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Sacroiliac pain after L3/L4, L4/L5 fusion.

Posted by d096819 @d096819, Aug 19 8:11am

Had fusion 8 months ago and recently had pain in my sacroiliac area after twisting. Has anyone experienced this

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dlydailyhope | @dlydailyhope | Aug 20 6:38am

@d096819
I had L3-L5 decompressed and fused with hardware in 2024. I need to be careful when maneuvering in bed or bending turning/twisting due to changes in biomechanics.

It can take a full year to fully heal from surgery. You may have pulled muscles, irritated nerves or have new compression. Have you done physical therapy?

If you don’t notice improvement over 2-3 weeks after applying ice, heat, rest, pain patches/creams (like lidocaine or Voltaren gel for inflammation), it would be good to see your orthopedic doctor again to get updated X-rays/MRI to see if anything shifted or if you have adjacent segment issues above/below your fusion.

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d096819 | @d096819 | Aug 20 7:50am

Thank you for your feedback

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susieq47 | @susieq47 | Aug 20 2:26pm
In reply to @laura1970 "If workup for sacroiliitis is not illuminating, consider middle cluneal nerve entrapment. It is a known..." + (show)

I had similar surgery but a triple laminectomy to pull it out of my spinal cord and then a fusion of all three. I am 15 weeks out and have noticed a stinging, stabbing and burning sensation in the area recently that wasn't there before. I'm using heat packs that seem to be helping and still not doing a lot of lifting and resting in bed about every 2 hours. He said it may take a year before we know what damage is permanent. Maybe try heat and rest along with Advil

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