Long standing SI Joint pain

2025-12-28 08:24:49
2years ago, I was diagnosed with sacrolitis. Ever since, there has always been a burning sensation on the immediate left lumbar spine and the si-joint always seems inflamed /painful. I was redirected to a rheumatologist. My HLA B27 negative, ESR, CRP normal, MRI showed chronic sacrolitis. Initially I was given Saaz DS for 3 months, then biologics like Adalimumab and Etanarcept for 3months each with regular physio, walking, hot compress. But I didn't respond well to either of them, my pain continued to linger at same intensity. Rheumatologists cited it may not be an autoimmune disorder and it may be mechanical in nature. I had a steroid shot into the joint itself but that didn't give any relief either. I have been doing physio under a trainer for the past 3 months, in strict diet control to avoid inflammatory foods, but still I feel extreme pain near my hip si joints and burning sensation near the left lumbar spine. I am barely able to sit 20 mins stretch. Please suggest some remedies.
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Consult me for further advice

Answered2025-12-28 14:09:00

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Do Repeat Xray Scan Lumbar spine With Hip Screening Hlab27, Anti CCP Antibody Test, ANA.

Answered2025-12-29 12:06:07

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Tablet medrol 4 mg bd.. for 2 week Tablet Hcq 200 bd.. for 2 week Tablet etoshine 120 bd for 2 week Cap panto 40 bd empty stomach for 2 week Powergesic gel application Physiotherapy

Answered2025-12-28 14:13:46

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