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Catherine sheila

New User, Becoming EHEALTHy
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.

End: http://www.Spine-health.Com/topics/cons erv/overview/inj/inj04.Html

hopefuly this is helpful.
Brian
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