What procedures help w/facet joint and sacroiliac joint issues?

Posted by tan77 @tan77, Aug 9, 2023

I NEED HELP AND OPTIONS! I can't take this pain anymore. I've been having lumbar back problems since 2016. Hip pain since 2019. I was seeing a spine doctor for a year and a half. He said I needed lunbar fusion surgery. Recent MRI shows no bulges or herniated discs. I've had 8 epidural injections last year to no avail. I have since gotten 4 other opinions from other doctors. All four doctors say my spine is fine and that I have arthritis in facet joints and muscle inflammation in lower back sacroiliac joint and I don't need fusion surgery. One doctor said it's my hip. Got a hip MRI, needed a hip replacement. Could be the cause of my back pain. I got the hip replacement 2 months ago but my back is still killing me! Now a nerve block or ablation is recommended. Has anyone gotten relief from these procedures? Anybody have sacroiliac joint issues? What procedures has helped the most with facet and sacroiliac joint problems? I NEED something that will work.

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Profile picture for tan77 @tan77

I'm actually going to Mexico to get the nerve block. I have to pay $1700 in cash anyway. But I don't want to spend the money if it's not gonna work. I will look into PRP. How long does the process take usually?

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@tan77 I wouldn’t go to a doctor in Mexico.

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Profile picture for irene5 Irene Estes @irene5

Yes, that’s the pain described exactly!! There is a minimally invasive SI joint fusion surgery involving titanium implants that I am considering. I am 73 and have had back issues since 1975 when my spondylolithsesis was discovered after something “gave way” slipped while pulling my son out of a high chair table. I have a very high tolerance for pain which isn’t necessarily a good thing. My back doctor commented he was surprised I was still walking when he saw my recent x-ray. I’m having lumbar injections on Monday, but I feel I need SI joint ones instead. This growing up thing is highly overrated! ( Irene5)

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@irene5 I’ve had the SI joints injected without success. About nine weeks ago I had the PRP injection. My pain is worse now, feels like my one leg is going to give way. I’m 83. My pain doctor said it takes 6-8 weeks before you feel relief…past that and still just more pain. Up until a year ago I took Oxycontin for pain. I got off of them because they totally stopped working. I thought if I waited for a few months without them they would work. They don’t. I’d almost kill for pain medication!

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Profile picture for barbarav1 @barbarav1

@irene5 I’ve had the SI joints injected without success. About nine weeks ago I had the PRP injection. My pain is worse now, feels like my one leg is going to give way. I’m 83. My pain doctor said it takes 6-8 weeks before you feel relief…past that and still just more pain. Up until a year ago I took Oxycontin for pain. I got off of them because they totally stopped working. I thought if I waited for a few months without them they would work. They don’t. I’d almost kill for pain medication!

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@barbarav1 I am so sorry. You must be so miserable. The injections have been life changing for me. I have had them for years( I’m almost 76) because they can’t operate on me. That shipped sailed unfortunately due to other health issues. Call the doctor who gave you the shots and ask for pain meds. I have taken tramadol since 2010. It takes the edge off pretty well, and that’s good enough for me. I also wear a brace made for me at Hanger Clinic in Worcester, Ma. Your quality of life is not good when you are in such pain. Call!! Irene5

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I had my fifth spinal injection February 4 and the follow up doctor visit yesterday. This injection gave me three days of full relief in my leg pain and buttocks pain that we have determined is from the sacroiliac. This recent injection further confirms the origin of my pain because it helped even though Cortizone didn’t do the job for me. My physician said that I have to have two successful spinal injections in the sacroiliac, and then he would offer to do a minimally invasive surgery, where he adds a “spacer” in the sacroiliac. Came here to ask if anyone had heard of that because I’m pursuing it. I have another appointment with the Pain Management doctor April 8 and I’m going to see about this treatment. But I wondered if anyone else had heard of this; and thought I would mention it to you in case it was helpful to you.

if it is known that your problem is from the SI joint, this may not help, but there’s another procedure I read about in here, and the acronym is MILD, “minimally invasive lumbar decompression”. Outpatient procedure that might possibly help you depending on where the face pain originates from. I am searching for relief just like you, but thought I would mention these things just in case it’s helpful to ; best wishes in your pursuit of pain relief.

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