SI Joint Dysfunction and fibromyalgia

Welcome to the chronic pain forum. I have no experience with your conditions but wanted to welcome you here. Weekends and Holidays can make logging in the last thing on the 'to do' list. I hope someone with experience can pop in and share some tips with you soon.

Hi Vicki , my diagnosis came from othropedic, physical therapist, and chiropractor . I did buy a SI belt recently and it helps with walking , mopping. My joints are lax so I would be hypermobility issues. This started with pregnancy , when I felt my tailbone split in two, lol.

I then had an extremely painful labor with an emergency c-section . I also had the lax joints from the hormones when I nursed my babies. Ever since then I have had chronic pain SI joint and fibromyalgia .

A rheumatologist diagnosed my fibromyalgia . there are debates that fibro doesn't progress but my condition had got worse over the last 6 years. Does SI joint dysfunction progress?

It's fairly common for therapy and yes the pool to increase pain afterwards for a bit as those things naturally are going to irritate the joint thats not been taxed or stressed since we tend to not do things that causes more pain and therefore favor nonmovement...

That too should get better with time. Its not a progressive disease like DDD unless your joint dysfunction is do to disc degeneration. Your likely to have periods of flare and periods without a great deal of pain and during those times you need to continue the exercises and be cautious about overdoing since it's not hurting.

I have had multiple sets of injections and blocks to the SI joint and its always a gamble on whether it works for how long and how much. As I said the thing that's most important with them as those what,how long and degree of success tell the Dr a good deal of things and how to proceed. Whether its in the category of SI dysfunction that would benefit from fusion surgery or the specific types of therapies that have the best chance for helping you.

I have gotten months of relief from some of them and I count that as successful.

I know this is an old thread, but recently a new post was added, so I'll continue this here and hope that people see it.
I have FMS, osteoarthritis, etc., etc. My knees are bad, but I choose to not get a replacement. Intermittently through the past several years, I've had times when my butt hurt, just to sit. That would come and go.
I've also, for years, had peripheral neuropathy down both legs and pain in my anterior thighs. But starting about a month ago, everything has worsened badly. I'm sure going into winter makes things worse. As my doc says to me, "You're deciduous"......since I get worse every Fall.

Anyhow.........Now I have pain in both "cheeks", and very low back. The pain radiates down into my thighs and especially down the lateral sides of each leg. Sounds to me like SI. I don't think piriformis syndrome would be bilateral.
I'm curious what kind of doc you all got the best results with in trying to diagnose this condition? That area seems to be not-so-popular. Would it be best to see a pain management doc at a back clinic? I've gone to a Brain/Spine place in the past for a ruptured L2/3 disc, and I'm thinking the pain management people there would be a good place to go?
Are the symptoms of the SI joint being too loose different than those of it being too tight?
Also, I'd like to throw in that I'm wondering if, since my system is so funky and way too sensitive, if this drastic increase in pain everywhere could be from having started Escitalopram (Lexapro) about 2 months ago? It's very frustrating to have an unusual human system, since docs aren't real flexible and don't always understand that we can be really different from most people.
Thanks!

Thanks Susie. But will an MRI show if the SI joint is too loose or too tight? If it did, it seems like the "test" of a pain injection in there could be more of a treatment, rather than a test. Or could both of these conditions cause inflammation around the joints and that would be seen on an MRI?
Would an MRI show if any of these nerves in the sacrum are being pinched? .....or would some other test be needed?
Aren't the nerves coming out of the sacrum just the continuation of the nerves further up in the spine?
I guess I need a refresher course. haha

Thanks Susie!