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Thread: pain in SI joint after fusion to sacrum

  1. #1
    Join Date
    Apr 2004
    Location
    Sydney Australia
    Posts
    63

    pain in SI joint after fusion to sacrum

    Has anyone had problems with SI joints after fusion to the sacrum? I have had sharp pain in my lower back after bearing weight on either leg or shifting weight on the sit bones. I mentioned it to the surgeon and he said it was probably a blown disc in my lower back. This pain started after a bone graft from the left hip after I had some cervical vertabrae fused. I have read that a bone graft taken from the hip can result in some pelvic instability. I have also read that fusing to the sacrum can cause extra stress on the SI joints. I am thinking about postponing the scoliosis surgery until I find out exactly what is causing this new pain, and give my body more time to heal. I am only 5 months post op from the cerivical surgery, but I decided to have the scoliosis surgery ASAP because I feel like my life is on hold. I have various pains in my hips and lower back, particulary the left one which is much higher than the right, sticks out and is pushed forward, but this pain is new. The doctor will not use bone grafts from my hip for the scoliosis surgery.

  2. #2
    Join Date
    Sep 2003
    Location
    NJ
    Posts
    1,291

    sacroiliac joint

    I was fused to the sacrum 2 3/4 years ago. I have absolutely no pain anywhere unless I overdo something and never there.

    Karen
    Original scoliosis surgery 1956 T-4 to L-2 ~100 degree thoracic (triple)curves at age 14. NO hardware-lost correction.
    Anterior/posterior revision T-4 to Sacrum in 2002, age 60, by Dr. Boachie-Adjei @Hospital for Special Surgery, NY = 50% correction

  3. #3
    Join Date
    Jul 2004
    Location
    Dallas, TX, USA
    Posts
    114
    i am interested in hearing others' experiences as well...i was doing great until february, when i started to experience nerve pain in my right buttock that radiated down to my foot. this is the side where my graft was taken and where my lumbar curve was. my surgeon believes the pain is caused by scar tissue around the nerves at l4 and l5; i've been seeing a pain management specialist for treatment. insurance will not cover the lysis procedure that my drs. think is necessary, so we've tried other types of epidural injections with modest success; the last treatment was an injection into a sacral joint. i used to have all my pain on the left side; that was completely corrected by surgery and now this!
    Sue


    Milwaukee Brace from ages 8 - 16
    T36 degrees/L56 degrees Pre-Op
    Fused T3 - S1
    Surgery done Sept. 15, 2004
    Dr. Robert G. Viere
    North Texas Spine Care @ Baylor

  4. #4
    Join Date
    Sep 2003
    Location
    NJ
    Posts
    1,291
    I had assorted pains during the healing process;you name it I had it. I did have assorted leg/rear end pains-not to mention the shoulder blade stuff.

    What helped me was myofascial release by a muscle therapist. This is not simply massage-that is not deep enough. I had physical therapy for a couple of months and my exceptional physical therapist recommended someone. This exceptional PT person did do some release but did not have the time alotted to do it.
    This myofascial release is NOT covered by insurance so I paid out of pocket. I also do modified Pilates.

    I am now totally pain free.

    The reason for this pain is scar tissue forming around the various nerves and muscles. The nerves and muscles can be bound up painfully in scar tissue which is very tough. This is a good reason to keep moving and as active as possible during the recovery period to prevent all the tissues from getting "locked-up" in scar.

    Manual scar release is painful as is any new exercise which will stretch the scar tissue but is worth it in the long run. I had maybe 6-8 treatments about 3 weeks apart. Haven't had any since Jan.

    Karen
    Original scoliosis surgery 1956 T-4 to L-2 ~100 degree thoracic (triple)curves at age 14. NO hardware-lost correction.
    Anterior/posterior revision T-4 to Sacrum in 2002, age 60, by Dr. Boachie-Adjei @Hospital for Special Surgery, NY = 50% correction

  5. #5
    Join Date
    Jul 2004
    Location
    Dallas, TX, USA
    Posts
    114
    karen, i'm glad to know that you worked through the nerve pain/scar tissue thing! i will investigate the myofascial release. i exercise at least 5 times a week; pilates, core muscle strengthening, and cardio work + walking. i do notice that the more i move the better i feel; i'm in school right now and we sit for 6 hours a day and it is pure misery!!!! accupuncture took care of the shoulder blade pain i had, but didn't do much for the nerve pain on the right side. you've given me a good idea plus some hope...thanks!!!
    Sue


    Milwaukee Brace from ages 8 - 16
    T36 degrees/L56 degrees Pre-Op
    Fused T3 - S1
    Surgery done Sept. 15, 2004
    Dr. Robert G. Viere
    North Texas Spine Care @ Baylor

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