SIJ problem - Any help would be appreciated

[Dr Damien]

Hello April

If two different professionals have had a look then perhaps it is what has been diagnosed.
From the information given very little reasoning can be made and as you cannot be assessed it is even more difficult. SIJ problems are very easy to diagnose so perhaps these professionals cannot have made a mistake with the diagnosis

Help us out with the following information to see what advice can be given

1) what happens when you stand on that leg?
2) bringing ur knee to your chest? what happens? what about bending foreward like you wanna touch your toes?
3)can you lie down on your left hip without pain?
4)is this pain constant or only there when you are walking?
5) does it disturb your sleep?
6) the SI pain and left tronchateric pain, do they occur at the same time?
7) any lowerlimb symptoms?
measure from ur belly button to the anterior superior iliac spine on both sides? anydifference in length?

The anatomy youv mapped out correlates also with the anatomy of the small rotators of the hip
7) what happens when u turn ur foot in and out against resistance in standing respectively (like against a wall)?

SI problems most often have a traumatic onset and there are different types (inflares, outflares, upslips and downslips), the often respond well to manipulation/mobilization to reset and specific exercises to reset and maintain.
some laxity may have been present in ur ligaments prior to ur D&E and the surgical procedure could have traumatized that...

hope to hear from you soon

[April RN]

Dr. Daminen,

Thanks so much for your response. I really appreciate you taking the time to write me. Below are answers to your questions....

1. When I bear weight on the affected leg, which I have started doing only in the past few days since it has been too painful in the last few weeks, I have pain primarily at the pirifiormis insertion site, but occasionally also have pain at the iliac crest.
2. Bending forward doesn't cause pain....just a slight pulling sensation like my muscles are tight, which I am sure is the case since I have been unable to do much stretching in the past couple of months.
3. I can not lie on the left hip. This makes the pain greatly increase. I only attempted this last night after reading your message, and it was quite uncomfortable.
4. The pain occurs when I am walking or moving the affected area. Presently, sitting doesn't cause pain.
5. The pain has greatly affected my sleep. I rarely slept for any length of time initially, but have slept some better the last few weeks. I sleep on a soft couch with a thick soft blanket folded beneath me since this has happened. I slept in a bed with a memory foam mattress before, and have tried to since, but wake in the middle of the night hurting and sore, and then make my way back to the couch.
6. The SIJ pain seems to have greatly diminished, and now the primary point of pain is at the trochanter/piriformis insertion. Intermittently I will have pain at the SIJ area, but only if I move my leg in a certain way, like out to side, or just walking if I move my leg too quickly.
7. I have not experienced lower limb symptoms.
9. Currently there are no discrepancies in leg length, though there was for 2 to 3 weeks after this happened. My therapist stated my left leg was longer than the right, but I think they have "gotten the SIJ back in place", so to speak.
Thanks again for your help. I have been stunned over all that has taken place since my surgery. I certainly never expected it, and was afraid I may not have been pursuing the proper treatment avenues.

Sincerely,
April