Diagnosed with Sacroiliitis at 24. Said X-Ray looked fine IDTS

In January 2022, I was carrying groceries inside. I had a big, heavy box of them and set them down for a minute to rest. When I went to lift them again, as I came back up, I heard and felt a loud *pop* on my left side hip area and I couldn't walk straight for almost a month. I never got it looked at, thinking it was only a pulled muscle.

In June 2022 I found out I was pregnant. As I got bigger, the pain came back with a vengeance. I was sent to physical therapy, which did not help. I had my son in January 2023 and the pain went away. I felt great, until September. The pain came back again. It has not gone away. On October 10th, I had finally had enough and went and got x-rays (attached). They said they seen nothing wrong at all. Said it was just SI joint pain. They gave me cyclobenzaprine, a Toradol injection and told me to take ibuprofen/acetaminophen as needed for pain. I was also given a referral for ortho.

I scheduled the appointment with ortho. I was seen and that doctor said he seen nothing wrong with the x-rays either. He did a few "tests" for range of motion etc. He said it was Sacroiliitis and sent me on my way with a referral for physical therapy, again. I had explained to the first doctor and the ortho that physical therapy, the cyclobenzaprine, ibuprofen/acetaminophen, and the Toradol injection did NOT work. That didn't seem to affect his decision.

The attached x ray image with the yellow and red circles, I cropped down to just show my SI joints. The red circle is my left (where all the pain is) and the yellow is my right (where everything is perfectly fine). To me, there definitely seems to be something off with the left joint. I also added the images of my pelvis as a whole, which doesn't look right either, but they said everything's fine. The x-rays are 2 different positions. Flat on my back legs straight out and then flat on my back, left leg drawn up and resting to the side, creating a bit of "resistance" I guess is the right word. Something just doesn't seem right and I know deep down that physical therapy will not help this. They won't do anything until I go and I really don't want to go through 6 weeks of PT for nothing, just so I can have a wider range of treatment options.

Anyone with any knowledge, please let me know what you think of these images. I should note that, yes, I am overweight, I know this. Before I got pregnant I had lost 100lbs. I was 158lbs, my lowest adult weight, but I gained 90 of it back during pregnancy. I am now right around 220-225 and working to lose it all again, but this pain makes it unbearable. I sit here and cry because it hurts so bad. I can hardly pick up my baby without buckling from the pain. I'm only 24, I don't want to live like this the rest of my life.

Thank you for reading this, and thank you for any advice. 🙂