Fused SI joint with Sacrum

by Karen

In continuing my research to know what is wrong with me, today my chiro found something interesting in my xrays that were recently taken. He beleives my SI joint has/is fused with my sacrum, thus causing my very limited mobility and pain...Low back, unable to rotate my hip in/out without pain, stuck feeling, radiating pain from groin to IT band/knee.

Started in 2005, 2010 had bone graph surgery on same hip for proximal femur that was 30% gone.

I am a single female, 36 years old with 2 young kids; I'm working full time...I need help.

Hello Karen,
Yes, you do need help, I'm sorry to say.

The first step is to have a test for ankylosing spondylitis; it causes a bony fusion of the sacrum to the ilium.

Much more commonly though, is the severe fixation that occurs in the SI joint when you have a hip condition; it locks and feels like it's fused but in actual fact can be freed because it's not actually ankylosed.

Could you send me a copy of the x-rays; attach them digitally to this page, or send them to contact. Or, at least a copy of the radiological report.

Do a couple of little tests for me. Lie on your back and pull the knee on the good side to your chest, and then towards the opposite shoulder. Now repeat with the naughty hip. What's the difference?

Do the same, placing your heel on the opposite knee, and dropping the knee into the lotus position. Look up Fabere test if this makes no sense. What's the difference?

From what you are describing there's a high suspicion of either hip dysplasia or femoral acetabular impingement syndrome; look them up using the Search function key at C-H.

Let me know, keeping to this thread.

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Sep 01, 2014
by: karen

Hello, so the newer chiro that had my crater professionally reviewed says I have degenerative arthritis. I've been told in the past I had minor arthritis in my back, but what is showing by so joint is just that...bad arthritis and not fusion. Now waiting to hear back from my long time chiro whom thought it was fused. He sent trays to be reviewed as well. Soon as I get them back, I can post. I began taking turmeric and have to say I feel better and it's only been a week. So much closer to an answer in all this.

Arthritis where? In your hip or back, or SIJ? And pulling your knee to your chest?

Dr b

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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