Joined: 18 Feb 2006 Posts: 1 Location: perth australia
Sacroilliac Pain Posted: 02-18-06 09:24am
I am 39 and have been suffering from
constant lower back pain for five years.
I have had mri's xrays etc and nothing
substantial has shown up. I fell in a
game of netball five years ago. I fell on
my right knee heavily and ever since that
day the lower back ache has not gone away.
It has made my life hell. I have had to
give up all sport and have suffered
depression just trying to cope. The
specialist finally gave me a bone scan
about twelve months ago which showed
slight arthritis of the sacroilliac joint,
so I have had three steroid injections.
And apart from initially (about one or two
days ) they havent helped. My pain
specialist suggested a rhizotomy of the
sacroilliac joint (both sides) which I had
about three weeks ago. For the first day
or two I had no back pain so I guess we
have got the right spot. Since then
though the pain in my back has returned as
well as the bruising sensation in and
around my buttocks. The pain is also in
my coxic bone so sitting can be really
hard. I have tried all types of treatment
and spent a small fortune on trying
different exercise programs etc. I just
don't know what to do next. Do you think
this rhizotomy will get any better or do I
throw in the towel. I have three
teenagers and I just cant cope any more no
pain killers make any difference either.
Please help
cathy
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Tamadrummer
Active User, Really EHEALTHy
Joined: 15 Oct 2004 Posts: 710 Location: Zephyrhills,Fl
Posted: 02-18-06 09:55am
I am going to paste an article from a
website called: spine-health.Com. It is a
direct copy from their doctors, I will
also paste the link but this site is
horrible about pasting links and having
them work.
Here is the article:
facet rhizotomy injection
in some low back pain programs, if three
facet block injections provide good but
temporary relief of the patient’s pain,
a facet rhizotomy injection may be
recommended. The purpose of a facet
rhizotomy injection is to provide lasting
low back pain relief by disabling the
sensory nerve that goes to the facet
joint.
In this injection procedure a needle with
a probe is inserted just outside the
joint. The probe is then heated with
radio waves and applied to the sensory
nerve to the joint in order to disable the
nerve.Theoretically, by deadening the
sensory nerve to the facet joint, a facet
rhizotomy effectively prevents the pain
signals from getting to the brain.
A facet rhizotomy injection is successful
in providing lasting pain relief for
approximately 50% of patients.
Sacroiliac joint block injection
sacroiliac (si) joint blocks are
injections that are primarily used for
diagnosing and treating the low back pain
associated with sacroiliac joint
dysfunction. The si joint lies next to
the spine and connects the sacrum (bottom
of the spine) with the pelvis (hip).
In an si joint block injection approach, a
physician uses fluoroscopic guidance (live
x-ray) and inserts a needle into the
sacroiliac joint to inject lidocaine (a
numbing agent) and a steroid (an
anti-inflammatory medication). It takes a
highly skilled and experienced physician
to be able to insert a needle into the
sacroiliac joint.
An si joint block injection may be
repeated up to three times per year. For
the treatment to be successful, the
injection should be followed by physical
therapy and/or chiropractic manipulations
to provide mobilization and range of
motion exercises.
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