Pain in Si joint on left side, very severe!

by Lorraine

Over the past few weeks I have been experiencing worsening Si joint pain, to the point that when I get up in the morning I literally can't bend over. It's terribly painful and debilitating.

I see a chiropractor for another issue: my right hip "climbs" to a certain level and needs to be adjusted, as in "pulled down", and I don't think this is helping the Si issue at all when it's "out". Today I went for another hip adjustment and the chiro again attempted to loosen some of the tightness around the Si joint to no avail. I think this may just be aggravating the problem while solving another.

My question is: could this in any way be a disc issue? My symptoms lie right over the Si joint and spread to the surrounding butt muscles. So painful! Chiro had me lean to the side and asked if that made the pain worse as a test to see if it was the disc. It didn't, so he's assuming that the Si alone is inflamed and just plain angry. Could I have "broken" something? Can this issue be resolved? Is chiro making the area worse? Almost went to the ER this morning because of it. Any help would be greatly appreciated!

Hello Lorraine,
The spine is notorious for referred pain; although it appears to be located in the SI joint there's not guarantee that it is the spoke in the wheel.

The fact that forward bending hurts certainly suggests a disc may be involved. Do you have pain with sneezing, coughing or bearing down on the toilet.

Sit in a kitchen chair and straighten your leg parallel to the ground; repeat with the other leg. Do you get pain in the lower back, buttock or leg?

It is possible that the manipulation could be making it worse; every chiropractor will admit to having worsened a disc injury. It's a skilled business and sometimes one makes the decision to do this or that, and it's not best.

You obviously know your chiropractor well, so discuss these things with him.

Are you doing any back exercises. You'll find ours in the navigation bar at chiropractic help. Do them before arising in the morning; in bed. Ice will help.

I think you must use your common sense and gut feel; if it seems sensible to stop with chiropractic manipulation for a period, then do so.

As you have done but writing to chiropractic help, get another opinion. Be careful; sit less, don't bend and be very careful with lifting and housework.

I hope this contributes.

Dr B

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Aug 19, 2016
SI joint pain
by: Lorraine

The pain tends to go away after an adjustment, but only for a short time, sometimes literally hours after the adjustment. Then my right hip rides "up" again, and the pain starts all over.
By the way, thank you so much for answering!

Start with some simple exercises for SI joint pain done faithfully every morning before arising; in bed.

Use ice for pain control and generally be careful; not a time for spring cleaning.

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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