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Question
I have moderately severe arthritis in my L-S spine, and have had a fusion on L3-4. I currently have herniated disks above and below my fusion. Along with moderate right hip arthritis, I have stenosis in my sacrum. Whenever I bend over, squat, kneel, or whatever, and then start to get up, I get a stabbing, knife like pain right in the right SI joint. It is the exact same spot every time. I have previously had both SI joints injected with cortisone but this was unsuccessful. Occasionally this pain will come when I am pushing a shopping cart also. It takes my breath away it's so painful. Any ideas? I just turned 50 and am trying to stay active.
Hi Lori,
'Sorry that you're having such difficulty. What you have is quite common. It sounds like your pain is coming from the discs. If the forward bent position, leaning on a shopping cart provided relief, then I would guess that your arthritic spine is causing narrowing of the spinal canal. This is called central canal stenosis, and forward bent postures, e.g. leaning on the shopping cart or being bent forward with hands on knees is alleviating. When the forward lean or bending down provokes the pain, odds are it's an irritated disc. Irritation can come from bulging, tears, or simply pressure against the damaged portion. I would chat with the doctor about epidural steriod at the disc. You can also try decompressive manipulation with a chiropractor that has a distraction-type table (see the services tab on my web site www.drgillman.com). You also should be tested for instability. Google: Prone Instability Test for Lower Back. It should come right up. If you have a positive test, then you need to do stability exercises (e.g. www.fixyourownback.com shows the big three).
'Hope this helps.
Dr. G
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Chiropractors
Answers by Expert:
- Scott F. Gillman, DC, DACBSP
- Dr. Paul Newhart
- Dr. Victor Dolan, DC, DACBSP
- Dr. Brendon J. O`Brien, D.C.
- Gerald Anzalone, D.C.
- David Kulla, DC
- Robert A. Arnone, DC
- Keith E. Biggs, DC
- John Quackenbush DC
- Dr. Timothy K. Durnin
- Dr. Man Tran, Ph.D., D.C., L.Ac.
- Timothy A. Peck, DC
- J.R. Strecker, B.S., D.C.
- Dr. Nekessa Remy
Scott F. Gillman, DC, DACBSP
Expertise
21 Years in practice: I can answer any question regarding chiropractic and sports medicine treatment. Mostly, I can help the unknowing public understand what is safe, valid, reasonable and evidence-based, and what kinds of unscrupulous chiropractors and fraudulent methods to stay away from. I have an advanced specialty degree in Chiropractic Sports Medicine. I have experience treating elite and Olympic athletes.
Experience
Experience:
- 21 years in practice;
- Pan American Games, 2011: Official Medical Staff for the Pan Am Games.
- Beijing 2008 Olympic Games: World Olympians Associan and International Sports Chiropractic Association Healthcare Team;
- International Chiropractic Sports Sciences Diploma;
- Official Provider: Jamaican Track and Field team for Penn Relays (2009-2011)
- Experience with USA Gymnastics Healthcare team and International Powerlifting Association Medical Staff;
- 300 hour chiropractic sports medicine diplomate degree (DACBSP); International Chiropractic Sports Sciences Diploma (ICSSD)
- Healthcare Consultant: Century, Ty-Wood Corp. Holliston, MA (2005-2007)
- Team Chiropractor: Boston Bulldogs USL D-3 & Boston Renegades USL W-1 League (1999-2004)
- Independent Examiner: Scope Medical and The Physician's Network
- Professional/Clinical Monitor: Affiliated Monitors, Inc.
- Board of Directors: MetroWest Chamber of Commerce (Massachusetts)2000-2006
- "The Impact of Chiropractic Manipulative Therapy on Chronic Recurrent Lateral Ankle Sprain Syndrome in Two Young Athletes" J. of Chiro Med , Fall 2004
- "Work Related Injury;" The Hanover Report, June, 1993
- "Long Lasting Analgesic Effect of Oxymorphonazine in Rats;" Agonists and Antagonists III, n.7675, 1985
- BS Biology, Doctor of Chiropractic: Northwestern College of Chiropractic,
- Diplomate: American Chiropractic Board of Sports Physicians (DACBSP)
Education/Credentials
Doctor of Chiropractic Diplomate: American Chiropractic Board of Sports Physicians
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