Expert: Dr. Paul Newhart - 4/15/2008

Question
QUESTION: I have alot of back pain on the lower left and right side of my back usually right on the side of my spine(very lower back right above buttocks) An orthopedic looked at my back and says  I have an SI joint out of place. They we he did this was by feeling my back and having me raise and lower my legs then fully extending them. This pain effect me in my every day life what is it and what can I do about it.

ANSWER: I would have an evaluation by a good chiropractor.  This condition is very common and usually easily corrected.

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QUESTION: this has been going on for about 2yrs, after I had a fourwheeler accident they said I just have torn muscle but muscle pain should not last this long. I have been to a bunch of chiropracters usually more than 3 or 4 sessions and they have not fixed anything. Seems to make it worse. I have chronic pain usually always a 6. When I am active even doing dishes it is a constant 8-10. MRI's show nothing. I lose alot of sleep over The pain. I have taken vicodin as prescribed But seems I need a higher dose.  Was on ER's but nothing only if I exceed the prescibed dose does it help. Do I just have a higher tolerance than normal. I come from a very addictive family I don want to be an addict but this pain. Seems no one can help. I have no idea where to turn next.

Answer
If you can find a chiropractor that works with soft tissue injuries, it can be quite beneficial.  We use myofascial release, cold laser, and ultrasound for these types of injuries, as well as a good rehab protocol to strengthen the injured area.  If you are unable to find a chiro. that does this, you may want to try massage, as this can also be very beneficial for muscle injuries, even old ones.