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Understanding Your Back Pain

As a result of an injury, either on the job or the result of negligence from another, including a car accident, lower back pain is a very common occurrence. It is important to understand the source of the lower back pain and to be sure that you are receiving the appropriate medical care in obtaining the proper diagnosis of this pain. Many people are familiar with lumbar based pain that can result from conditions such as a herniated disc, a protruding disc, nerve injury as well as a strain or sprain to the lumbar spine. These conditions are treated by injections, physical therapy and in very extreme situations surgery.

I have had an opportunity to handle cases for my clients that have been diagnosed by one of the leading spine orthopedic surgeons in Central Illinois with a condition that is now medically and commonly referred to as SI joint dysfunction. Although the pain can be very similar to pain that results from one of the more traditional lumbar spine injuries stated above, the method of diagnosis and the method of treatment is very different and very important for a person to understand if the pain complaints do not improve. The SI joint is in the very lower section of your low back and can produce pain when a person sustains a low back injury either in a twisting fashion, a compression fashion, lifting an object that is too heavy and a multitude of other mechanisms. What I have discovered in handling cases, where this diagnosis has been made, is that the method of diagnosis is not usually done through a traditional MRI scan or a nerve conduction study. The method of diagnosis is done through diagnostic and therapeutic injections into the SI joint to see whether or not those injections provide temporary pain relief. These injections are critical to help the orthopedic surgeon understand if the SI join is in fact the source of the pain. And that should the SI joint be diagnosed as the source of the pain, there are many forms of treatment, which include ongoing injections, physical therapy, medication and of course surgery can be recommended in the form of an SI joint fusion. It has been my experience that insurance companies and their attorneys and the doctors, that they may hire for review of these conditions, often times will dispute the diagnosis of SI joint dysfunction and the treatment that is offered to fix this type of problem. I have also discovered that many doctors who are not orthopedic spine surgeons often times do not provide the best direction for diagnosis and treatment of care of an SI joint issue as sometimes the doctors will focus solely on lumbar spine problems. If you believe that you have suffered a low back injury where the treatment has not been a significant relief of pain and you believe that you may need further evaluation of this condition, it would be very important for you to contact my office so that we can discuss this with you further and provide recommendations to you pursuant to the laws that would allow you to seek appropriate medical care for diagnosis and treatment of such a condition.

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