I have had horrible sciatic pain for about a year and a half. When things first started we thought it may be anklosin spondilitis due to a positive hla-b27 but their is absolutly no evidence in x-rays and MRI. I am only 25 years old and I struggle with terrible pain 24/7. I have gone to chriopractor, been on all kinds of narcotics, I currently see sports medicine dr whom says I have a hyper mobile SI joint and has me doing physical therapy. I just don’t see any end in sight and I don’t want to have this for the rest of my life. Does anyone have any suggestions?
#1 by mistify on February 23, 2010 - 7:08 am
Quote
Hypermobile SI joint, especially in men, is kind of a bogus diagnosis unless you have had a trumatic fall or some other type of accident where you landed harshly on one side of the pelvis. Several research studies show that:
1: Humans are not reliable at “palpating” the part of the SI joint that we say we are.
2: Humans are not reliable at detecting “excessive mobility” in the SI joint…no matter who was doing the assessment, PTs, students, DCs, DOs, etc. The reliability is extremely poor.
3. Under imaging studies, they have found that the joint moves very little for the most part, but great variation does appear in the “normal population”…up to a centimeter for most of the population. Only when it exceeds that is there a likely chance of this causing your pain.
4. Attempts to “correct” the SI joint by manipulation, mobilization, etc is a fallicy…it just doesn’t happen, this is confirmed by CT scan studies
5. About half the pain-free population has one side of their pelvis smaller than the other
6. Single manual pain provocation tests are invalid and unreliable…it takes a battery of tests to even suspect an SI dysfunction.
….therefore
1. We can not touch it
2. We cannot detect it moving
3. “Hypermobility” exists in the “normal” population
4. We cannot move it
5. Anatomical variations exist in about half the normal population
6. Unless you’ve had a batter of at least 6 specific manual pain provoking tests, and confirmation under anesthetic block under videofloroscopy, I doubt your SI problem is what it is.
…Women who are about to give birth or have just given birth are much more likely to have this problem.
…The lumbar spine needs to be fully ruled out as a mechanical cause for your pain. You’ve seen chiropractic, but what about a PT with credentialing in mechanical diangosis and therapy?…they could tell you within a couple visits whether it is a back problem, SI problem, etc. I suggest you go to http://www.mckenziemdt.org to find such a PT. Seriously, many people go to another MD for an opinion, but no one ever thinks of seeing another PT…I would REALLY encourage you to see one of these people with special credentialing.
#2 by petmykit on February 23, 2010 - 10:43 am
Quote
ouch thats a tough one. i suffer with pain as well and have found some relief from certain exersizes.. i guess that would be physical therapy. things like pilates.
#3 by brittnee on February 23, 2010 - 1:17 pm
Quote
go back to the docotors and ask if you can like
if theres anyway to get rid or it,.
if there is get the surgery
or just call 911, and you be in the er idkk
#4 by Anonymous on February 23, 2010 - 6:17 pm
Quote
me as well got in an accident to and really hurt it .try a heating pad pain meds when needed .their is hope for us dont despair my dr today said i was to young 4 a hip replacement .which sounds like your best bet to me am scared but am going to change my insurance and grt one .
#5 by emo_peng on February 23, 2010 - 8:21 pm
Quote
See if one of your doctors will perscribe you Ultram, it’s also known as Tramadol. Several members of my family use it and it is suppossidly specifically for chronic pain management long term. I’ve always had exelent results as have the rest of my family. I’ve also heard they made a new one, Tramadol ER. it’s supposed to be even better for staying on long term for chronic pain management. I haven’t used it but I’ve heard it’s even better than the original one. And the original one is pretty amazing. Hope that helps.