Sacroiliac joint pain and my introduction

Posted by mdmo @mdmo, Jul 14, 2018

I'm a female 60 years old. I have a titanium H cage from L-5-L2. I have post lamenectomy syndrome, AKA Failed Back Syndrome, AKA Arachnoditis. They've punctured my dura space more than 6 times requiring a "blood patch" 4 times. I have a spinal cord stimulator and a implanted intrathecal morphine pain pump. They had to use donor bone for my fusion due to my arthritic hips. So I also got a bone growth stimulator thrown in for good measure.
I lived in Texas for a while and the pain management doctor insisted on doing epidural steroid injections. I had no idea how bad they were for you. I was given 13 ESI's in 12 weeks.
I got so sick one day vomiting and passed out.
Rushed to ER with a Addisions crisis. I didnt even know I had Addison's disease. After all the tests were done yes I was told my adrenal glands were not functioning and i almost died in the hospital. Now i have to take 15 mg of Hydrocortisone (more steroids) in divided doses the rest of my life because of those steroid injections. Malpractice, oh you bet. In Texas unless you die and your case is worth multi millions you cant get anyone to touch your case.
I turned this doctor into the medical board, they called me 1 time, I never heard another word.
I'm in Missouri now. My current pain management doctor is weaning me off my pump by 15% per week. No withdrawal symptoms so good so far.
I've had radiofrequency ablation on my SI joints, no good. I'm taking Ultram 50mg 3 times a day now. How do y'all manage your SI joint pain?
Thank you for your time and support.

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@jenniferhunter

@sunshine22220 I see your back is very red. Wow! My immune response to metals wasn't that strong. With my ankle fracture, my ankle was warmer than the non injured one, but not excessively hot, and it was a bit reddish or purplish with slight swelling. It hurt all the time like someone kicked me and it throbbed. I was getting skin pigment forming slightly over the plates, and I had hives all the time that would expand to cover large areas on arms and legs or my belly. I had to stay on antihistamines all the time or the itching was severe and hives would start easily where clothing contacted my skin, but the patches of hives could come up anywhere. Perhaps this would have become more severe if the surgical hardware was in my body longer, but it was removed at 18 months.

I have some background on understanding my body's reaction to foreign materials and metals. A a kid I broke my teeth which resulted in a lot of dental work and root canals and crowns with various metals that would be replaced and redone over the years. I developed allergic asthma, and when the old root canals failed, I had all the old crowns and bad teeth removed and got ceramic Zirconia dental implants (no metals). My asthma improved immediately. My old silver fillings had been replaced by safer composites by a biological dentist. I was metal free for the first time in 50 years and my health improved dramatically until I broke my ankle and got titanium plates and screws. None of that metal is pure as these are alloys (mixtures), so I don't know specifically which metals caused the issues, and I had a lot of years of exposure with the dental work.

The first 6 months after the ankle surgery seemed OK, but with a lot of pain because that is a very painful injury and recovery. The hives started at the 6 month mark, and I had to wait at least a year before the titanium could be removed. I waited 18 months, and had the hardware removed which improved those symptoms of hives and throbbing pain immediately. I had pain from the surgery of course, but it was better. I am now 4 years past the fracture injury, and a bit over 2 and a half years after hardware removal. I don't have the former hardware pain at all, but I still have some discomfort with ankle tendons and ligaments that can fatigue and ache. That's because of the injury, not hardware. My orthopedic surgeon at Mayo said about 20% of patients have hardware removed after surgery like mine because of pain. He didn't know if the hives were related to having the hardware, but I thought so, and I don't have issues with hives now, so I accept that as being related to metal exposure. I have no metals in my body now and my asthma improved after the surgical hardware was removed.

The field of Environmental medicine does help patients with immune responses to foreign materials from surgical implants and metals. You could look at the Environmental Health Center Dallas as they have some information on their website. https://www.ehcd.com/

I think you'll be better after the metals are removed as long as what is placed inside your body doesn't cause a similar problem. Did your doctor do testing for metal sensitivity? That's not fool proof, because you can always develop a sensitivity further down the road after a period of exposure. I am also a spine surgery patient and I had a cervical fusion at C5/C6 done without hardware and I just received a donor bone implant and I stayed in a neck brace until it fused. That was the best choice I could have made knowing what I know now.

When is your surgery scheduled?

Jennifer

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I don't have a date yet. I just finished more tests on Friday. Now waiting for them to send to insurance. Meanwhile just trying to keep moving till I can get these horrible and extremely painful rods out of my body.

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@spclk

It absolutely will not make anything worse! Put it on and slowly raise the levels. If you go to fast, you do feel like you are being electrocuted - but nothing bad happens.

Riding in car, DG driving in pouring down rain. More later. I just wanted to let you know he’s good to use it starting now!
Karen

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Hey Queenie,
Sorry about the typos and not getting back to you. It’s hard to text in a moving car (I also have essential tremors that make my already very poor handwriting totally illegible). Thank God for electronic medical records! My MA used to get calls all the time from pharmacies who couldn’t read my writing!
He has a Tesla with the “FSD” - full self driving. It’s not quite FSD - you have to hold the wheel and be able to respond immediately. I prefer the ‘old-fashioned’ type of driving, where I control the car!! My car does have components of this, with adaptive cruise, self parking (which I have never done!) and a bunch of other stuff that is now new. All on my older MB from 2012!!
Bless your heart - it’s bad enough when one of us can’t help the other, but for both to be down for the count at the same time - I have put you both on my prayer list. We are the same age. DH is 71, and I’m 69.
I enjoyed reading that your DH’s doc said he has a higher risk of paralysis from the initial injections! I remembered mine said that as well. I did remember the convo that the nerves grow back. Did your hubby stay pain-free until they grew back? At 71, MC won’t pay for his ablation? They already ‘pre-certed’ mine and because we have MC and a supplement, I don’t have to pay anything.
Hope you are feeling better. My BFF had her shoulder replaced ~9 mo ago. Her doc told her no laying in bed, go get a recliner. She went and bought one from Lazy Boy. They have a 10K sq foot house, so their MBR is massive. She said she loved the recliner because it was so much closer to the tv, that she could actually see it! I could not do that room - the room is so huge, I can barely see the tv, much less see what’s on it from their bed. There is a couch closer to the tv, but I can’t sit like that. I do what your hubby does. Lay on my back with a pillow under my knees, that I move all night when I turn side to side. I may get mad and rip off my CPAP nasal thingy, but that knee pillow moves with me!!

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@pdray

I suffered from SI pain for over 30 years. Early in my diagnosis I went to Cedars-Sinai Spine Center and after an MRI and consultation with 5 Doctors they told me my options were: surgery with 10% probability of success, injections, or take 3 Advil whenever there was pain (which was more than once per day) and wait until another option comes along due to advancing medical knowledge. I opted for Advil. I am now living near Mayo in Rochester and have pain-free for almost 1 year. My solution was a special plan prescribed by Mayo using a Mayo trained physical therapist to strengthen my core muscles (all sides, not just doing sit-ups), proper posture, hip placement, how to walk, how to sit, etc.The numbness in my legs and toes has also disappeared. I must be careful how I move and what I lift but that is a small price to pay.

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This was a while ago, but see you are still active. I have been suffering from si joint pain for almost as long as you. Seen a bunch of doctors but don't want to risk surgery. I was wondering if you would share the exercises that are helping you? Much appreciated.

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@spclk

Hey Queenie,
Sorry about the typos and not getting back to you. It’s hard to text in a moving car (I also have essential tremors that make my already very poor handwriting totally illegible). Thank God for electronic medical records! My MA used to get calls all the time from pharmacies who couldn’t read my writing!
He has a Tesla with the “FSD” - full self driving. It’s not quite FSD - you have to hold the wheel and be able to respond immediately. I prefer the ‘old-fashioned’ type of driving, where I control the car!! My car does have components of this, with adaptive cruise, self parking (which I have never done!) and a bunch of other stuff that is now new. All on my older MB from 2012!!
Bless your heart - it’s bad enough when one of us can’t help the other, but for both to be down for the count at the same time - I have put you both on my prayer list. We are the same age. DH is 71, and I’m 69.
I enjoyed reading that your DH’s doc said he has a higher risk of paralysis from the initial injections! I remembered mine said that as well. I did remember the convo that the nerves grow back. Did your hubby stay pain-free until they grew back? At 71, MC won’t pay for his ablation? They already ‘pre-certed’ mine and because we have MC and a supplement, I don’t have to pay anything.
Hope you are feeling better. My BFF had her shoulder replaced ~9 mo ago. Her doc told her no laying in bed, go get a recliner. She went and bought one from Lazy Boy. They have a 10K sq foot house, so their MBR is massive. She said she loved the recliner because it was so much closer to the tv, that she could actually see it! I could not do that room - the room is so huge, I can barely see the tv, much less see what’s on it from their bed. There is a couch closer to the tv, but I can’t sit like that. I do what your hubby does. Lay on my back with a pillow under my knees, that I move all night when I turn side to side. I may get mad and rip off my CPAP nasal thingy, but that knee pillow moves with me!!

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Hello,
We appreciate your prayers. I will pray for you as well. My hubby is 71 but I am 77. I robbed the cradle. Our Pacifica has all those safety features but we don’t let it park itself. Most features are good for older drivers.
My husband just had his lumbar ablations a couple of months ago so there is no nerve grown back as yet. Probably will take a year or more to grow back. Insurance did pay for the two ablations just not a sacroiliac ablation because it is still considered experimental. His pain Dr ordered an MRI if the pelvis and insurance denied it. Said if he had had an X-ray first they would have covered it. Didn’t tell us until he had paid for the MRI.
He is now having lots of back spasms when he moves. Muscle spasm pills help some but not enough. I am praying he can get the ilea’s ablation but Dr says it only helps 50% of people.
I am feeling better 2 weeks post op of my shoulder replacement. Formal PT starts Monday. Dr ordered home PT and a home nurse who has been great. I requested the same PT lady I had for my hip 9 months ago and she is terrific.
We too have a supplemental insurance and rarely pay anything.

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I am sorry. I read about such horrible medical care here in this forum. I am shocked. I have my own stories. I have been publishing them here so all sides step my stories, but to say I appear to be in the same boat, but I’ve had a lot of good care along the way, and not such negligence except for a few. I’ve just went through most of the year dealing with the same kind of pain you’re having in my case the surgeon my surgeon worked with me and I’m at a point where it’s the muscular, myofascial, connective, tissue issues, which is the source of my pain. My spine surgeon stabilized my bones, but it’s what’s on top of the bones. I have osteoarthritis and very tight sacral joints. for years we’ve always looked at surgery as a possibility for the sacral joints. because I know of the dangers of steroids, I take only a half dose and space them out so I don’t have more than a couple every few years. But as you know, they are very damaging. There are many other things to help. Botox injections are great to paralyze particular muscles, those little balls that you nestle into spasmodic muscular areas and roll around on, and myofascial work. I am 67 and was very athletic and in old age my long hours at a drafting table and my degenerative disc disease and my curvature of the spine now keep me in constant pain muscles are too weak to support everything. So I have to maintain exercise regimen and I go for deep myofascial tissue release therapy. MFR. There is a group here that has discussed it. It’s not covered by insurance, but it is an absolute necessity going forward for the rest of my life, and it gives me immense relief . You have to kiss some frogs to find the right therapist - it costs money out of your pocket but well worth it. I go twice a month and in conjunction with everything else it keeps me out of surgery. Good luck.

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@toolman4

This was a while ago, but see you are still active. I have been suffering from si joint pain for almost as long as you. Seen a bunch of doctors but don't want to risk surgery. I was wondering if you would share the exercises that are helping you? Much appreciated.

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Update on my husbands sacroiliac ablation. He had it about 5 weeks ago and the pain is almost all gone. He also had two ablations on his spine so he feels better than he has in years. Insurance would not pay for the sacroiliac ablation saying it is still considered experimental. It was well worth the cost. This Dr says 80% of his are successful. He said it is more difficult to hit the right spot than spinal ablation.

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given your extensive experience with different pain management strategies, what non-pharmacological approaches or lifestyle changes have you found most effective in managing your SI joint pain and overall well-being? Are there any particular therapies, exercises, or techniques you would recommend or avoid based on your experience?

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@cathykar

given your extensive experience with different pain management strategies, what non-pharmacological approaches or lifestyle changes have you found most effective in managing your SI joint pain and overall well-being? Are there any particular therapies, exercises, or techniques you would recommend or avoid based on your experience?

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Myself, my SI pain is only on one side when sitting. There's lumbar pain too, but not because of sitting. To accommodate my sitting, I had to make for myself a soft brace for my left side bottom. It was a rolled up, and then a do-it-myself duct taped thick kneeling pad that construction workers use for hard gravelly surfaces. It was maybe 18" by 2 ft. I happened to have one when the need arose. I put it under my right side on chairs or whatever, so that the left bohunkus didn't have to touch the chair. it takes some getting used to. It also wrecks your posture, but I couldn't sit unless I used it (for years). A PT had suggested a rolled up thick towel, which wasn't quite enough. So, then, I had to get used to carrying a bag (shopping bags work) if going to doctors etc. For some reason, I could sit in the usual public buses, in the middle of two hard seats, but not the sort soft seats the shorter ones usually used for ADA transport or for seniors.

Much later on, when I had a few bucks extra I discovered special sitting (and sleeping) pads that were composed of pillows of large air pockets. I believe they are called Roho cushions and are often called wheel chair cushions. Perhaps a less expensive foam wheel chair cushion would also work for you? Also, I got a recliner that allowed me to sit with my body weight further back, off my SI joints. For years I had to sleep only on my right side, or on my front, or in that recliner. It takes time to find all the workable solutions for yourself. Good luck.

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@bl780349

I had Spinal Fusion in 2013 and 2015 at Mayo in Jacksonville, Fl. I did well for many years. The fused sections became so painful on my hips. I’d read about Dr. Bydon doing some stem cell research so I decided to see if I was a candidate. I was not. Dr. Bydon did test and decided to remove my hardware. After surgery he told me all of the hardware used was too large for my size. I’m 5’3 and 135lbs.
I also had a fusion on my neck the next day after hardware removal. This was all done a couple of years ago. Dr. Bydon sent me to Dr. William Cross. I’d read his reviews and after many test I was definitely a candidate for surgery. January 21, 2022 surgery was performed bilateral.
Tomorrow marks three weeks.
Oh, prior to having this done Dr. Michael Tauton performed left hip replacement.
I live in Alabama and we drove for this surgery!
Mayo Clinic is special to our family. There's more to my history of surgeries!

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What surgery did you have that finally worked?

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@sus34

It has been suggested that I have SI joint injection. The pain I have is mostly at night in this area (although sitting in a straight chair for a long period tends to make that area of back ache. The pain wakes me and cannot lie on either side now. Have both hips replaced due to high dose steroid induced AVN and as a result have concerns w/ steroids being injected in my body or orally. One hip is particularly bad with a feeling of fibrous tissue “rolling” across the joint at times during the day and told there is bursitis. Walking is not particularly painful, but can only walk or stand for limited amounts…but rising up and down from a chair can send shooting pains to my hip. Doc feels could be related to the SI joint being inflamed and has suggested injections. Not sure if this is chicken and egg situation with whether the hip issue/bursitis caused the SI joint or vice veresa..but the side hip issue came first. Would like to know more about the SI injection and how often it actually yields good results

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I've had many injection in my SI joint and they never worked. I kept hoping that "the next one " will work. Now I'm looking into surgery. What kind of SI surgery has worked for others?

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