Sacroiliac Joint Pain after Total Hip Replacement

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New Member

Date Joined Nov 2012
Total Posts : 1
   Posted 11/6/2012 9:53 PM (GMT -7)   
Hello to all...
I am new to this Community, I am so excited I have found this site!

I am hoping to gain some insight, advice & encouragement as I continue going through my journey of increasing lower back pain after having a Left Total Hip Replacement.

Long story short...
May 2011- FAI surgery on left hip(no relief in pain)
Jan. 2012- Total Hip Replacement on left hip, as FAI surgery didn't correct pain
Feb. 2012-Dislocated new hip
March 2012- Dislocated new hip, again
*Changed Dr.'s & spent the next 3 months in a hip/leg brace
May 2012- Again, dislocation of "new" hip
June 2012-Revision on left hip replacement
All the while not able to work, continuing Physical Therapy, pain meds, etc.

Through all of my hip surgeries, I continued to have pain in my lower back, however, due to my hip issues, Dr. thought my back pain would subside as my hip heals.

Fast forward to today, I found out that I am suffering from Sacroiliac Joint Dysfunction, and will be scheduled for injections soon.
Any advise, encouragement and support will be greatly appreciated. I would love to hear about your journey as well, hopefully I could return the support & encouragement, as it is very difficult for others to understand what we are going through.

Thank you in advance.

Regular Member

Date Joined Sep 2012
Total Posts : 467
   Posted 11/7/2012 5:06 AM (GMT -7)   
Hi GabesMom. Sorry we had to meet here, but I do know a bit about the surgeries you went through, so hopefully I can help.

I used to work as a physical therapy assistant, and I've been in the operating room to observe some hip (and knee) replacement surgeries. I asked one of the orthos at the hospital if I could watch, because I wanted to know how it was being done, so I could treat and educate my patients better, and he kindly allowed me to. And it did help me with my job.

I was quite surprised. Joint replacement surgery, Especially the hip, is not a delicate operation, like most people think of surgery. It's more like a construction project. Lots of things get moved around, and quite a lot of force is used at times. Tendons and ligaments get stretched, muscles have to be moved out of the way, and pinched nerves are a common side effect.

The sacroiliac joints are partially the two halves of your pelvis held together by very strong bands of ligaments, so that they have very little movement, with the sacral vertebrae in the middle. In fact there's disagreement in the medical community about how much movement is "normal", and we're talking about 2 to 17 degrees. Women, while giving birth, release a hormone called relaxin, that allows those ligaments to loosen up more than normal so the baby can pass.

Add all of that together, with the multiple hip revisions you have had, and the diagnosis sounds very likely. It's a matter of the ligaments being moved and pulled on during the operations too many times. The ligaments usually recover, but it takes time. The pelvic ligaments are extremely strong, and it takes a lot of force to stretch them. But they usually return to their original shape and position in time.

Be patient, and the injections for those are to help you through the rough spots while the ligaments recover. I wish you luck, and keep pushing.
Short version; Osteoarthritis, scoliosis, lumbar spondylolisthesis, sciatica, hip dysplasia, bipolar disorder, migraines, macular degeneration, TIA's (they think), insomnia, and a rogue's gallery of other things...
~ ~ ~ ~ ~
God, grant me the serenity to accept the things I cannot change, The courage to change the things I can, And the wisdom to know the difference.

Regular Member

Date Joined Sep 2012
Total Posts : 467
   Posted 11/7/2012 7:13 AM (GMT -7)   
Oh, and one other bit of advice, as we had this happen with one patient. Be careful on the commode. You don't want to strain too much, or linger, if you know what I mean. Fiber/and or gentle stool softener per your doctor's recommendation, and don't sit there and finish reading a magazine article if you have finished your business. Do what you gotta do and get off of it. It's a stress put on that area that does not help matters.
Short version; Osteoarthritis, scoliosis, lumbar spondylolisthesis, sciatica, hip dysplasia, bipolar disorder, migraines, macular degeneration, TIA's (they think), insomnia, and a rogue's gallery of other things...
~ ~ ~ ~ ~
God, grant me the serenity to accept the things I cannot change, The courage to change the things I can, And the wisdom to know the difference.

White Beard
Forum Moderator

Date Joined Feb 2009
Total Posts : 3673
   Posted 11/8/2012 11:15 PM (GMT -7)   
Hi Gabesmom17, and Welcome to Healing Well Chronic Pain Forum, Wow sounds like you have been through allot with your hip, and now your having problems with sacroiliac joints! Hopefully the injections will help you, some people get good long lasting results from having them, others not so successful! I usually only get around three weeks worth of pain relief when I get an injection, and it does not start right away. Usually the first day or two after the injection I hurt even more, but that is normal as it normally takes a couple of days before the injections have any affect. I do hope they work for you, some people have some side affect from the injected steroid, lack of sleep, and maybe fluid retention, I personally have not had much of a problem with the side affects. Only when I have to take high dose steroids for my Ulcertive Colitis that I notice the side affects.

Anyway I do hope you stick around and become an active member of our forum, we have a really good bunch of people here, that really do know what it is like to live with chronic pain! You will no longer be alone with your pain when you come here! We do understand, and can empathize with you!

Good luck to you, and I wish you well..........White Beard
Moderator Chronic Pain
I retired from the USAF, in Sept, 1991. I went back to school and became a licensed RN in 1994, I worked on Oncology and Med Surg , I became disabled in late 1999 and was approved SSD in early 2002! Diagnosed with: DDD, herniated Disk at T12, L3/4; C3/4 Posterior Articular Joint fusion Nov 2010; C5/6 ACDF Sep 2009; C6/7 ACDF Mar 1985; Ulcerative colitis; Chronic Pain; Complex Sleep Apnea; and host of other things! I am White Beard with a White Beard!

New Member

Date Joined Jun 2013
Total Posts : 1
   Posted 6/27/2013 8:36 AM (GMT -7)   
Hi gabesmom17, I am new on here as well. Hang in there, the pain will get more manageable as you figure out what works for you. PT is certainly important and something that can benefit everyone. I suffer from sacroiliac joint issues as well. I do PT but I also use a hip brace on a regular basis. Try looking up some different models that are suited to your situation. I found a good one on that was specifically for sacroiliac related pain and it has been quite a relief on the strain of daily life. Just remember to stay positive and stay active! best of luck to you!

New Member

Date Joined Aug 2013
Total Posts : 7
   Posted 8/27/2013 10:48 AM (GMT -7)   
I had full hip replacement 7 months ago. I am still having chronic lower back pain. If I sit it is so painful when I try to stand up, I have to stand for a while till I can straighten up to walk, and walking is difficult. Going to bed is a nightmare as it is difficult to lie because of the pain. I am on pain killers and have had antiflamatory tablets, but nothing seems to help much. Does anyone else have this problem, and if so is there anything that can be done. I would be grateful for any help

Forum Moderator

Date Joined Jul 2013
Total Posts : 4771
   Posted 8/28/2013 10:03 AM (GMT -7)   
I've had both of my hips replaced and spinal fusion L1-L5. The left hip went off without a hitch. The back surgery is still recovering, and then I had the other hip replaced 6 months after the back surgery. I still experience intense SI joint pain on the right, where the new hips is (and I did not have that with my first hip).

I assumed it was because of the back surgery and now-loss-of-motion. (That and two infections and an allergic reaction requiring a 911 can for an ambulance to take me back to the hospital for 3 days for observation).

I had my last hip surgery 6/10 but I'm still having that pain. PT acknowledges the connection. You can't ignore it, there's a definite link. Do you have any low back issues? What does your PT say about it? I agree it's annoying and can get quite painful. So yeah, I'm familiar with it.


Veteran Member

Date Joined Jan 2010
Total Posts : 3557
   Posted 8/28/2013 11:01 AM (GMT -7)   
Hi have posted on an older thread so you will get many more responses if you post a new one introducing yourself.

You can use the button on the upper or lower left hand side of the page that reads Post New Topic....You can cut/paste your post if you like....

This way more people will see your post and chime in with thoughts/suggestions and welcoming you to the board:)
SB (Snowbunny) and the pup that snores (my yellow lab:))

3, two-level, cervical fusions over the past 11 years. The last one was anterior and posterior with lots of fun titanium!
Still have active herniations along with knee problems and another Morton's neuroma in left foot.
I try to find joy in each day even with chronic pain:)

chronic body pain
New Member

Date Joined Sep 2013
Total Posts : 4
   Posted 9/4/2013 12:30 AM (GMT -7)   
hi total hip replacement may be your only option if your hip is deformed, you have bone tumors or you fractured it and the only way to fix it correctly is to totally replace it.
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New Member

Date Joined Sep 2013
Total Posts : 3
   Posted 9/15/2013 7:02 PM (GMT -7)   
Good Day!

Just wanted to share this article that i found, might help us all with orthopedic pain. Stem cell is a promising treatment modality that is well tolerated and effective in patients.

Thank You.

New Member

Date Joined Oct 2013
Total Posts : 1
   Posted 10/15/2013 4:59 PM (GMT -7)   
I am at a terrible loss at the moment and need some guidance. I had a left hip arthroscopy and bursectomy and need to have the same on my right hip. I also have recently found out I have SIJoint Dysfuntion on the right and that is causing me more pain than the right hip itself. I also have severe back pain. Is that normal and will it ever subside. I need to decide whther i am going ahead with the surgery and if it will help with taking the SI pain away. I have had chronic hip pain for the last 8 years and i am now at my breaking point. Any suggestions will be highly appreciated!

New Member

Date Joined Nov 2013
Total Posts : 4
   Posted 11/19/2013 10:10 AM (GMT -7)   
Before i had total hip replacement 3 weeks ago. As a last restort before hip replacement and after spinal fusion I saw a chiropractor. He is the first professional that diagnosed my main pain issue as SI joint dysfuction. I had brought xrays of my pelvis and spine and gave him my whole history. He said from the xray it did look like i needed a hip replacement. He also said he thought my hip deteriorations was due to the SI joint issued being dismissed/ignored by Drs for so long. He was able to realigine my SI joint but by then my hip was so out of wack it caused me to limp and throw the SI joint out.
Its to soon for me to see the Chiro now but i will.
I would at least talk to a Chiropractor. You do not have to agree for treatment. Bring all xrays, MRI, reports. I got the name of my Chiropractor from a friend of a Dr who used him. Do your research!
best wishes

New Member

Date Joined Dec 2013
Total Posts : 2
   Posted 12/27/2013 11:36 AM (GMT -7)   
I was first troubled with S-I dysfxn after the birth of my daughter---a common cause---had PT, injections under fluoroscopy, etc. with little relief. Nothing helped, but Prolotherapy---injections to irritate the ligaments to become stronger. Now, I am 3 mos. post hip replacement & having what I am assume is the same S-I pain---appt. with Prolo doc next wk. Unfortunately, most insurances do not cover the injections, but I have plateaued with PT. Surgery many times is NOT the fix.

New Member

Date Joined Jan 2014
Total Posts : 7
   Posted 2/2/2014 7:46 PM (GMT -7)   
did you have the pain before the surgery

Forum Moderator

Date Joined Feb 2003
Total Posts : 15321
   Posted 2/3/2014 1:21 AM (GMT -7)   
Hi Matt1, I wanted to point to you that you have pulled up an old thread and to let you know that quite a few of these people are no longer active members of the forum. I suggest that you make a complete new post asking your questions so that perhaps you can get some answers.

To make a new post click Post New Topic, type in a heading, click again & type away.

Moderator for Chronic Pain & Psoriasis Forums
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