8 month's😢...When you just said you understand the pain, Debilitating in every way possible i felt that no one understands what I'm truly going through I've had my MRI but they think it's bilateral it's bin my R side since August 2023 am going for a CT But NOOO relief from the SI targeted injection and my insurance is not great i just wanting to stop and say it was nice to hear a Doctor who understands!! Back to the vide.
After years of research finally an all encompassing explanation. Thank you doctor for taking the time to do this video I now have a better understanding and direction to go. I also now now realize II need a doctor who is more interested in my issue.
I was looking for a second opinion before rushing into steroid injections and surgery. This is the video that sent me across the state to see Dr. McRoberts. This is exactly how he is. He is patient, thorough, and explained my MRI to me in a way that I could understand. Never rushed me and didn't encourage the use of steroids or other injections. He gave me exercises to do at home and a Rx for PT. He was so encouraging. And I really appreciate that he takes the more conservative approach of helping the body to heal itself before heading in to more agressive treatments. I can honestly say he relieved my fears of what was happening to me. If I ever have other spinal issues he will be the first doctor I see.
That's what I thinking about 7 Ortho appointments later I'm Googling my MRI....I left every appointment with more questions than Answers😔 not only do i have scrorilitiis i have a lot going on in my spine especially L4,L5 year's of disc high loss and bone spurs ect..I was thinking last night i wouldn't want to tell someone all this and can't help..I'm very happy you got exceptional care and are doing better!!!!
Wow! Dr McRoberts, you truly educated me today. Everything you covered, I followed! This was fantastic! Thank you! I'm a former patient of yours. You know me as " RR" gotta get back to see you for some follow ups! No one explains things the way you do with such clarity ! God Bless You sir
This video was one of the most succinct, informative, comprehensive, educational, proactive and inspiring compilation of everything to do with the S-I Joint! Thank you for taking the time to share all your professional and personal information with us. You’ve inspired me to discuss many points you’ve brought up with my Pain Management team. God Bless and Keep You❣️
I went through 30 years of chronic pain before discovering a medical journal discussing the symptoms of a dysfunctional SI joint...I had it fused & it was a complete success!
Same. After 15 yrs of debilitating pain bilateral I've now had my left sacroiliac joint fused, if had 3 injections into the bone, they never lasted longer than 8 wks, one lasted 2 wks. 2 mths post surgery I'm pain-free. The pain in my right hip which is bone on bone, has considerably lessened. Though I'm scheduled for a total right hand side hip replacement in April. If my rhs sacroiliac joint continues to hurt I'll definitely have that fused also. Unfortunately both sides couldn't be done together
@@JamesSohol-t5s oh wow i'm curious as to was if the non invasive one with the piece or the si fusion? I'm overwhelmed with pain and now the only option is surgery ..... saying i'm concerned is a major understatement,
Im not going back to the va until i know how to articulate what it is that i need. Thank you for sharing/educating. Im taking notes and I am just so grateful to you.
I have been fighting this problem on both sides for over 2 years. I’m scheduled for a fusion in 3 weeks. Your video was by far the best information I’ve received from countless medical specialists. Thank you for taking the time that most doctors do not have in the examination room to cover this topic.
I've become a victim of Doctors I have these symptoms including the sciatic pain down to my foot so after 2 discectomies and one Foraminotomy a 2 level fusion with no relief and all the doctors that i have seen not a one of them have ever suggested or even looked for SI joint problems . So last week at a year follow up dr appointment I suggested an injection to the SI joint so I'm still looking for answers. This a great in depth video that i wished that I could have seen 5 years ago. Getting the right diagnosis for your pain is so critical !!
i re- watch this info every 6 months or so to remind myself of all the important thing to remember. i stepped in a hole running and jarred my right side s i joint. For years i had reinjured it badly at least once per year. this talk and all the stretches are the only thing that provided a cure for that pain. believe this guy, follow his lead and you can take control of this . thank you very much sir your presentation is excellent!!!
24+ yrs of chronic pain...was in pm for yrs---tried pt injections...I just about gave up....I guess it takes finding a doc who experienced same ....thank you so much for making this video Dr. M....
As a person who has had SI joint pain for the past four months and has been struggling to find someone who can adjust the sacrum, this video is jampacked with just all kinds of fantastic information. I found this video three months ago and I’m re-watching it today. It really confirms everything that I have learned and been through in the past four months. I have found a good osteopathic doctor, good chiropractor, and good physical therapist who all understand the SI joints and know how to put the sacrum back into place. My old physical therapist and chiropractor did muscle energy technique and the typical back crack to get the sacrum to move, but none of those movements addressed the position of the sacrum itself and getting it unstuck. My muscles are also chronically tight and pulling on the sacrum, causing compression at all times. We will be addressing the muscles to loosen those up, which will then allow the pain to slow and loosen the other surrounding muscles, allow the ligaments to start to heal, and then strengthen and stabilize the area. I will come back in a little while and provide an update to this comment.
Can you describe current pain patterns you have? How severe and what triggers it? I also struggle with SI for 5 months now but there's no SI specialists I can even google even within 300km radius, I really consider flying to USA to visit dr Hesch, apparently an expert in this, but scared with my pains (sometimes can walk 4000-5000 steps, sometimes 200 and then pain)
I also have had sacro-illiac problems since age 27. It was only two years ago at age 66 that I found a physical therapist that started me on the way to healing. First she felt the area and said the joint was twisted. She took her body and physically manipulated the tendon. Then they gave me exercises to begin rehabilitating the area. I also took yoga and pilates. Lately, I have had massage and acupuncture and at the moment I am pain freeafter 41 years of pain.
I've been dealing with this for 6 months since significantly growing my nonexistent glutes with pilates. Yikes the pain. So happy I found the culprit! Thank u dr for being so generous with this very thorough video!❤
So glad I came across this! Been suffering for months with what I think was a disc injury. In the process of being overprotective of my lower back I created an SI joint issue which was then aggravated by trying to do pigeon stretches, lunge movements etc. i already do bridges as part of my therapy but will be adding in the belt around the thighs part and didn’t realize I should do so many ( I guess my 3 sets of 10 sec holds is nowhere near enough! ) thanks for this !
I have had arthritis in my SI joints for over 15 years, and get bilateral injections once or twice a year. I have had 3 spine doctors, and this is the best explanation I have ever heard about this condition, so thank you!
I went through all the treatments yoi mentioned... chriros, pt. Injections, ablation ...Injections worked but like a month or 2, ablation worked like 6 months, then back to square 1, i was committed to pt but anything was making me feel between...so finally I ended up doing si fusion they use a implant silo tfx ...is been 4 weeks post op, still limping bc i camt put my weight on my right side .
Wow. Doc, I just ran across this video by accident. I've been suffering with SI Joint issues for years now. And, it truly IS debilitating. I'm about to have another ablation. Last one I had lasted for quite a while. I'm about to the point of asking my neurosurgeon about fusion. Unfortunately, my whole spine is a mess. I had a multi-level lumbar laminectomy several years back due to extreme stenosis and am now losing some stability there, so looks like a multilevel lumbar fusion is the cards. I also just had a multilevel fusion of about all of my cervical vertebrae. I think I'm truly on the way to becoming a $6 Million man. Anyway, I haven't had it suggested to inject the lubricant into the joint. I believe I will ask about that next. This was a great video, and I really appreciate you posting it.
Thats exactly what Baptist Health Hospital in Little Rock Arkansas did to me back in 2015 They fused L5 To S1 Now i i have a whole new set of pain-related issues, Thats why ive been binge-watching your videos
Sorry to hear this. Did you ever have relief after the surgery? I know that this seems to be the problem with fusions. They eventually cause problems above or below the fused area, and then you have to have another surgery. I was wondering how long of a time one gets relief from pain before another surgery is needed. Really sorry you are having this.
Thanks I have a better understanding of this and can speak to my Orthopedic doctor we are working together to find the best treatment for me I am a healthy 75 and still active and we all agree it’s the quality of life
This all describes me and I have a scoliosis and leg length discrepancy. After a total knee replacement I exhibited all those symptoms- the MRI show’s stenosis etc BUT thanks to you I will see if I can get a differential dx . Thank you SO MUCH!
This is a great find. I’ve learned more about my si joint dysfunction than I have in the past 12 years going to doctors, including why burning the nerves didn’t work. The doc tried three times, and then just said “there are a lot of nerves back there.” Pain doctors didn’t help and kept me on painkillers which lost effectiveness so I gave them up. My current primary says “there’s nothing more we can do,” but this shows more options for me to try. I’ll work on the bridges and the stretch, and now know where to go from there.
Best descriptive SI joint knowledge I’ve heard. After two laminectomies and two lumbar fusions, I now am suffering with debilitating leg pain from the knee to the ankle only when I first wake up!
This is the best video I have ever seen on SI JOINT pain. I've had it for 22 years the worst years the last 8-9. I can barely walk or stand. I live in New York. Wish I lived in Florida!! But fantastic information! Thank you. Suicide would be my next option because the SI joint pain has severely decreased my quality of life. I have loved ones so I'm not planning on doing this but I can absolutely see why people would just want out. It's no way to live!
I've been a hardcore cyclist for over 20 years and before that, an avid runner and fitness enthusiast. I have been doing the SI joint dysfunction dance for at least 20 years and I want to thank the doctor for being very honest and candid about what works and what doesn't. As a fitness instructor, I believe in strengthening the area around the SI joint and then modifying activities to minimize the stress on the joints. Drugs and surgeries are not a guarantee of solid results. Lifestyle adaptations and understanding that one needs to take care of their body is the best approach to this very annoying condition.
This video has helped me so much. It brought me to tears. Thank you for the detailed information. It helped answer many questions. So many things mentioned were never asked me by my new spine doc. I felt very rushed and confused by her approach, and she wanted to go straight to injections. This information has given me so much more understanding and hope in some possible treatment solutions available before injections. THANK YOU!!!
This is remarkably comprehensive and helpful. Thank you for going to the trouble to produce and share it. Like so many here, i’ve been grappling with this pain for many years, and only in this past year have a new set of docs i’ve been to, been able to identify it as sourced in my SI joints.
Thank you for this wonderful information. I started having issues within the last year. X-ray shows arthritis in the SI joint. My PC doctor has referred me to an Orthopedic doctor that specializes in this type of pain. I’m more educated now because of this video in order to speak with him on the various treatments available. Thanks again.
I developed my back and SI joint injury from respective stress at work. I used to work standing in one spot for 8-12 hours a day lifting heavy boxes. The middle of my back would burn and would go numb. My thighs felt like they were on fire. They would feel hot or cold to the touch and get numb. Then the SI joint became an issue. It was painful doing that job. It even messed up my nerves. I quit. I learned alot.
Thank you so much for doing this video. It helped to give me a much better understanding of what is going on and what can be done. Thank you for the clarification I needed.
I just injured mine out of no where its the most excruciating pain, i couldn't sit, walk, stand, bend 😢 i was in the ER and they didnt even diagnose me properly. Im going to see an Orthopedic Surgeon on my own.
Wow, thank you! The nore we know, the better we can describe our pain to our doctor. We can even figure out our triggers, which also helps tell our doc what to look for to get us better.
If Only. Unfortunately, I have experienced just about all. Mine is a complicated 45 year history. Successful surgeries, but time has created its own problems. My issue is my right S1 joint has acted up. Very painful groin pain and numbness at the front of leg. You have given me valuable information😂 Thank you.
Hi, I really appreciate your helpful video.I have SI joint issue associated with cluneal nerve. Pls. explain a bit more about this and let me have some relevant stretch or exercise. Thanks a lot .
You have explained more about my issues over just two videos than the "just do as I say" that the ortho's and neuro's, I think, unintentionally gravitate too, due to time constraints.
Very enlightening. After many back treatments followed by 2 spine surgeries, finally getting a better idea of the importance of what PT I should have been getting much earlier. I can no longer live independently and use a Walker to get around. Been taking daily injections to increase bone density for over a year with intermittent physical therapy thru out. Still found that my hips were no longer in the right place to hold up my back after surgery. Trying to have intense physical therapy now, to see if I can ever be ready for surgery.
You have answered so many questions that I have. Very interesting about the sleep issues and pain in shoulder etc. I have all of this. Four years ago I had L2-3, L3-4 laminectomy and L2-3 discectomy. In January 2024, I am now getting L2 thru S1 fusion, spacers with a cage. Degenerative osteoarthritis has made a mess of things.
Thank you for making this video. I just had L5-S1 fused. We knew I had hyper unstable SI joint I have had injections and they help from the lidocaine. The neurosurgeon said we would wait until March 25 to do my fusion. They have ordered a SI joint injection. I don't know why PRP hasn't been mentioned. I'm going to PT to try to avoid this SI fusion. My last ablation in January didn't help at all this time.
Omg it was very good explanation. I was told i need L2 to L4 laminectomy with right sided fasectectomy, but my extremely pain is from my SI. I have exactly all the symptoms you mentioned and going to the bathroom is my big nightmare....
This is wonderfully informative video. I have already had some of these procedures with little to no positive results. I have been discussing & trying to make a decision on fusion of some type. I wish this dr was on the west coast of Florida & not the east. Im near Tampa & hes in Ft Lauderdale. Also my insurance would have to cover seeing him. But the video didvgive me a lot of information I had not been given by any of the otthopedic drs Ive seen yet. My back is a total mess so its been difficult for the drs to all come to the same conclusion as to exactly what the major issue is in my back causing so much pain.
My life has been destroyed by this excruciating pain & for 11yrs, now has even worsened, so another set of MRI’s, more pt for ins. purposes & than I’m off to surgery & have no other choice now, which is unfortunate 😢I’m now 54 & have tried all of the above that you’ve mentioned & than some, to try & heal my SI from falling on the ice & landing on the 3rd stair from the top of 5 concrete stairs & had to have thigh surgery from 3 pulled muscles & a labral tear 8mo’s afterwards, I fell sooo hard it dazed me..Surgeon is fusing both SI’s & using a stabilizer for the SI joint & just hoping & praying it all works as I’m sooo exhausted from the daily pain & pressure from all of this..If you have any input I’d be great appreciated Dr & thank you for taking your time to explain all of this as this pain is debilitating
Again excellent! Thank you. What if you have pain in the area you are describing and sciatica. 24/7 . And, for 3 years non-stop. I have also been diagnosed with “severe facet degeneration of mid and lower spine” now. Two years ago mild. Haven’t been able to exercise due to this constant pain in left butt. 6 months PT- did not help. Certain exercise made butt pain to intense so stop trying to strengthen butt muscles. Over 60, and last year I can hardly walk when I get up in morning. Legs so hard to move. Gets better after 2 hours but pain in butt is so bad I have to sit on ice and heating pad 24/7. Go grocery shopping and very limited errandS. Can no longer do my 2 mile walks that I use to do everyday. It came on gradually after I prevented my mother from falling by holding her up when she passed out. Not sure if that caused it. Been to spinal surgeon. 3 years 3 MRI, XRAYS. Last MRI a 3 months ago ruled out stenosis, but have mild disc disease, last Xrays 3 months ago showed that Facet degeneration had gone from mild to severe over last 2 years. Please can you tell me what you think the non-stop pain in left butt in area you describe is? In this video, sacroiliac joint pain comes and goes when you move it out of place. Right? Not, constant. I had 3 epidurals 2 1/2 years ago: L3/4; L5 S1; Pimaformis. None worked. I just finished 4 weeks PT - did not help,and because I can’tdo exercises to tighten/ strengthen butt muscles they said I need to go back to the doctor. I am in the process of seeing another spinal surgeon. Before I could see him I had to have XRays, MRI, PT. -- should I insist on CT scan or is that necessary? And, do you think I have a problem with sacroiliac? Thank you kindly. I am scared I will end up like your mother. My physical condition is going down hill each year the last 3 and still haven’t been diagnosed as far as the left buttocks pain and sciatica left side. Would facet degeneration cause this. Usually, the pain in my lower back from it is more of a burning pain. Your opinion would be greatly appreciated. I wish I lived closer to you. I would come to you. I live on West coast. You are so good! So kind of you to do these videos. I have watched others of yours.
Fantastic!! Been watching various utube vids on low back pain and SI pain from Chiropractors. But this explains it so much better. Having rodeoed professionally, ive used DCs for many years. Most really helped various pains. But, old age has resulted in a very painful hip that i just feel is from lower back or hip muscles rather than actual hip problem. This was a great explanation of how things work together. Also wathed your utube on lower back probs. I wish you could demonstrate on yiur table what not to do and what to do when sleeping. Same for the hamstring stretch. The language is a bit confusing ie, "throwing leg over", "sleeping on side with knees not together", etc. And for hammy stretch, "back in extension" does that mean concave or convex?
Mine went out been getting steroid injection q 3 months. But when my doc went on vacay I thought i was going to die. Pain went into my groin from my hip. 10/10 it's a shame no one can help get this resolved. Now facing surgery. Won't know for another month. Is it possible to see this dr??
When i hurt my back in 2013 heard a pop in lumbar when i bent backwards real fast came back forward then knelt down to the ground and waited a little bit never felt a pain like that ever b4 i finaly stood up slowly and i seemed okay and was until 3 days later my (back felt hurt on lumbar left side) right leg drew up at my groin toward my chest and stayed that way for about 14 days before it finally released on its own the whole time oxygen being cut off to my bones anyway tho two days later after that release of my leg cramped up was my mri appt so i went and the report said dx Anterolateral (as one word) cramping. And i dont know what that means still to this day. Can you tell me what that is!?
Thank you so much for this video, my doctor wants to inject the si joint to see if pain goes away well a month ago I just had an epidural which has helped me so much in getting rid of inflammation, I’m still not feeling a lot of pain except for on each side of groin still pain and a little achy back. I’m asking how will I know if it is the si joint if I’m still not having pain except for when I get in and out of car, going up stairs and standing too long. I guess that is enough to know if pain goes away then.
Would there be any physical difference in feeling between a SI joint and a Facet joint? I have arthritis of the L5 facet joints, but only have one side having pain, so I’m thinking it might be SI joint (or both’) dunno
If it is possible for the SI joint to be out of place, how does a surgeon make sure it is correctly aligned before fusion? Also, the pigeon pose (Yoga) that some people recommend for SI Joint relief would be moving the ilium in the opposite direction it should be going, right? I get some relief by doing the opposite. Forcing my knee behind me, hips as far out in front of my knee as possible. Great explanation of this painful condition. Thanks.
I had SI joint fusion a year ago. In May I had no evidence of bridging, I’m in 9. 5 pain without pain meds. 7 with pain med. Dr’s are stumped. On what to do. I also have a shredded labrum I also have extreme inflammation and swelling around the area that is noted on a MRI. Pain in my preform.. I am looking for a Dr to help me. I’m 48 years old and was extremely active until I was TBoned in 2019 .
Excellent video. a Quick question. after years with lower back pain i had surgery 3 months ago to install a device from Premia Spine called the TOPS device at L4 L5. . This device is a newer, in the US, alternative to a spinal fusion. Some of the pain was relieved but the on going chronic back pain is still mostly there. On my last visit with the Doc, he tried pushing the points you mentioned in the hip. Some pain when he pressed the right side but left side was off the chart. Now he wants to do injections, therapy etc. In addition to the pain, something is causing a buzzing sensation. It happens ~3 days out of 5 and always when I wake up in the morning. Its either a buzzing or non buzzing day. My question is, is it possible the injections will turn off the buzzing sensation; even temporarily ? Thanks Glenn, SC
This is a great video. I wonder whether you are able to assist with a couple of questions? 1) is it possible to jump between stage 2 and 3 without the assistance of an osteopath or alike to realign the SI joint? I find that I can have some awful days unable to take a step or turn without SI pain and others where I can get by with just a dull ache (which feels like it's ready to jump to Stage 3 any second). 2) I have had Thai massage for 10 years but only just started having the SI joint pain recently, have been told I have anterior pelvic tilt in the past though and I think you're video suggested Asian massage linking to posterior tilt only. Could it still be the cause? 3) whilst doing glute bridge, I get mild pain/discomfort in my SI area. Is that an indicator that it is helping or should I avoid any exercise that causes more discomfort than sat doing nothing (I often just get dull ache then but glute bridges intensify that). Thanks in advance
My right sacroiliac joint grinds and clunks all the time am now basically bedridden doctor says it is stable. I’m dying here they just don’t seem to understand this joint and I can’t afford to have someone else do this work
Dr McRoberts Thank you for taking the time to explain everything we needed to know about the S-I joint!! Do you know a doctor that you could recommend in the San Antonio or Austin area that has a practice like yours?. I have osteoarthritis & bone spurs in my S-I joints & getting the injection you described Synsec (sp)? or rooster juice is much more appealing than the fusion I have been recommended. Thanks again.😊
Try Dr. Kancherla: He is an interventional physiatrist specializing in the non-operative management of low back and neck pain, focusing on individualized treatment plans and therapy in Austin. I've heard good things, but don't know personally.
I just had 4 prolotherapy injections. I don’t feel as thou they have helped. I also have lumbar issues, stenosis,buldging discs and arthritis. My r side thoracic muscles are very tight and spams with trying to sit up,get up from a chair,roll over you name it cause spasms. Have dealt with lumbar issues going back 30 years ago. Retired in 2009 and over he past 10 years my back has been worse. My DO had said I have MPS prior to the prolo. I just don’t know what to believe or where to turn. Do you have any suggestions? I am a snowbird and live in Boston, Ma.
What does anterolateral(as one word) cramping as on my mri report dx mean. It happened in 2013 after i hurt my back real bad and i still don't know what that means exactly.
Pelvic instability is so bad that I'm using a wheelchair. It buckles with the smallest movement. It feels like I'm on a boat just sitting. Car accidents (tboned 2x), falls. It buckles and I fall. Usually on my butt. That's why I use a wheelchair. Stabbing pain used to cause my legs to buckle making me fall. I decided to use a wheelchair to avoid the pain and falls. I've done a year of PT, pain shots, imaging. And the doctor who was going to do ifuse just left the hospital. So I'm waiting for a different neurosurgeon to evaluate and schedule. It's like my upper half and lower half work like normal independently - but they don't feel connected in the hips.
8 month's😢...When you just said you understand the pain, Debilitating in every way possible i felt that no one understands what I'm truly going through I've had my MRI but they think it's bilateral it's bin my R side since August 2023 am going for a CT But NOOO relief from the SI targeted injection and my insurance is not great i just wanting to stop and say it was nice to hear a Doctor who understands!! Back to the vide.
After years of research finally an all encompassing explanation. Thank you doctor for taking the time to do this video I now have a better understanding and direction to go. I also now now realize II need a doctor who is more interested in my issue.
I was looking for a second opinion before rushing into steroid injections and surgery. This is the video that sent me across the state to see Dr. McRoberts. This is exactly how he is. He is patient, thorough, and explained my MRI to me in a way that I could understand. Never rushed me and didn't encourage the use of steroids or other injections. He gave me exercises to do at home and a Rx for PT. He was so encouraging. And I really appreciate that he takes the more conservative approach of helping the body to heal itself before heading in to more agressive treatments. I can honestly say he relieved my fears of what was happening to me. If I ever have other spinal issues he will be the first doctor I see.
That's what I thinking about 7 Ortho appointments later I'm Googling my MRI....I left every appointment with more questions than Answers😔 not only do i have scrorilitiis i have a lot going on in my spine especially L4,L5 year's of disc high loss and bone spurs ect..I was thinking last night i wouldn't want to tell someone all this and can't help..I'm very happy you got exceptional care and are doing better!!!!
Thank you for sharing.
The best doctors are the ones that have suffered the pain like you.They truly understand what the patient is going thru
I met with him today. We need more docs like him. He’s such a joy!
How did you go about meeting? Local or webchat? Was it an expensive consultation?
Wow! Dr McRoberts, you truly educated me today. Everything you covered, I followed! This was fantastic! Thank you! I'm a former patient of yours. You know me as " RR" gotta get back to see you for some follow ups! No one explains things the way you do with such clarity !
God Bless You sir
This video was one of the most succinct, informative, comprehensive, educational, proactive and inspiring compilation of everything to do with the S-I Joint! Thank you for taking the time to share all your professional and personal information with us. You’ve inspired me to discuss many points you’ve brought up with my Pain Management team. God Bless and Keep You❣️
This is absolutely the greatest video on this subject that I have come across. Thank you so much for sharing this information. Bless you 🙏
I went through 30 years of chronic pain before discovering a medical journal discussing the symptoms of a dysfunctional SI joint...I had it fused & it was a complete success!
Which procedure did you use? Was the pain completely gone?
Same. After 15 yrs of debilitating pain bilateral I've now had my left sacroiliac joint fused, if had 3 injections into the bone, they never lasted longer than 8 wks, one lasted 2 wks. 2 mths post surgery I'm pain-free. The pain in my right hip which is bone on bone, has considerably lessened. Though I'm scheduled for a total right hand side hip replacement in April. If my rhs sacroiliac joint continues to hurt I'll definitely have that fused also. Unfortunately both sides couldn't be done together
Ive had 6 Si sugeries and im still hurting, im my way to Mayo Clinic!
@@JamesSohol-t5s oh wow i'm curious as to was if the non invasive one with the piece or the si fusion? I'm overwhelmed with pain and now the only option is surgery ..... saying i'm concerned is a major understatement,
Your videos are enlightening!! Now I have a better idea with visualization and can discuss with my doctor. Thank you!!
Happy to help!
Im not going back to the va until i know how to articulate what it is that i need. Thank you for sharing/educating. Im taking notes and I am just so grateful to you.
I have been fighting this problem on both sides for over 2 years. I’m scheduled for a fusion in 3 weeks. Your video was by far the best information I’ve received from countless medical specialists. Thank you for taking the time that most doctors do not have in the examination room to cover this topic.
Was the surgery successfully?
I've become a victim of Doctors I have these symptoms including the sciatic pain down to my foot so after 2 discectomies and one Foraminotomy a 2 level fusion with no relief and all the doctors that i have seen not a one of them have ever suggested or even looked for SI joint problems .
So last week at a year follow up dr appointment I suggested an injection to the SI joint so I'm still looking for answers.
This a great in depth video that i wished that I could have seen 5 years ago.
Getting the right diagnosis for your pain is so critical !!
i re- watch this info every 6 months or so to remind myself of all the important thing to remember. i stepped in a hole running and jarred my right side s i joint. For years i had reinjured it badly at least once per year. this talk and all the stretches are the only thing that provided a cure for that pain. believe this guy, follow his lead and you can take control of this . thank you very much sir your presentation is excellent!!!
24+ yrs of chronic pain...was in pm for yrs---tried pt injections...I just about gave up....I guess it takes finding a doc who experienced same ....thank you so much for making this video Dr. M....
YOU Doc are awesome with your presentation & demeanor
I cannot say enough in the praise of your information!! Thank you
By far the best video on the subject. Thank you for sharing this information. We need more doctors like you!
As a person who has had SI joint pain for the past four months and has been struggling to find someone who can adjust the sacrum, this video is jampacked with just all kinds of fantastic information. I found this video three months ago and I’m re-watching it today. It really confirms everything that I have learned and been through in the past four months. I have found a good osteopathic doctor, good chiropractor, and good physical therapist who all understand the SI joints and know how to put the sacrum back into place. My old physical therapist and chiropractor did muscle energy technique and the typical back crack to get the sacrum to move, but none of those movements addressed the position of the sacrum itself and getting it unstuck. My muscles are also chronically tight and pulling on the sacrum, causing compression at all times. We will be addressing the muscles to loosen those up, which will then allow the pain to slow and loosen the other surrounding muscles, allow the ligaments to start to heal, and then strengthen and stabilize the area. I will come back in a little while and provide an update to this comment.
Can you describe current pain patterns you have? How severe and what triggers it? I also struggle with SI for 5 months now but there's no SI specialists I can even google even within 300km radius, I really consider flying to USA to visit dr Hesch, apparently an expert in this, but scared with my pains (sometimes can walk 4000-5000 steps, sometimes 200 and then pain)
I also have had sacro-illiac problems since age 27. It was only two years ago at age 66 that I found a physical therapist that started me on the way to healing. First she felt the area and said the joint was twisted. She took her body and physically manipulated the tendon. Then they gave me exercises to begin rehabilitating the area. I also took yoga and pilates. Lately, I have had massage and acupuncture and at the moment I am pain freeafter 41 years of pain.
I've been dealing with this for 6 months since significantly growing my nonexistent glutes with pilates. Yikes the pain. So happy I found the culprit! Thank u dr for being so generous with this very thorough video!❤
Wow, simply one of the best videos I’ve seen on any joint!
So glad I came across this! Been suffering for months with what I think was a disc injury. In the process of being overprotective of my lower back I created an SI joint issue which was then aggravated by trying to do pigeon stretches, lunge movements etc. i already do bridges as part of my therapy but will be adding in the belt around the thighs part and didn’t realize I should do so many ( I guess my 3 sets of 10 sec holds is nowhere near enough! ) thanks for this !
I have had arthritis in my SI joints for over 15 years, and get bilateral injections once or twice a year. I have had 3 spine doctors, and this is the best explanation I have ever heard about this condition, so thank you!
May I ask, what kind of injections you get, and do they work well? How much relief do you get? Thank you.
I went through all the treatments yoi mentioned... chriros, pt. Injections, ablation ...Injections worked but like a month or 2, ablation worked like 6 months, then back to square 1, i was committed to pt but anything was making me feel between...so finally I ended up doing si fusion they use a implant silo tfx ...is been 4 weeks post op, still limping bc i camt put my weight on my right side .
Thank you for taking the time to explain what these exercises do
So kind, patient, thorough. Very appreciative Dr. Roberts.
Wow. Doc, I just ran across this video by accident. I've been suffering with SI Joint issues for years now. And, it truly IS debilitating. I'm about to have another ablation. Last one I had lasted for quite a while. I'm about to the point of asking my neurosurgeon about fusion. Unfortunately, my whole spine is a mess. I had a multi-level lumbar laminectomy several years back due to extreme stenosis and am now losing some stability there, so looks like a multilevel lumbar fusion is the cards. I also just had a multilevel fusion of about all of my cervical vertebrae. I think I'm truly on the way to becoming a $6 Million man. Anyway, I haven't had it suggested to inject the lubricant into the joint. I believe I will ask about that next. This was a great video, and I really appreciate you posting it.
Thats exactly what Baptist Health Hospital in Little Rock Arkansas did to me back in 2015 They fused L5 To S1 Now i i have a whole new set of pain-related issues, Thats why ive been binge-watching your videos
Sorry to hear this. Did you ever have relief after the surgery? I know that this seems to be the problem with fusions. They eventually cause problems above or below the fused area, and then you have to have another surgery. I was wondering how long of a time one gets relief from pain before another surgery is needed. Really sorry you are having this.
Absolutely fantastic. Well done. Bless you.
I can't thank you enough! I learned so much, and I'm determined to do the exercises.
Thanks I have a better understanding of this and can speak to my Orthopedic doctor we are working together to find the best treatment for me I am a healthy 75 and still active and we all agree it’s the quality of life
This all describes me and I have a scoliosis and leg length discrepancy. After a total knee replacement I exhibited all those symptoms- the MRI show’s stenosis etc BUT thanks to you I will see if I can get a differential dx . Thank you SO MUCH!
This is a great find. I’ve learned more about my si joint dysfunction than I have in the past 12 years going to doctors, including why burning the nerves didn’t work. The doc tried three times, and then just said “there are a lot of nerves back there.” Pain doctors didn’t help and kept me on painkillers which lost effectiveness so I gave them up. My current primary says “there’s nothing more we can do,” but this shows more options for me to try. I’ll work on the bridges and the stretch, and now know where to go from there.
This presentation was exceptional. Thank you doctor.
35 year firefighter/EMT. Recent fusion both sides. Still have issues. SI injections even after fusion. The injections so far are giving relief.
Best descriptive SI joint knowledge I’ve heard. After two laminectomies and two lumbar fusions, I now am suffering with debilitating leg pain from the knee to the ankle only when I first wake up!
This is the best video I have ever seen on SI JOINT pain. I've had it for 22 years the worst years the last 8-9. I can barely walk or stand. I live in New York. Wish I lived in Florida!! But fantastic information! Thank you. Suicide would be my next option because the SI joint pain has severely decreased my quality of life. I have loved ones so I'm not planning on doing this but I can absolutely see why people would just want out. It's no way to live!
Thank you so much for this information.
I've been a hardcore cyclist for over 20 years and before that, an avid runner and fitness enthusiast. I have been doing the SI joint dysfunction dance for at least 20 years and I want to thank the doctor for being very honest and candid about what works and what doesn't. As a fitness instructor, I believe in strengthening the area around the SI joint and then modifying activities to minimize the stress on the joints. Drugs and surgeries are not a guarantee of solid results. Lifestyle adaptations and understanding that one needs to take care of their body is the best approach to this very annoying condition.
This video has helped me so much. It brought me to tears. Thank you for the detailed information. It helped answer many questions. So many things mentioned were never asked me by my new spine doc. I felt very rushed and confused by her approach, and she wanted to go straight to injections. This information has given me so much more understanding and hope in some possible treatment solutions available before injections. THANK YOU!!!
This is remarkably comprehensive and helpful. Thank you for going to the trouble to produce and share it. Like so many here, i’ve been grappling with this pain for many years, and only in this past year have a new set of docs i’ve been to, been able to identify it as sourced in my SI joints.
Thank you Doctor!
Thank you for this wonderful information. I started having issues within the last year. X-ray shows arthritis in the SI joint. My PC doctor has referred me to an Orthopedic doctor that specializes in this type of pain. I’m more educated now because of this video in order to speak with him on the various treatments available. Thanks again.
I developed my back and SI joint injury from respective stress at work. I used to work standing in one spot for 8-12 hours a day lifting heavy boxes. The middle of my back would burn and would go numb. My thighs felt like they were on fire. They would feel hot or cold to the touch and get numb. Then the SI joint became an issue. It was painful doing that job. It even messed up my nerves. I quit.
I learned alot.
Thank you so much for doing this video. It helped to give me a much better understanding of what is going on and what can be done. Thank you for the clarification I needed.
I just injured mine out of no where its the most excruciating pain, i couldn't sit, walk, stand, bend 😢 i was in the ER and they didnt even diagnose me properly. Im going to see an Orthopedic Surgeon on my own.
Excellent information!!!!!
Wow, thank you! The nore we know, the better we can describe our pain to our doctor. We can even figure out our triggers, which also helps tell our doc what to look for to get us better.
Excellent, very detailed explanation. Luckily I live in Fort Lauderdale. Made an appointment.
Great to hear!
Very thorough informative video. Thank you for sharing your knowledge and experience. You helped me see a fuller picture of my situation.
8.25.24 4:00
This has really helped me thanks Doctor for taking the time to make this video very much appreciated
I had a fusion of L1 to S1 and ever since I experienced pain in my low back right side. 8:45pm
Very informative. I have Arthritis between L4-L5 .
Did you ever have a CT SCAN? Hopefully not herniated disks.
@FLIPPER1439 Hard an MRI and x rays
If Only. Unfortunately, I have experienced just about all. Mine is a complicated 45 year history. Successful surgeries, but time has created its own problems.
My issue is my right S1 joint has acted up. Very painful groin pain and numbness at the front of leg. You have given me valuable information😂 Thank you.
Extremely helpful!!!
Hi, I really appreciate your helpful video.I have SI joint issue associated with cluneal nerve. Pls. explain a bit more about this and let me have some relevant stretch or exercise.
Thanks a lot .
Fabulous doc ! Thank you
You have explained more about my issues over just two videos than the "just do as I say" that the ortho's and neuro's,
I think, unintentionally gravitate too, due to time constraints.
Glad I could help!
Thank you so much for the info!
You are so welcome!
Very enlightening. After many back treatments followed by 2 spine surgeries, finally getting a better idea of the importance of what PT I should have been getting much earlier. I can no longer live independently and use a Walker to get around. Been taking daily injections to increase bone density for over a year with intermittent physical therapy thru out. Still found that my hips were no longer in the right place to hold up my back after surgery. Trying to have intense physical therapy now, to see if I can ever be ready for surgery.
You have answered so many questions that I have. Very interesting about the sleep issues and pain in shoulder etc. I have all of this. Four years ago I had L2-3, L3-4 laminectomy and L2-3 discectomy. In January 2024, I am now getting L2 thru S1 fusion, spacers with a cage. Degenerative osteoarthritis has made a mess of things.
Thank you for making this video. I just had L5-S1 fused. We knew I had hyper unstable SI joint I have had injections and they help from the lidocaine. The neurosurgeon said we would wait until March 25 to do my fusion.
They have ordered a SI joint injection. I don't know why PRP hasn't been mentioned. I'm going to PT to try to avoid this SI fusion. My last ablation in January didn't help at all this time.
Exceptional and so helpful thank you so much for taking the time
Thank you. Vastly educational ✨️
Omg it was very good explanation. I was told i need L2 to L4 laminectomy with right sided fasectectomy, but my extremely pain is from my SI. I have exactly all the symptoms you mentioned and going to the bathroom is my big nightmare....
Thank you so much for this information. God bless you
This is wonderfully informative video. I have already had some of these procedures with little to no positive results. I have been discussing & trying to make a decision on fusion of some type. I wish this dr was on the west coast of Florida & not the east. Im near Tampa & hes in Ft Lauderdale. Also my insurance would have to cover seeing him. But the video didvgive me a lot of information I had not been given by any of the otthopedic drs Ive seen yet. My back is a total mess so its been difficult for the drs to all come to the same conclusion as to exactly what the major issue is in my back causing so much pain.
Thank you much. This has been extremely helpful.
What’s the difference of SI joint pain and sacroilitis?
THANK YOU! 🙏🏼
I have tears in both my gluteus minimus and medius, bilateral hip bursitis, and now, SACROILITIS!!
Me too!
My life has been destroyed by this excruciating pain & for 11yrs, now has even worsened, so another set of MRI’s, more pt for ins. purposes & than I’m off to surgery & have no other choice now, which is unfortunate 😢I’m now 54 & have tried all of the above that you’ve mentioned & than some, to try & heal my SI from falling on the ice & landing on the 3rd stair from the top of 5 concrete stairs & had to have thigh surgery from 3 pulled muscles & a labral tear 8mo’s afterwards, I fell sooo hard it dazed me..Surgeon is fusing both SI’s & using a stabilizer for the SI joint & just hoping & praying it all works as I’m sooo exhausted from the daily pain & pressure from all of this..If you have any input I’d be great appreciated Dr & thank you for taking your time to explain all of this as this pain is debilitating
Again excellent! Thank you. What if you have pain in the area you are describing and sciatica. 24/7 . And, for 3 years non-stop. I have also been diagnosed with “severe facet degeneration of mid and lower spine” now. Two years ago mild. Haven’t been able to exercise due to this constant pain in left butt. 6 months PT- did not help. Certain exercise made butt pain to intense so stop trying to strengthen butt muscles. Over 60, and last year I can hardly walk when I get up in morning. Legs so hard to move. Gets better after 2 hours but pain in butt is so bad I have to sit on ice and heating pad 24/7. Go grocery shopping and very limited errandS. Can no longer do my 2 mile walks that I use to do everyday. It came on gradually after I prevented my mother from falling by holding her up when she passed out. Not sure if that caused it. Been to spinal surgeon. 3 years 3 MRI, XRAYS. Last MRI a 3 months ago ruled out stenosis, but have mild disc disease, last Xrays 3 months ago showed that Facet degeneration had gone from mild to severe over last 2 years. Please can you tell me what you think the non-stop pain in left butt in area you describe is? In this video, sacroiliac joint pain comes and goes when you move it out of place. Right? Not, constant. I had 3 epidurals 2 1/2 years ago: L3/4; L5 S1; Pimaformis. None worked. I just finished 4 weeks PT - did not help,and because I can’tdo exercises to tighten/ strengthen butt muscles they said I need to go back to the doctor. I am in the process of seeing another spinal surgeon. Before I could see him I had to have XRays, MRI, PT. -- should I insist on CT scan or is that necessary? And, do you think I have a problem with sacroiliac? Thank you kindly. I am scared I will end up like your mother. My physical condition is going down hill each year the last 3 and still haven’t been diagnosed as far as the left buttocks pain and sciatica left side. Would facet degeneration cause this. Usually, the pain in my lower back from it is more of a burning pain. Your opinion would be greatly appreciated. I wish I lived closer to you. I would come to you. I live on West coast. You are so good! So kind of you to do these videos. I have watched others of yours.
Thank you!
Fantastic!! Been watching various utube vids on low back pain and SI pain from Chiropractors. But this explains it so much better. Having rodeoed professionally, ive used DCs for many years. Most really helped various pains. But, old age has resulted in a very painful hip that i just feel is from lower back or hip muscles rather than actual hip problem. This was a great explanation of how things work together. Also wathed your utube on lower back probs. I wish you could demonstrate on yiur table what not to do and what to do when sleeping. Same for the hamstring stretch. The language is a bit confusing ie, "throwing leg over", "sleeping on side with knees not together", etc. And for hammy stretch, "back in extension" does that mean concave or convex?
Mine went out been getting steroid injection q 3 months. But when my doc went on vacay I thought i was going to die. Pain went into my groin from my hip. 10/10 it's a shame no one can help get this resolved. Now facing surgery. Won't know for another month. Is it possible to see this dr??
He's such a nice Dr , I perform an SI Joint injection 💉 I'm hoping to be relieved of this pain..
thank you so much.
Awesome explanation.
I find it hard to see small digital diagrams as opposed to showing the skeleton itself..
Can I still do the bridge while having some discomfort like 2/10 pain, or should I give it time for the pain to be gone?
When i hurt my back in 2013 heard a pop in lumbar when i bent backwards real fast came back forward then knelt down to the ground and waited a little bit never felt a pain like that ever b4 i finaly stood up slowly and i seemed okay and was until 3 days later my (back felt hurt on lumbar left side) right leg drew up at my groin toward my chest and stayed that way for about 14 days before it finally released on its own the whole time oxygen being cut off to my bones anyway tho two days later after that release of my leg cramped up was my mri appt so i went and the report said dx Anterolateral (as one word) cramping. And i dont know what that means still to this day. Can you tell me what that is!?
Thank you so much for this video, my doctor wants to inject the si joint to see if pain goes away well a month ago I just had an epidural which has helped me so much in getting rid of inflammation, I’m still not feeling a lot of pain except for on each side of groin still pain and a little achy back. I’m asking how will I know if it is the si joint if I’m still not having pain except for when I get in and out of car, going up stairs and standing too long. I guess that is enough to know if pain goes away then.
Would there be any physical difference in feeling between a SI joint and a Facet joint? I have arthritis of the L5 facet joints, but only have one side having pain, so I’m thinking it might be SI joint (or both’) dunno
The triad describes me perfectly
If it is possible for the SI joint to be out of place, how does a surgeon make sure it is correctly aligned before fusion? Also, the pigeon pose (Yoga) that some people recommend for SI Joint relief would be moving the ilium in the opposite direction it should be going, right? I get some relief by doing the opposite. Forcing my knee behind me, hips as far out in front of my knee as possible. Great explanation of this painful condition. Thanks.
I had SI joint fusion a year ago. In May I had no evidence of bridging, I’m in 9. 5 pain without pain meds. 7 with pain med. Dr’s are stumped. On what to do. I also have a shredded labrum I also have extreme inflammation and swelling around the area that is noted on a MRI. Pain in my preform..
I am looking for a Dr to help me. I’m 48 years old and was extremely active until I was TBoned in 2019 .
Excellent video. a Quick question. after years with lower back pain i had surgery 3 months ago to install a device from Premia Spine called the TOPS device at L4 L5. . This device is a newer, in the US, alternative to a spinal fusion. Some of the pain was relieved but the on going chronic back pain is still mostly there. On my last visit with the Doc, he tried pushing the points you mentioned in the hip. Some pain when he pressed the right side but left side was off the chart. Now he wants to do injections, therapy etc. In addition to the pain, something is causing a buzzing sensation. It happens ~3 days out of 5 and always when I wake up in the morning. Its either a buzzing or non buzzing day. My question is, is it possible the injections will turn off the buzzing sensation; even temporarily ?
Thanks Glenn, SC
I have si joint dysfunction and l4 l5 disc bulge. I had half disc out 18 years ago and now this. Are these allowed to be done together
.
I heard the PRP doesn’t work for backs
This is a great video. I wonder whether you are able to assist with a couple of questions?
1) is it possible to jump between stage 2 and 3 without the assistance of an osteopath or alike to realign the SI joint? I find that I can have some awful days unable to take a step or turn without SI pain and others where I can get by with just a dull ache (which feels like it's ready to jump to Stage 3 any second).
2) I have had Thai massage for 10 years but only just started having the SI joint pain recently, have been told I have anterior pelvic tilt in the past though and I think you're video suggested Asian massage linking to posterior tilt only. Could it still be the cause?
3) whilst doing glute bridge, I get mild pain/discomfort in my SI area. Is that an indicator that it is helping or should I avoid any exercise that causes more discomfort than sat doing nothing (I often just get dull ache then but glute bridges intensify that).
Thanks in advance
My right sacroiliac joint grinds and clunks all the time am now basically bedridden doctor says it is stable. I’m dying here they just don’t seem to understand this joint and I can’t afford to have someone else do this work
The aurora zip. Is this still the latest txt ?
So I had a baby 6 months ago. My right glute is weak. My tail bone is bent under and to the left. My SI won’t stay in. Will the is help my tailbone
Dr McRoberts Thank you for taking the time to explain everything we needed to know about the S-I joint!! Do you know a doctor that you could recommend in the San Antonio or Austin area that has a practice like yours?. I have osteoarthritis & bone spurs in my S-I joints & getting the injection you described Synsec (sp)? or rooster juice is much more appealing than the fusion I have been recommended. Thanks again.😊
Try Dr. Kancherla: He is an interventional physiatrist specializing in the non-operative management of low back and neck pain, focusing on individualized treatment plans and therapy in Austin. I've heard good things, but don't know personally.
@@wportermcroberts Thank you!!
I just had 4 prolotherapy injections. I don’t feel as thou they have helped. I also have lumbar issues, stenosis,buldging discs and arthritis. My r side thoracic muscles are very tight and spams with trying to sit up,get up from a chair,roll over you name it cause spasms.
Have dealt with lumbar issues going back 30 years ago. Retired in 2009 and over he past 10 years my back has been worse. My DO had said I have MPS prior to the prolo.
I just don’t know what to believe or where to turn.
Do you have any suggestions? I am a snowbird and live in Boston, Ma.
Can being hit from behind in a rear-end collision be the impetus for problems with the SI joint?
How do you determine if it’s the SI joint?
My scoliosis is a c curve and I sleep on my side. Does this potentially create more instability of the SI joint? If so joint side up or down?
We inject a small amount of numbing medicine into and around the joint and then see with the joint now numb if the pain goes away.
I would think it could, but science has yet to consider your important question.
@@wportermcroberts Thank you for your reply. Can you tell me what numbing medicine is used? I want to see if it’s safe for arthritis and osteoporosis.
What does anterolateral(as one word) cramping as on my mri report dx mean. It happened in 2013 after i hurt my back real bad and i still don't know what that means exactly.
Pelvic instability is so bad that I'm using a wheelchair. It buckles with the smallest movement.
It feels like I'm on a boat just sitting.
Car accidents (tboned 2x), falls. It buckles and I fall. Usually on my butt. That's why I use a wheelchair.
Stabbing pain used to cause my legs to buckle making me fall. I decided to use a wheelchair to avoid the pain and falls.
I've done a year of PT, pain shots, imaging. And the doctor who was going to do ifuse just left the hospital.
So I'm waiting for a different neurosurgeon to evaluate and schedule.
It's like my upper half and lower half work like normal independently - but they don't feel connected in the hips.