SI joint disfunction? bone on bone hip joint?

Posted by lynneat @lynneat, Mar 4, 2022

Doctors can't agree. I have bone on bone in the hip but PRPs have helped GROIN PAIN. This NEW pain is in buttocks down the back of the leg which I understand is SI joint disfunction. Seems there is no test for SI joint issues. Except what I've read online/symptoms.

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@lynneat You may be interested in this very technical article about various issues regarding the pelvis and the source of various different pains that can happen from dysfunction. It can even mimic a lumbar spine problem. If the SI joints are unstable, the pelvis twists out of shape, and can cause compression of nerves.
https://mskneurology.com/identify-treat-lumbar-plexus-compression-syndrome-lpcs/
Have you had a physical therapy evaluation from a provider who treats this kind of issue?

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Bone on bone in the hip will throw everything out of alignment- spine, pelvis, hip, knee, ankle, foot...

PRP can repair, but there has to be cartilage there or it doesn't work. Until my hips were replaced, they were treating areas from my neck to my feet - all were pain free or less painful after I was able to walk properly.

Have you been advised to have the hip replaced?
Sue

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My daughter had PRP on her SI joint and it was very effective for 6 years. She is having another one this year. In your case is sciatica possible?

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@sueinmn

Bone on bone in the hip will throw everything out of alignment- spine, pelvis, hip, knee, ankle, foot...

PRP can repair, but there has to be cartilage there or it doesn't work. Until my hips were replaced, they were treating areas from my neck to my feet - all were pain free or less painful after I was able to walk properly.

Have you been advised to have the hip replaced?
Sue

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Can you talk a bit about PRP and how they determine this is a reasonable course of action? I have not heard of this before..did google a bit, but would be interested in real experiences with this. Thanks

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Ask for images, referral to PT. There are some easy stretches to help with SI, piriformis and other issues. I do those as well as cat/cow/child/cobra yoga, clamshell stretches and so on. I used to get a shot to reduce inflammation but with the stretches I am good. It really depends on your physiology. Recliners and bad ergonomics in other situations can make it worse

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@sus34

Can you talk a bit about PRP and how they determine this is a reasonable course of action? I have not heard of this before..did google a bit, but would be interested in real experiences with this. Thanks

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You addressed someone else but I will tell you that imaging is done first, to make sure the issue is not structural with bones. There may also be a requirement to try PT. PRP involves drawing blood, spinning it to concentrate platelets, and reinjecting in the site of the pain. It is followed by PT though my daughter was fine in 24 hours after years of pain and the PT seemed supefluous.

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@windyshores

You addressed someone else but I will tell you that imaging is done first, to make sure the issue is not structural with bones. There may also be a requirement to try PT. PRP involves drawing blood, spinning it to concentrate platelets, and reinjecting in the site of the pain. It is followed by PT though my daughter was fine in 24 hours after years of pain and the PT seemed supefluous.

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I have looked into PRP. It is not covered by Medicare. How did you get insurance to cover it? How much was the procedure.

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It cost $1,000. My kid's doc at Spaudling/MGH is doing studies in order for insurance to cover it. I have read many of the studies. The studies are why the doc does so much screening first, because she wants to make sure the patient is a good candidate in terms of outcome.

My daughter had done years of PT, and at college set some kind of record for PT 5 times/week. She had to have an apartment close to her department classes because it was hard to walk. PRP restored her overnight. It won't work this well for everyone.

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