Arthritis is a joint disorder which causes inflammation, as well as a many other associated symptoms. Any area where two bones meet can become inflamed and termed to have arthritis. When this happens, patients begin to report joint pain and other common symptoms of arthritis. More than 100 types of arthritis exist; degenerative osteoarthritis, rheumatoid arthritis, and gout are the most common.
Symptoms of Arthritis
Pain and stiffness of the joint are the most common symptoms, but it can be associated with host of other common experience such as, joint swelling, hand pain, ankle pain, red joints, and painful movements. It can also affect other connective tissue and skin.
The severity of symptoms will depend on each person. Other associated symptoms also vary depending on the type of arthritis; rheumatoid arthritis and osteoarthritis are the two most common types of arthritis.
Possible Causes of Arthritis?
Risk factors and causes of arthritis include:
Different type of arthritis will have different causes. Additionally, there are certain risk factors that may make patients more likely to develop arthritis.
Arthritis is the most common cause of disability in United States, generally it is a progressive disease. When it becomes severe it can restrict your daily functional abilities. If arthritis affects your weight-bearing joints (Hips, knees, ankles, feet, etc.), patients can experience difficulty with walking and sitting up straight.
Treatment and at-home care can be very helpful to cope with arthritis. It is important to note that some types of arthritis respond well to treatment, but other types of arthritis do not. The goal of arthritis treatment is: to improve joint function, to relieve symptoms, to reduce pain, and to prevent more joint damage. Three main types of arthritis treatment exist: medications, rehabilitation therapy, and surgery.
Common medications for arthritis treatment include:
Medications aim to reduce symptoms, such as inflammation, as much as possible.
The second type of treatment option is physical or occupational therapy. Physical therapy can significantly improve function, decrease pain, and delay need for surgery.
Physical therapy is especially important and beneficial for patients who show the most need for improving range of motion and for strengthening the muscles near the joints.
Occupational therapy can aid with activities especially arm and hand movements.
Surgery (i.e. Arthroscopic surgery, joint replacement or joint fusion) is an option for arthritis treatment especially when there is joint erosion by arthritis.
Our goal at Cornell pain clinic is to try other treatment methods, minimally invasive procedures before major joint replacement surgeries.
Alternative remedies you can try may potentially be effective to treat arthritis and its symptoms.
Some remedies you can try:
If you have to live with arthritis, you probably want to live as pain-free and symptom-free. Certain strategies mentioned here you may find helpful:
While there is no specific “diet” that people with rheumatoid arthritis should follow. Certain foods can help control inflammation. Many of these things are found in Mediterranean food.
Extra weight puts stress on all your joints, especially your knee and spine. Overload on these joints can potentially cause arthritis down the road or make already existing arthritis worse. Try loosing the excess weight and experience how it feels to have healthy joints.
For days when you experience joint pain or other arthritis-related symptoms, use a combination of heat and cold therapies to relieve the pain. We recommend using ice packs or heating pads.
We know it may be physically difficult to exercise if you are experiencing arthritis pain. We are not saying to push your limits. What we are saying is to keep up with a regular exercise routine, whether that means stretching, chair-yoga, taking a leisure walk a few times per week, riding a bicycle, swimming, or water aerobics.
Choose the exercises that produce the least amount of stress on the joints, and stick with an exercise plan to keep the joints moving and to lose extra pounds of weight on your body.
If walking becomes too difficult, for instance, try using a walking cane or walker to help you move along. Assistive devices are there to help you function more successfully and reduce the risk of falls.
CONCLUSION: Arthritis is very common condition affecting your joints and spine, with proper treatment Arthritis symptoms can be reduced to manageable level.
Back pain is pain felt in your back, which is extremely common condition. It is divided into neck pain (cervical), middle back pain (thoracic), low back pain (lumbar), coccydynia (tailbone or sacral pain) based on the segment of the spine affected.
Low back pain is most common type of back pain as lumbar spine supports most of your upper body weight.
Muscular Man suffering from neck and back pain
Studies have shown that up to 80% of general population has experienced Low back pain at some point in their life.
Chronic back pain is experienced by 15-20% of people in United States. Back pain is common in adults ranging in age from 35 to 60. However, back pain can affect anyone at any age.
Common Symptoms of Back Pain
Although most causes of back pain are relatively benign and self-improving. You should seek medical help as soon as possible if you experience any of the following symptom.
If you are experiencing any of these symptoms, call Cornell Pain Clinic. We can help determine the cause(s) of your back pain so we can provide proper, effective treatment.
Causes of Back Pain
There are many things that can cause back pain, regardless of whether it is lower or upper back pain. Here are a few common causes of back pain:
Herniated disc causing impingement of nerve root. Close view of Human Spine.
Risk factors for back pain
Complementary and alternative therapies for upper and lower back pain include:
Yoga and Pilates
Medication therapy: If non-pharmacological therapy is not helpful, medication therapy may be tried
Minimally Invasive Interventional procedures: If above mentioned conservative treatment doesn’t help you enough you may benefit by consulting a pain specialist.
Minimally Invasive Interventional Procedures
Surgical Options: If conservative treatment including repeated minimally invasive interventions aren’t helpful, you may be candidate for spine surgery.
Following different kind of surgeries are available
If you are experiencing chronic back pain, it is tough to focus on your everyday life. You must know that around 20 million people in united states are experiencing chronic back pain.
Many a times when pain becomes chronic, our goal becomes to improve functioning without altering pain levels. Here are few ways to manage your back pain more effectively
Physical Therapy exercises, strengthening your core
CONCLUSION: Low back pain is among top 5 leading cause of disability. With recent advances of Neuromodulation, radio-frequency nerve ablation many patients with disabling pain can find relief. If your back pain is intense and becoming severe, consult with your physician to find out cause of your back pain.
Radiculopathy, refers to a set of conditions where one or more nerves are affected and do not work properly (a neuropathy). This can result in pain (radicular pain), weakness, numbness, difficulty controlling specific muscles.
It is commonly referred as pinched nerve, as nerves can be pinched by bone spur or herniated disc leading to shooting pain and other symptoms.
On average, 85 out of 100,000 people are affected by pinched nerve or cervical radiculopathy. Age group of 45-64 is most commonly affected.
Overview
Workers who use vibrating machinery repeatedly, heavy laborers, athletes, office workers with long sitting hours, and people who have arthritis in the neck regions are most commonly affected.
Causes of Cervical Radiculopathy
Any condition which irritates/injures the cervical nerves can cause cervical radiculopathy. Radiculopathy is usually caused when nerve is pinched, generally while exiting from spinal cord. It is commonly caused by
Herniated disc in human spine in details
Occurring at a less frequent rate, tumors, fractures, or sarcoidosis can cause cervical radiculopathy
Common Symptoms of Cervical Radiculopathy
The main symptom of cervical radiculopathy is pain that spreads into arm, neck, chest, upper back and/or shoulders. Even though problem is located in spine, you may experience symptoms at hands, arm or shoulders only.
Several conservative treatment options exist for cervical radiculopathy. Two main goals for treatment are to relieve pain and to prevent re-injury.
Conservative treatment:
Minimal Invasive Interventions: If above mentioned conservative methods hasn’t helped you enough, you may benefit to consult a pain specialist.
Epidural Steroid injection: Cervical transforaminal epidural steroid injection, also called cervical nerve block
Surgery
If conservative treatment does not help enough and repeated cervical injections doesn’t help either, surgery may be needed. Surgery may also be needed if a patient shows signs of:
Managing and Living with Cervical radiculopathy
Many people in united states are successfully living and managing symptoms of pinched nerve (cervical radiculopathy). These are few ways to prevent cervical radiculopathy from recurring.
CONCLUSION: Neck and upper back pain is also fairly common condition. If you are experiencing severe neck and arm pain, you are likely experiencing cervical radiculopathy/pinched nerve. Depending on the cause and severity you will benefit from Interventional pain management.
Are you having difficulty sitting down or feeling pain around your tail bone?
Maybe it was a sharp pain, or just a dull, throbbing pain that made it difficult or painful to sit.
Either way, it could be a sign that you have coccydynia, more commonly referred to as inflammation of the tailbone.
Coccydynia is inflammation of the tailbone(coccyx), commonly caused by some form of injury or trauma. Typically, individuals who experience tailbone inflammation complain of pain and discomfort at the bottom of your spine (tailbone area)
Overview
What Causes Coccydynia?
Tailbone inflammation typically occurs from one of the following:
In some cases, the cause of tailbone inflammation is seemingly unknown, and other conditions such as fractured bone, sciatica may cause symptoms around tailbone or hips. You may need to consult a Pain specialist to confirm your diagnosis and develop a treatment plan.
Common Signs and Symptoms
If you have following signs or symptoms, you may be suffering from tailbone inflammation:
Conservative treatment: Majority of people feel better after following non-surgical treatment:
Minimal Invasive Interventional procedures
Surgery
When do you need Specialist help?
Complex regional pain syndrome (CRPS) is a neurological disease leading to chronic pain affecting an arm or a leg. CRPS typically develops after an injury, surgery, stroke or heart attack. The pain is out of proportion to inciting event or trauma.
This occurs due to nerves and sympathetic nervous system dysfunction. These dysfunctional nerve endings often misfire which is interpreted by our body as extreme pain signals. It is often associated with swelling, skin color changes, hair and nail changes.
CRPS (also called reflex sympathetic dystrophy—RSD) commonly affects the arms or legs, but it can occur anywhere in the body. These symptoms may start in one area of the body, but then transition to a different part.
People in their 40s are most commonly affected, with women getting affected 3 times more commonly than men.
Early and aggressive multimodal treatment of CRPS is key to prevent long term disability, so early diagnosis of CRPS is crucial for its management.
Common Symptoms of Complex Regional Pain Syndrome
Symptom may change over time and it varies from person to person. Pain, swelling, redness, noticeable changes in temperature, hypersensitivity (particularly to cold and touch) usually occur first.
CRPS has been classified into CRPS 1 and CRPS 2 (Causalgia). CRPS 1 have no history or evidence of peripheral nerve injury, whereas CRPS 2 usually has history of peripheral nerve injury by trauma, surgery etc.
What actually goes wrong; through research multiple different hypothesis has been formed but actual causal mechanism of CRPS is still unclear. Some hypothesized NMDA receptor activation at your nervous system.
Many experts believe it occurs because of a dysfunction in the peripheral or central nervous system and inappropriate inflammatory response.
Complications of longstanding CRPS
Untreated or improperly treated CRPS can lead to following complications
Prevention
There are few studies showing benefit of following strategies
Early diagnosis and multidisciplinary (Medical, Psychological, Physical/ occupational therapy) treatment are recommended for maximum benefit.
Even though there is no definitive cure for CRPS, many treatment and care options exist.
Physical and Occupational therapy
Other activity-oriented therapy; graded motor therapy and mirror therapy
Medications
Some experts believe, combination of nerve blocks and ketamine infusion may be best available treatment currently for CRPS.
Minimal Invasive Interventions:
Often in combination of medications, these interventions can be very helpful to regain function and avoid late complications
Experiencing symptoms of CRPS can be emotionally challenging on anybody. Emotional stress often makes their symptom worse but not actually cause of their symptoms.
We will evaluate you with thorough review of history, physical exam and make a customize treatment plan for you in collaboration with your other providers.
Living with complex regional pain syndrome can be very challenging. It is hard for patients to explain and make understand their symptoms to family and friends as it is an uncommon condition in general population.
Some strategies for daily living to cope with CRPS:
Degenerative disc disease (DDD) describes a normal wear and tear of intervertebral disc. Despite its name, DDD is not considered a disease, nor is it progressively degenerative.
Intervertebral discs are little shock absorbers, filled with cushion like aqueous material in between 2 spine’s vertebrae. With natural daily stress and minor injuries these discs lose their hydration (water content) and lose their shock absorbing capacity. Also, as the disc weaken and lose water, they begin to collapse. This can result in pressure being put on the nerves in spinal column, causing pain and weakness.
This degeneration of disc or spine, makes the spine less supple, which means patients cannot twist or bend their back as much as they once used to.
Additionally, when the spinal discs wear down, it leads to further problems in our spine such as herniated discs, bone spurs, spinal stenosis or osteoarthritis.
Medical professionals use several terms interchangeably to describe spinal disc problems and associated pain. Terms include:
Degenerative Disc Disease, Herniated Disc
Use of these terms often cause confusion among people. However, you only need to be concerned with understanding the precise medical diagnosis given by your doctor. This diagnosis will identify the actual cause of your back pain and other pain problems, and this is what’s most important.
A healthy well hydrated disc contains a great deal of water in its center (nucleus pulposus), which provides cushioning and flexibility to our spine. At birth typically center of our disc contain 80% water. However natural daily stress and minor injuries can cause these discs to gradually loose water and lose their flexibility.
This water loss makes the discs less flexible and gradual collapse and narrowing of gap in our spinal column. Lower back (lumbar spine) is most susceptible for this wear and tear as it transmits most of our upper body weight to legs.
Due to this degeneration discs, our body compensates by bony spur formation to in an attempt to reduce excess motion of our spine. These bony spurs may lead to spinal stenosis or nerve impingement.
There is good evidence that menopause and related estrogen loss are associated with lumbar disc degeneration. Many research studies have also shown family history of disc degeneration to be an important predictor in causing disc degeneration in young age.
Common Symptoms of Degenerative Disc Disease
Many people have no symptoms in spite of having degenerative discs in their spine. Whether a patient experiences pain or not largely depends on the location of the affected disk and amount of pressure that is being put on spinal column or surrounding nerves.
It is important to note that DDD-related pain typically does not progress with age. The pain associated with degenerated discs lessens as time goes on.
It is also important to note many other causes of back pain presents similarly. It is always best to report all your symptoms to your treating doctor to make a proper diagnosis. You may need a thorough physical exam, diagnostic imaging and testing to make a proper diagnosis of Degenerative disc disease.
Degenerative disc disease can worsen with injury or trauma and present with whole host of other symptoms. A couple of these conditions include:
A few different options exist in order to effectively treat DDD. These options include:
Conservative treatment
Minimal Invasive Interventional treatment
Spine Surgery
If conventional, non-invasive treatments are unsuccessful and repeated minimally invasive interventions not helpful enough.
With proper pain management, typically most of people can manage their symptoms of DDD. Actually 90% of patients diagnosed with DDD report that symptoms usually lessen with time.
There are a few activities and actions you can do to help with your daily living.
CONCLUSION: Degenerative disc disease is extremely common condition where intervertebral discs shows signs of wear and tear. There is no real cure for Degenerative disc disease except regenerative therapy in early stages of degenerative changes.
Have you been experiencing deep aching back pain at your back, along with muscle spasms? You may be having Facet joint arthritis, which along with Degenerative disc disease (DDD) believed to be most common cause of neck and low back pain.
Facet joint syndrome (also known as facet joint disease, facet osteoarthritis, facet hypertrophy or facet arthritis) is a syndrome in which facet joints degenerate to the point of causing painful symptoms.
Facet arthritis is inflammation of one or more of the face joints, which link your vertebrae(spine). These small joints in your spine provide stability and flexible movement of your spine. We move through our facet joints when we twist our back, look around and perform daily tasks of bending and lifting.
Just like other parts of the spine, the facet joints deteriorate over time (due to normal daily stress or minor injuries). This deterioration causes many painful symptoms over time.
What Causes Facet Joint Syndrome?
Risk factors and causes of facet joint syndrome include:
Common Symptoms of Facet Joint Syndrome
As mentioned earlier, facet degeneration(arthritis) along with degenerative disc disease is most common cause of neck and lower back pain. Facet joint pain is often referred or spread to other area from its original location, like cervical(neck) facet arthritis causing pain at upper arm, shoulders, headache.
If you have facet arthritis in your spine, you may be experiencing one or more of the following symptoms.
Inability to turn your neck sideways due to pain
Consult with your physician if you are experiencing performing your routine daily activities. Your physician can confirm that your symptoms are due to facet arthritis (spine arthritis) and not from any other serious problem. At this point most cases of arthritis are treated by conservative approach first.
Conservative treatment
Minimally Invasive Interventional treatment
If conservative treatment doesn’t help you enough, you may be a candidate for following interventional treatment.
Managing and Living with Facet Joint Syndrome
Continuing your daily activities with reduced pain are two goals to manage and live with spinal arthritis. You can try one or more of following strategies.
If you suffer from headaches or migraines, you’re not alone. Every 10 seconds, someone in the U.S. goes to the emergency room complaining of head pain, according to the Migraine Research Foundation. Headache is a broad category which presents with painful symptoms in head or neck region.
Types of headaches:
As suggested from above headache may arise from cause within the head or neck (primary headache) or some other causes (secondary headache).
What Causes Headaches?
Many factors can trigger a headache or migraine. The good news is that most are not the result of a serious illness. However, if they are frequent or sudden, this could be a symptom of a bigger problem such as a brain tumor or aneurysm. As a safety precaution, you should seek the help of a medical professional right away to rule out any underlying major health issues.
Some of the more common causes for headaches include:
There are some cases in which headaches can be a sign of a more serious problem. Such instances include:
You need to consult with your physician, if you are experiencing frequent or sudden headaches.
Common Symptoms of Headaches
Depending on the type of headache you have, the symptoms will vary from person to person
Tension headache symptoms
Migraine headache symptoms
Cluster headache symptoms
Treatment and Care for Headache
Many treatment options exist for headache and migraine sufferers. Treatment options include:
For patients who are good candidates for BOTOX®, the neurotoxin works by blocking the release of chemicals involved in pain transmission. In an occipital nerve block, nerves are made less sensitive with a steroid injection. This stops the flow of information, especially pain signals, from these nerves, resulting in a decrease in chronic headaches. Ask our pain specialist for details on these therapies for management of your pain
Managing and Living with Headaches
Living with frequent headaches can be very taxing, especially when you have to work, study or perform other daily tasks. However, there are few things you can practice to reduce the burden of these headaches.
Meditation
CONCLUSION:
Have you been experiencing numbness or tingling in your back, arm or legs? Have you been experiencing sharp, shooting pain in your back, arms or legs? Do you have weakness of arm and leg muscles?
Hernaited disc in human spine in details
What is a Herniated or Slipped Disc?
Herniated disc is a medical condition affecting the spine in which soft inner portion of rubbery cushions (called the disks) leaks or bulge out in between two bones(vertebrae) of the spine.
Herniated discs (often called a slipped disk or ruptured disk) usually occur in the neck region (called the cervical spine), or in the lower back region (lumbar spine). However, herniated discs can occur anywhere along the spine.
Common Symptoms of Herniated or Slipped Discs
Symptoms of disc herniation varies from location of disc herniation and type of tissue involved. It can range from little or no pain to severe unrelenting neck or low back pain
Classic signs and symptoms of a herniated disc include:
If you notice pain frequently spreading down your leg or arm, call your doctor right away. If this pain is accompanied by weakness, bowel or bladder symptoms, be sure to call your doctor right away.
What Causes Herniated or Slipped Discs?
Disk degeneration often leads to in disc herniation for some patients. The discs suffer wear and tear over time with natural daily stress and minor injuries, which leads to more disc bulging or protrusion and then more problematic disc herniation.
Other times, patients cannot pinpoint a specific cause of disc herniation. Any of the following causes may be possibilities, though:
Risk factors that may increase the chances of a herniated risk:
It is possible to treat herniated discs without the need for addictive medications or surgery. Treatment options include:
Conservative management
Minimal Invasive Interventional treatment
Interlaminar Epidural steroid injections
Transforaminal Epidural steroid injections
Epidural injections help by injecting steroids, powerful anti-inflammatory medications near the source of injury (herniated disc) and thereby reducing inflammation and reduces particular nerve sensitivity.
Surgical Intervention
You may be a candidate for surgical interventions if you failed conservative treatment, including a series of epidural injections. Please discuss with your surgeon best course of action for you, who may recommend following surgical intervention for you.
Microdiscectomy
Open Discectomy
Foraminotomy
Managing and Living with a Herniated Disc
Most painful symptom of acute disc herniation reduces with time and conservative therapy. While going through symptoms of disc bulge or herniation you may find these tips helpful.
Have you been diagnosed with peripheral neuropathy? If you have been experiencing severe symptoms of neuropathy in spite of trying traditional therapies, there is still hope with neuromodulation and other minimally invasive treatment options.
What is Neuropathy?
Peripheral neuropathy (PN) is damage to or disease affecting nerves, which may impair sensation, movement, gland or organ function depending on type of nerve affected. Neuropathy affecting only one nerve is called mononeuropathy, whereas neuropathy affecting same areas on both sides of body is called “symmetrical polyneuropathy” or simply “polyneuropathy”.
When people suffer from neuropathy, he or she may have difficulties with strength, movements, balance, and sensation in the lower and upper extremities.
There are many types of neuropathy exist depending upon the cause, such as diabetic neuropathy and autonomic neuropathy. Symptoms and treatment for each type of neuropathy remain similar apart from treating the cause of neuropathy.
Common Symptoms of Neuropathy
Symptoms will vary from person to person and depends upon types of nerves involved. Most commonly it causes pain and abnormal sensation in both legs and feet. It may present with following symptoms in general.
What Causes Neuropathy?
Neuropathy can be caused by many things, such as:
Treatment and Care for Neuropathy
Treatment and care options typically depend on the type of nerves involved and the cause(s).
Conservative treatment:
Range of medications which works on central nervous system have been used to manage neuropathic pain
Minimally Invasive Interventional treatment
If all the above mentioned first line treatment methods fail to provide adequate relief or functioning. You may be a candidate for spinal cord stimulation or ketamine infusions.
Managing and Living with Neuropathy
Several creams and over-the-counter medications can be used to combat the symptoms of neuropathy. You may need to take special care of legs and feet if you have been experiencing numbness.
Approximately 1 in 3 adults will contract shingles at some point in their life. The rash and pain usually subside in 3 to 6 weeks in most individuals but 1 in 5 people develop a painful condition called Post-herpetic neuralgia.
What is post-herpetic neuralgia?
This condition is a complication of shingles, which stems from having chicken pox (varicella zoster virus) at a younger age either through infection or live virus immunization. When a person has the herpes zoster (chicken pox) virus inside them, there is a chance they will contract shingles in adulthood.
Post-herpetic neuralgia is chronic debilitating pain along the affected nerve distribution after healing of herpes zoster rash.
What are the symptoms of post herpetic neuralgia?
Post-herpetic neuralgia typically manifests itself in the form of an intense burning sensation on the surface of the skin. Many patients describe it as feeling like the worst sunburn they’ve ever had.
Pain may be severe enough to affect sleep and other daily activities. Pain usually localized to affected rash, around eyes or flank but may spread to other areas like ribs.
What causes postherpetic neuralgia?
While anyone who has had chicken pox in the past can contract shingles, the majority of individuals who experience painful shingles complications are in their 60s due to reduced immunity.
Treatment and Care for Post-herpetic Neuralgia
While there is no cure for post-herpetic neuralgia, there are several treatment options that have been effective for patients who are suffering from this condition.
If you are experiencing pain due to the shingles virus and traditional treatment methods are not helpful. There is still hope with minimally invasive Interventional pain management.
When should you seek treatment?
In some cases, home remedies are enough to effectively treat shingles pain. In moderate to severe cases especially with severe painful blisters you should seek immediate help to start antiviral medications. Early treatment is crucial to prevent permanent nerve damage by this (varicella zoster) virus.
When your pain starts to significantly impact your daily life, you should see a pain management specialist to seek non-conventional treatment methods.
Our focus is on conservative, minimally-invasive techniques and procedures designed to do help alleviate the pain you are experiencing.
Sacroiliac (SI) joint is a joint where your spine meets your hip bone, in a way it transmits your upper body weight to your legs.
Any misalignment or inflammation in this joint causes lower back and buttock pain. SI joint pain is often a under recognized source of back pain
Normally there is very little (2-4mm) movement at this joint except in pregnancy when it moves more which is necessary for child birth. Therefore, SI joint pain is among most common cause of lower back pain during pregnancy
What is sacroiliitis?
SI joint may degenerate and may become arthritic like any other joints in our body and be a source of pain. Sacroiliac joint inflammation is known as sacroiliitis.
Sacroiliac Joint inflammation
Common Symptoms of SI Joint pain
Typically, SI joint pain is more on one side, but it may occur on both sides equally. Severity of pain varies from person to person and due to underlying cause of pain.
Causes of SI Joint pain
SI joint is supported by strong ligament and muscles to maintain stability, it may become source of pain due to following common causes
Treatment and Care for SI joint pain
Conservative / Nonsurgical treatment
Stretching/ Yoga
Physical therapy
Chiropractic manipulation
Anti-inflammatory medications
Topical creams/ patches
Minimally Invasive Interventional methods
Combination of Steroid and numbing agent may reduce inflammation and swelling. These injections can be used for diagnostic as well as therapeutic purpose.
If Sacroiliac joint injections are helpful but effect of injections doesn’t last long enough. Nerve ablation of nerves around this joint can provide sustained long pain relief.
If steroid injections helps but doesn’t give long enough relief, PRP injection is a better alternative available.
Surgical Treatment: if conservative treatment, along with repeated injections doesn’t help enough and pain continues to be debilitating surgery may be needed.
Managing and Living with Sacroiliac joint pain
SI joint pain can be quite debilitating affecting your daily activities. However, following these tips may be helpful.
