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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sciatica Pain And Lower Back Pain

Can you please explain to me what " bilateral sclerotic changes on the iliac side of si joints" means?.. Also, could this be the cause of my extremely painful lower back pains and what feels like pain in my hips and pretty much constant sciatica pain?..
Should I be concerned? I am 31 years old. I was reading an old hospital report and seen that written in the incidental findings section. The report is 3 years old.
Tue, 7 Jul 2015
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General & Family Physician,  's  Response
HI,
I understand your concern.
Sclerotic changes consist of inflammation of sacroileac joint of pelvis which turns to fibrosis & finally the bones of the joint unite to form sclerosis of joint.
The fused bones can exert pressure on sciatic nerve,leading to back ache/ sciatic pain.THr pressure on nerve roots at spinal level also can same symptoms.
You are refering to old report. It's worth getting fresh investigations done followed by specific treatment. ( Pain killers/ physiotherapy )
Thanks.
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Suggest Treatment For Sciatica Pain And Lower Back Pain

HI, I understand your concern. Sclerotic changes consist of inflammation of sacroileac joint of pelvis which turns to fibrosis & finally the bones of the joint unite to form sclerosis of joint. The fused bones can exert pressure on sciatic nerve,leading to back ache/ sciatic pain.THr pressure on nerve roots at spinal level also can same symptoms. You are refering to old report. It s worth getting fresh investigations done followed by specific treatment. ( Pain killers/ physiotherapy ) Thanks.