Yes that’s a good point about the steroid with osteoporosis I had asked my provider and he said that the amount he was using was safe. My next step will be the radio frequency ablation I had one done in the past and my SI area and it was very effective. I have an integrative pain management doctor. Praying that this works because I like you have severe pain in that area. Good luck to you , I hope one of these options might work for you.