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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Suggest Treatment For SI Joint Pain With A History Of Back Injury

I had a low back injury when I slipped on a wet floor in 1997. I went thru the Colorado work comp system for a time. However, I sought help out of the system in 2001. I went to San Antonio, Tx. to get an independent evaluation and subsequent L5-S1 Spinal fusion with cages in May 2001. I did fairly well, however, I always have had an SI joint pain and dysfunction. If I have a Chiropractic adjustment, I have relief of my dysfunctional gait and of the right SI Joint Pain. I feel this has gone on long enough! It is now 2011, so it is 13 years past my injury. Help?
Mon, 6 Apr 2020
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Orthopaedic Surgeon 's  Response
Hello,

It looks that you had surgery about 13 yrs back and it was fusion at L5 and S1. Due to this surgery the movement which was occurring at L5-S1 level is now occurring more at its corresponding L4 and at SI joint level. This may lead to little more pressure at SI joint area. I will advice you following to help you:
1. Apply an analgesic ointment. Locally, do not massage, three times a day
2. Do warm fomentation locally for three times a day over affected area
3. Do not bend at your back. Better to sit and then lift any object.i.e., adopt good back habits.
4. Take a joint supplement like glucosamine, chondroitin to combat any early degenerative changes.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Mukesh Tiwari, Orthopaedic Surgeon
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Suggest Treatment For SI Joint Pain With A History Of Back Injury

Hello, It looks that you had surgery about 13 yrs back and it was fusion at L5 and S1. Due to this surgery the movement which was occurring at L5-S1 level is now occurring more at its corresponding L4 and at SI joint level. This may lead to little more pressure at SI joint area. I will advice you following to help you: 1. Apply an analgesic ointment. Locally, do not massage, three times a day 2. Do warm fomentation locally for three times a day over affected area 3. Do not bend at your back. Better to sit and then lift any object.i.e., adopt good back habits. 4. Take a joint supplement like glucosamine, chondroitin to combat any early degenerative changes. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopaedic Surgeon