Has anyone had SI joint steroid inj for post-op Leg pain? I have a spinal fusion with pelvic screws and have mid L buttocks pain. This occurs when i walk. My pain management MD thinks that SI joint steroid injection might relieve the pain. I did not have this pain before surgery. Thanks, Susan
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SI joint injections for leg pain (post-op spinal fusion w/ screws in pelvis)
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SI joint injections for leg pain (post-op spinal fusion w/ screws in pelvis)
Adult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rodTags: None
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Had one about 6 weeks ago
Hi Susan, I had a steroid injection in my hip joint about 6 weeks ago. After 2 weeks, I had not seen any improvement. I had begun seeing a new physical therapist at that point, and she began treating my fascia. She gave me a medicated patch with batteries in it- the medication was an inflammation reducer, and the batteries (which were flat, like hearing aid batteries) forced positive/negative ions into the joint to stimulate blood flow in the muscle (if I am translating that correctly). I immediately felt relief. My pain doctor told me the injection could take a couple days to kick in, and both of my physical therapists told me they have had patients that it took a couple weeks, and the newer therapist said she often saw results when adding this patch to the injection site. So, I'm not sure what exactly improvement was from- but if I had to do it again, I would start with this therapist and the patch, and then do an injection if the patch doesn't work on its own. It likely was a combination of both, but, I think steroid injections should be a last resort.
Good Luck!
Tiona
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Hi, Susan,
I had two,one in each several weeks ago. Relief was instant and immense. It was a new pain for me as well. The main pain was located in the back of my hip, centered near my sacrum. It radiated up my side and down my leg on the outer side to my knee. It was not a constant pain, more a come and go thing related to my activity. My pain management PA tested for it by having me draw my leg up to my shoulder and twisting the bent leg to the side as far as it would go. Ow means it's positive for SI joint. She said that having the pelvis be fused to the sacrum puts an extra heavy load on the SI joints. Inflammation builds up and if left unabated can destroy it. Go for the shots. After what you've been through they are no biggie!Wendy
Fusion T6 to S2 with Dr. Carlos Bagley,
Duke Spine Center
Surgery Date June 21, 2013
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Originally posted by tiona24 View PostHi Susan, I had a steroid injection in my hip joint about 6 weeks ago. After 2 weeks, I had not seen any improvement. I had begun seeing a new physical therapist at that point, and she began treating my fascia. She gave me a medicated patch with batteries in it- the medication was an inflammation reducer, and the batteries (which were flat, like hearing aid batteries) forced positive/negative ions into the joint to stimulate blood flow in the muscle (if I am translating that correctly). I immediately felt relief. My pain doctor told me the injection could take a couple days to kick in, and both of my physical therapists told me they have had patients that it took a couple weeks, and the newer therapist said she often saw results when adding this patch to the injection site. So, I'm not sure what exactly improvement was from- but if I had to do it again, I would start with this therapist and the patch, and then do an injection if the patch doesn't work on its own. It likely was a combination of both, but, I think steroid injections should be a last resort.
Good Luck!
TionaAdult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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Originally posted by WLB1 View PostHi, Susan,
I had two,one in each several weeks ago. Relief was instant and immense. It was a new pain for me as well. The main pain was located in the back of my hip, centered near my sacrum. It radiated up my side and down my leg on the outer side to my knee. It was not a constant pain, more a come and go thing related to my activity. My pain management PA tested for it by having me draw my leg up to my shoulder and twisting the bent leg to the side as far as it would go. Ow means it's positive for SI joint. She said that having the pelvis be fused to the sacrum puts an extra heavy load on the SI joints. Inflammation builds up and if left unabated can destroy it. Go for the shots. After what you've been through they are no biggie!Adult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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Originally posted by susancook View PostHas anyone had SI joint steroid inj for post-op Leg pain? I have a spinal fusion with pelvic screws and have mid L buttocks pain. This occurs when i walk. My pain management MD thinks that SI joint steroid injection might relieve the pain. I did not have this pain before surgery. Thanks, Susan
I have had steroid injections in my SI joint for pain in my left buttock and I really didn't get any relief. Some people get relief from them and some don't. If you decide to get one, I sincerely hope that it works for you. Take care, SallyDiagnosed with severe lumbar scoliosis at age 65.
Posterior Fusion L2-S1 on 12/4/2007. age 67
Anterior Fusion L3-L4,L4-L5,L5-S1 on 12/19/2007
Additional bone removed to decompress right side of L3-L4 & L4-L5 on 4/19/2010
New England Baptist Hospital, Boston, MA
Dr. Frank F. Rands735.photobucket.com/albums/ww360/butterflyfive/
"In God We Trust" Happy moments, praise God. Difficult moments, seek God. Quiet moments, worship God. Painful moments, trust God. Every moment, thank God.
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Iontophoresis
Susan,
I haven't had surgery but have chronic SI joint pain and the injections have failed because the Drs. said I had too much arthritis which prevents proper needle placement. Anyway, my physiatrist has done a series of the patch procedures and it's called iontophoresis. A steroid medicine was placed on patch and then transmitted transdermally. These treatments have worked very well for me with one caveat. My doctor recommended a series of 10-12 treatments, 2-3x per week for several weeks but I developed a rash after a few treatments each time. The rash was akin to a localized bout of poison ivy. Despite the rash, I kept going for 5-6 treatments and the relief lasted many months. My current insurer limited these treatments but I'll have a new policy/insurer in January and I'll try it again. The relief lasted much longer than the rash, by many months. The second time I had the treatment, a different steroid formulation was used and that was slightly better, but the rash began eventually.
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Originally posted by gardener View PostSusan,
I haven't had surgery but have chronic SI joint pain and the injections have failed because the Drs. said I had too much arthritis which prevents proper needle placement. Anyway, my physiatrist has done a series of the patch procedures and it's called iontophoresis. A steroid medicine was placed on patch and then transmitted transdermally. These treatments have worked very well for me with one caveat. My doctor recommended a series of 10-12 treatments, 2-3x per week for several weeks but I developed a rash after a few treatments each time. The rash was akin to a localized bout of poison ivy. Despite the rash, I kept going for 5-6 treatments and the relief lasted many months. My current insurer limited these treatments but I'll have a new policy/insurer in January and I'll try it again. The relief lasted much longer than the rash, by many months. The second time I had the treatment, a different steroid formulation was used and that was slightly better, but the rash began eventually.
SusanAdult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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SI steroid inj successful!
I am pleased to report that the SI joint corticosteroid injection greatly decreased my mid buttocks pain. I am very pleased! I was anxious to have relief and of course wanted the pain to decrease IMMEDIATELY....but it took about a week and the pain is gone! Funny thing about pain, but it took me an entire day to realize that the inj worked. It actually took me a day to miss the pain! I suddenly realized that my butt pain was gone, hallelujah! SusanAdult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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Susan,
So glad to hear the steroid helped you.
SallyDiagnosed with severe lumbar scoliosis at age 65.
Posterior Fusion L2-S1 on 12/4/2007. age 67
Anterior Fusion L3-L4,L4-L5,L5-S1 on 12/19/2007
Additional bone removed to decompress right side of L3-L4 & L4-L5 on 4/19/2010
New England Baptist Hospital, Boston, MA
Dr. Frank F. Rands735.photobucket.com/albums/ww360/butterflyfive/
"In God We Trust" Happy moments, praise God. Difficult moments, seek God. Quiet moments, worship God. Painful moments, trust God. Every moment, thank God.
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It is great not to have the L butt pain. Hope that the steroid last for months!.....maybe forever!
SusanAdult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis
2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
2018: Removal L4,5 screw
2021: Removal T1 screw & rod
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I hope it lasts forever too, Susan! That's great news. JanetJanet
61 years old--57 for surgery
Diagnosed in 1965 at age of 13--no brace
Thoracic Curve: 96 degrees to 35 degrees
Lumbar Curve: 63 degrees to 5 degrees
Surgery with Dr. Lenke in St. Louis--March 30, 2009
T-2 to Pelvis, and hopefully all posterior procedure.
All was posterior along with 2 cages and 6 osteotomies.
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