to keep moving afterwards, even if I have to take a pain reliever to move. Just this week the problem was triggered on my *good* side and this combination worked like a charm.

I hope you find a solution which will give you relief.
ETA: Besides avoiding triggers, I have learned to hold my abs up and in whenever doing anything that may compromise the area.

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Old 06-26-14, 09:45 AM  
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Thank you all for responding. Even though I've had this problem for many years, it's only in the last few weeks that I found out what it is. I have spinal problems that make doctors wonder how I can walk, so I thought it was coming more from the spine. Lots of pains and pinches come from that but this affects everything up and down the chain.

beyond.omega - I've had YFSR several times and thrown it out each time because it pulled me out of alignment. I never did the SI practice because I didn't know I needed it. Looks like I might have to buy it again. Maybe I should buy a case for when I get mad and toss it. I have Gentle Yoga Therapy for the SI Joint but I've only watched it so far. It has a lying spinal twist which makes me wonder why I haven't tossed it yet.

starbelly - it looks like there's a restorative exercise specialist about 60+ miles from here. Dh would have to take off work because I don't drive anymore. If I can get in on his day off it might not be a problem. I know it's a muscular/tendon/ligament problem. We all know bones don't move by themselves.

Barb - I wish I'd never heard of this dang knee! I used to swear by Egoscue until the day it caused more pain then any one person should ever have. I bought the SacroWedgy when it was first talked about at VF. That's probably when you bought it. I couldn't figure out how to use it or it was a bad pain day and couldn't use it. Either way I did my usual and threw it out. I should probably repurchase it, too. I always hold my abs in and up, otherwise it hurts to move. Lying spinal twists should be against the law!
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