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Re: Sacroiliac Joint Injections

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I had shots into my SI joints on multiple occasions. Originally I got quite

good relief from them but the last time I had one it only helped for a few

weeks and because of my age and the cumulative effects of cortisone on the

bones my doctor decided it was no longer worth doing. However the relief was

quite good when it did work.

Gareeth

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I have PsA and my SI joint is the biggest problem for me on a long term basis. I

have had several injections and they do work but it takes a couple of days for

the whole thing to settle down. I also have either Novocaine or something like

it mixed in with the cortisone and it freezes the area for some short term

relief as well. It's painful but worth it if you're really suffering.

Just some advise before you get it. There is a difference between getting the

shot with or without an ultrasound. If done properly it should be with

ultrasound. I first got it without (by an ER doc) and it only affected the

surrounding tissues because you can't get it in the joint without the help of an

ultrasound. The relief is only for a few days following the injection. If your

rheumy is doing it or ordering it, it will likely be done properly.

I don't have RA but I had some family members who did and it did affect the

spine eventually but I don't know how that compares to my problem. Some are gone

now and no one else seems to know much.

Hope this helps.

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Good Morning!

I dealt with SI joint issues for a year. Finally went to pool therapy

specifically for the SI joint.....in a really warm almost hot pool especially

for arthritic therapy.

This therapy really really helped. Much more than the actual injection.

The therapist was very knowledgeable in SI joint issues, so that really

helped.

I still do some of the exercises in my chair.....squeezing my bottom

together and holding to the count of 10......several times a day is one of

them.

Wishing you well....SI joint pain is horrendous......

Lots of love,

~Marcia~

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Marcia: I work out in a pool often. Any other exercises you can suggest (or

explain via e-mail)? I have SI joint problems also.

Joanna Hoelscher

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Initially they diagnosed me with spondyloarthritis, secondary to psoriatic

arthritis. Just one of about 5 different forms PA can present as. I did have the

cortisone injections into the sacroiliac joints, and like another poster,

Novocaine was mixed in with it. However, my insurance company insists that

joint injections are " experimental " and refuses to pay for them, despite appeals

from myself and the rheumatologist. The procedure is expensive, so just be aware

and maybe make sure it's covered by your insurance first. My hips eventually

hurt so much that my back pain sort of took second place, but now that both hips

are replaced and feel great, the back pain has stood up and shouted for

attention again, LOL. Currently, I plaster Lidocaine patches over the sacroiliac

area twice daily. You wouldn't think it would help, but it does numb the area

enough that I can at least function at work. The Lidocaine patches even help

numb the chronic calcified Achilles tendonitis in my right heel as well, when I

plaster one there.

" achymommy " <lauramcmickens@...> wrote:

<<Has anyone been diagnosed with sacroiliac dysfunction/deterioration due to

their inflammatory arthritis? If so, have you tried cortisone injections in the

SI joint and did they work? >>

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This is the most affected area in my body by PA. I'm on MTX and Daypro (an

NSAID) which helps pretty well. But, I've had tremendous pain in the SI

periodically (around every 6 months) treated by corisone injections. They have

helped very much! My rheumy does it in his office and by the time I'm home

(about an hour drive) I feel some relief. I've had no side effects that I'm

aware of.

Good luck,

Caroline

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