- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
Advice on PRP et al for SI joints
Posted on 3/26/24 at 10:29 am
Posted on 3/26/24 at 10:29 am
For the past several years, I've dealt with chronic SI joint inflammation. When I'm in a "good" phase, they are never truly at zero, but it's fine. I always have to be careful, though, and I spent a lot of time with the theragun on them at the end of the day - particularly if I did something strenuous. I'm resigned to this just being life from now on. It sucks, because it limits my ability to do simple things like go on a long hike.
But sometimes, they flare up - seemingly randomly - and really impact my ability to do things (e.g. sitting in a car is almost the single worst thing for them). I usually go see a dry needler and that seems to often help - particularly with the acute inflammation.
But I'm wondering now (in the middle of a particularly capricious flare up) if I shouldn't seek some more long-term relief. Is PRP a thing for this? Anything else? TIA
But sometimes, they flare up - seemingly randomly - and really impact my ability to do things (e.g. sitting in a car is almost the single worst thing for them). I usually go see a dry needler and that seems to often help - particularly with the acute inflammation.
But I'm wondering now (in the middle of a particularly capricious flare up) if I shouldn't seek some more long-term relief. Is PRP a thing for this? Anything else? TIA
1
Posted on 3/26/24 at 10:47 am to Big Scrub TX
Following this. Had a couple of jarring SI injuries over the years.
Posted on 3/26/24 at 10:55 am to JumpingTheShark
quote:Injuries? Sheesh. What happened? How does it manifest for you when acting up?
Had a couple of jarring SI injuries over the years.
Posted on 3/26/24 at 12:35 pm to Big Scrub TX
First one happened about 11 or 12 years ago I slipped on black ice and landed on my lower back/hip. Hurt horribly and almost made me pass out. I thought I had broken my hip but x ray was negative, eventually just got better, this past year I was deadlifting and reinjured it. Felt like a horrible muscle spasm. This time felt almost exact same kind of pain as my slip but resulted in some nerve pain that had doctor thinking herniated disc, I only recently visited a doctor who specified it’s SI because the pain and tightness is on the right side of my hip rather than down my spine. Lots of mobility work and stretching helps it.
Posted on 3/26/24 at 1:13 pm to JumpingTheShark
It's always complex too, because "SI joint" can sort of mean also the crazy gathering of ligaments all around it, each of which can be injured also.
The most annoying thing to me is how random it seems to be. Like, I went to a 3-day golf tournament last month and was worried they would flare - no issue. Normal workout last week (did some Bulgarian split squats) and 2 days later, they were off and running.
The most annoying thing to me is how random it seems to be. Like, I went to a 3-day golf tournament last month and was worried they would flare - no issue. Normal workout last week (did some Bulgarian split squats) and 2 days later, they were off and running.
Posted on 3/26/24 at 1:16 pm to Big Scrub TX
Same, I’m stronger than I’ve ever been but some very light movements will make it flare up. I can’t explain it
Posted on 3/26/24 at 4:07 pm to JumpingTheShark
Well, worse news - it's a disc! 
Posted on 3/27/24 at 7:43 am to Big Scrub TX
Were you able to get an MRI? I practically begged for one and doctors act like I’m asking for an MRI from a remaining available number of 50. Super fricking annoying
Posted on 3/27/24 at 4:50 pm to JumpingTheShark
quote:I don't need one. It's a minor disc bulge. It still freaks me out because that's such more serious business than some inflamed joints.
Were you able to get an MRI?
I spoke to a few people about the PRP IRL and they discouraged it for SI joints (ditto stem celles for SI).
Posted on 3/30/24 at 3:59 pm to Big Scrub TX
As a physical therapist, I don’t trust PRP. And I very much dislike SI Joint diagnoses being the root cause for treatment.
The research behind PrP is not good imo and results are widely mixed with very few positive outcomes in my experience.
In terms of SI joint pain in men especially, those joints only move on average 2mm and that decreases with age. So is a 1mm movement causing excessive pain and all sorts of symptoms. Not to mention, in the same region we have multiple muscular insertions, nerves, ligaments, other joints, and a variety of other structures that can refer pain to the same region mimicking the same “SI joint” pain.
So in my opinion, prp(especially for the SIJ) is a complete and utter crapshoot.
Low back pain by and large is multi-factorial. Which is the exact reason why so many people suffer from it and why treatment outcomes are relatively poor across the board.
If you have back pain, you must evaluate and address the following: hip flexibility, thoracic spine flexibility, spinal stability, hip/leg strengthening, activity medication, sleep deficits, poor hydration and nutritional concerns.
The research behind PrP is not good imo and results are widely mixed with very few positive outcomes in my experience.
In terms of SI joint pain in men especially, those joints only move on average 2mm and that decreases with age. So is a 1mm movement causing excessive pain and all sorts of symptoms. Not to mention, in the same region we have multiple muscular insertions, nerves, ligaments, other joints, and a variety of other structures that can refer pain to the same region mimicking the same “SI joint” pain.
So in my opinion, prp(especially for the SIJ) is a complete and utter crapshoot.
Low back pain by and large is multi-factorial. Which is the exact reason why so many people suffer from it and why treatment outcomes are relatively poor across the board.
If you have back pain, you must evaluate and address the following: hip flexibility, thoracic spine flexibility, spinal stability, hip/leg strengthening, activity medication, sleep deficits, poor hydration and nutritional concerns.
This post was edited on 3/30/24 at 4:03 pm
Posted on 4/1/24 at 12:26 pm to TriggaTrey
quote:
TriggaTrey
quote:I do use "SI pain" as sort of shorthand for any/all cascading effects pertaining to your list. Sometimes, I think the SI joint itself hurts. Other times, it seems clearly to be some of the surrounding ligaments etc. To me, the distinction is between disc/spine and "SI". For the latter, I'm almost always in a better mental state. For the former, it sends me into a tailspin psychologically.
In terms of SI joint pain in men especially, those joints only move on average 2mm and that decreases with age. So is a 1mm movement causing excessive pain and all sorts of symptoms. Not to mention, in the same region we have multiple muscular insertions, nerves, ligaments, other joints, and a variety of other structures that can refer pain to the same region mimicking the same “SI joint” pain.
So in my opinion, prp(especially for the SIJ) is a complete and utter crapshoot.
Low back pain by and large is multi-factorial. Which is the exact reason why so many people suffer from it and why treatment outcomes are relatively poor across the board.
If you have back pain, you must evaluate and address the following: hip flexibility, thoracic spine flexibility, spinal stability, hip/leg strengthening, activity medication, sleep deficits, poor hydration and nutritional concerns.
Posted on 4/2/24 at 7:11 am to TriggaTrey
quote:
hip flexibility, thoracic spine flexibility,
These two seemed to help me the most. Then slowly incorporating back extensions to regain flexion tolerance
Page 1 of 1
Back to top
Follow TigerDroppings for LSU Football News