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SI Joint injection, EMG, and Nerve Block

I'm wondering if anyone has had a similar experience with diagnosing SI Joint problems. I've had chronic pain for 2 years, all symptoms match up to SI Joint related. I definitely have felt a lot of movement in the joint area, like clunking feeling. My pain is sharp in SI Joint area, radiates down legs to feet, pain on outside thigh at times, worse while standing still or sitting, stairs and bending, while better with walking and movement. Last year a Spinal Specialist told me he thought I was dealing with Sacroillitis. He noted I have minor bulging in my two lowest discs, but this shouldn't be causing this much pain. He only recommended PT and acupuncture. A year later I was feeling a little better with not working, not bending, PT, and diet. But had another terrible flare up. I moved to NY to stay with family and get more help. I went to Spinal center here, seen by nurse practitioner. She said after looking at the MRI I have two bulging discs and need nerve blocks, with no mention of SI Joints. I told her what the last doctor said and she did some pressing around asking me where pain was. Then she said yes it is possible it could be SI Joint pain and referred me to get SI Joint injections. Man those hurt like crazy, but I felt significant relief for about 2 weeks. Now the pain is starting to come back and I went to see same nurse to get referred for second shot. She again said she thinks it's from the bulging disks and recommended getting nerve block. I'm a little nervous about doing that, so I asked to try another round of SI injections. She agreed and also set me up to get EMG testing done. Does this sound familiar to anyone? I am so confused as to what to do. Could the pain be caused by both SI Joints and discs, has anyone else had luck with Nerve Block and EMG test? Why is this so hard to diagnose and treat??


  • SooveritSooverit Finger Lakes region of NYPosts: 459
    I'm right there with you. I am totally convinced that the majority of my pain comes from sijd. Two doctors have agreed, but won't name it as the primary problem! One tricky thing is that I have significant tears on my two lowest discs, and they do generate pain- and an ESI relieved both the disc AND the si joint pain. However, I went to my neurosurgeon appt yesterday and he said he did not think the discs were the pain generators. So, he called a neurologist in, and he said it's pudendal neuralgia! Both ac knowledge the si joint pain, accepted that my pain was primarily in that area, but would not consider sijd! 

    Now I'm supposed to have a pudendal nerve block, which sounds horrendous! 

    Thankfully, I have another appt set up with a spine surgeon in a different city who is trained in i-fuse. Maybe I will be able to get a diagnosis and treatment through him.

    I know what you are going through, and it is very frustrating.

    I hope we both get this sorted out soon.

    Take care, 
    Sara :) 
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