Dr. John Keating: Sacroiliac Joint Pain And How To Fix It!
Go To: www.johnkeatingmd.com for more information on the Sacroiliac joint.
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April 7, 2010 - 3:25 pm
@janiga2001 Hi Janiga2001, Could you please tell me what prolotherapy solution you inject into the si and the particular location you inject and how often for how many weeks? I have read that a particularly aggressive prolotherapy solution is required. I am in Australia with disabling intractable si joint pain – unable to sit down. I should put it to a doctor here before I head to the US to get the surgery done. Also should it be fluroscopically guided?
April 7, 2010 - 4:23 pm
@janiga2001 What stabilisation solution do you inject into the si joint of these patients because I am considering this surgery.
April 7, 2010 - 4:31 pm
take calcium with vitamin d3 you’ll feel much better.
April 7, 2010 - 4:41 pm
does your ass go numb from SI pain? No matter the seat my ass goes numb and kills.
April 7, 2010 - 4:44 pm
Also, if anyone has a list of US/Canadian surgeons/clinics who perform this surgery, I would appreciate it.
All my research indicates that the conventional view is held by all the surgeons here – that is “we only do disc fusion” Chiropractors diagnose this but they can only treat with manipulation. At least in my case this will not stabilize the sacrum.
April 7, 2010 - 4:56 pm
In Australia who are the best surgeons for this surgery?
I need this surgery, 8 years of severe symptomatic pain and disability (almost completely unable to sit) after high impact snowboard fall onto left buttock.
April 7, 2010 - 5:17 pm
A good pt can help get most of the pain out but medication is still better than surgery any day.You can always go back every 6 months or so if you need more pt.
April 7, 2010 - 5:19 pm
I’m having SI pain from pregnancy hormones (relaxin). I don’t have a lot of insurance for PT care but I have been doing the recommended exercises and wearing an SI brace. I started doing some chiro which had helped for a little while but now I’m feeling worse this week…. I’m supposed to keep going for a total of 12 weeks but I’m not sure if this is a good solution. I’m hoping once the pregnancy is finished this goes away!
April 7, 2010 - 5:32 pm
Do not believe that chiropractors can help longstanding SI problems. You are much more likely to have the range of motion INCREASE, causing more pain in the long run. A knowledgeable chiropractor will tell you this little fact.
April 7, 2010 - 6:10 pm
I spent $1800 and two hours, three days a week for 11 weeks with a chiropractor who diagnosed me with SI joint sprain. I felt a little relief with the PT that I did there, though the therapy was what helped, NOT the chiropractic. I believe in alternative medicine but belive that, as the medical professional points out in this video, an SI problem MUST be addressed by a doctor with a MEDICAL DEGREE. I do NOT recommend seeing a chiroproctor for this and other serious joint problems
April 7, 2010 - 6:52 pm
After surgery you will wsddle like a duck. CHIROPRACTIC!!!
April 7, 2010 - 7:38 pm
This surgeon fails to advize chiropractic care before submitting to this irrevesible procedure. CHIROPRACTIC!!!
April 7, 2010 - 8:23 pm
The problem is many patients get worse with SI joint fusions. A better solution is a stabilization solution injected into a patient’s SI joint’s. I have a 90% success rate doing this for my patients assuming they have no prior surgeries. This is a permanent solution that still allow slight movement of a patient’s SI joint. Do not have a fusion!
April 7, 2010 - 8:46 pm
Has anyone had this surgery by Dr, Keating? And have the screws stayed in place or have they loosened within a couple of years?? I considering having it done. I’ve been through the injections and physical therapy. It helped for a little while. I just want my life back and to be able to get back to work.
April 7, 2010 - 8:49 pm
The SI joint can become misaligned and my physical therapist corrected it.
I had a auto accident that a car pulled out in front of me on a highway and I pushed on the brake so hard it jammed my SI joint out of place.
My SI joint tends to go out of place several times and when just stepping over a curb.
When I researched auto accidents and SI joint injury I found out this was common in this situation.
PT,good shoes, stretching, and anti flammatories help me the most. BJ
April 7, 2010 - 9:06 pm
Before doing surgery, please let me try! See my videos ProPTRehab. When you strengthen the multifidi with the ATM2, you might find some of that instability disappear. Also, I evaluated using the McKenzie eval & you can r/o the L/S 1st.
April 7, 2010 - 9:34 pm
wanker
April 7, 2010 - 10:27 pm
For anyone suffering from lower back pain caused by the SI joint, try alot of massage therapy, chiropractic work, and lots and lots and lots of stretching to fix postural issues and overly tight muscles before you look into surgery. i was suffering for 5 months as a result of a weight lifting injury and am just now finding the right combination of self administered massage, self-adjustment, and stretching to achieve normalacy again. theres always hope!
April 7, 2010 - 10:44 pm
SI Joint Surgery: over 85% of people who have it end up in MORE pain than before.
Just due to TIME alone the fusion will fail. The SI Joint needs to move. EVEN if it’s a tiny amount. I mean Milimeters.
The good SI joint will eventually fail over time due to the odd movement caused by the Fused side.
And, only 3 to maybe 5 places in the US do this. NO medical Dr will treat someone for this only to prevent infection.
Be an INFORMED patient.
Do look into this, but all of it.
April 7, 2010 - 11:17 pm
I am so glad to see that there is a community out here and videos on this. I have had arthritis since I was 15, Im in my 30′s now. I also have a ruptured L4/L5. Ive tried SI injections via floroscopic (the arthrogram he referred to at 3:09) guide and epidurals in the L4/L5 region. The latter of the two seemed to give me the most relief. I got it in May, it seems to have worn off. Of all the joints impacted by my arthritis the SI joint is by FAR the worse!! Thanks for posting!
April 8, 2010 - 12:03 am
After the surgery, is the patient typically able to return to a normal lifestyle and ability to exercise?
April 8, 2010 - 12:38 am
I’d also like to point out that many of us with SI joint problems seem to have other related problems…back, buttock, leg, foot pain.
I’m having a little bit of trouble understanding how the surgery presented here will help with the associated conditions. For me, all these pains seem to be related. Muscle imbalance? Out of alignment? Something!
April 8, 2010 - 1:22 am
I’ve been doing pilates for the last two months. It’s helped with building the core. And I’m constantly trying to engage my core at all times while remembering NOT to let the pelvis tilt forward. Tried YOGA with various how to books..”Relief is in the Stretch” is NOT recommended. The recommended “Camel Pose” caused lock-up & severe pain!
I plan to continue with a life long dedication to pilates and perhaps prof. supervised yoga. Surgery is definately a last resort.But I’ll keep it in mind.
April 8, 2010 - 2:09 am
Interesting!I’ve been suffering with a pain in the ass for 2yrs.1st they told me it was piraformis syndrome.6mnths ago the pain was from L4-L5 disc herniation.Had PT for the last two months,corrected my anterior pelvic tilt, now just finished up my 5th round of injections (epidural,facet joint,SI joint).Recent SI injection helped w/piraformis area pain.But I’m still in pain everyday from SI area to my little toes where the Morton’s Neuroma is..Don’t think screwing my SI joiny is goin to help me
April 8, 2010 - 2:44 am
For a year I have been having problems with my SI joint. Just recently I discovered certain Yoga poses the are good for strengthening that area and relieving my pain. It worked for me. It is worth a try. This past year I have felt my SI joint pop when doing the littlest movements and I am in agony for days. The yoga really helped