Would this be symptoms of Sacroiliac Joint Dysfunction?

Question

Lower right back pain in the general area of the kidney brought on by a simple, every day action like bending or turning.
Front thigh pain just above the knee occurring at the same time. Pain lasts for weeks at a time.

My doctor has referred me to get an MRI done because she suspects a problem with a compressed disk. From what I've been reading, I'm leaning more towards Sacroiliac Joint Dysfunction but I'm no doctor. Plus, I don't know if the front thigh pain would be a symptom. Anyone know?
Thanks

I can find plenty of information on back thigh pain due to sciatica but my pain in in the front thigh.

Answer 1

I had acute onset lower right abdominal pain, like appendix pain, only it took my breath away and my legs away. I ended up in ER and then we started the system, ended up in gynecology. All the tests, x-ray, ultrasound were normal so we can rule out appendix, kidney stones, gall stones, bladder stones, infection, ovarian cancer, cysts, STDs all the associated tubes and still NO answer. I then read up on referred pain, where you have a pain in your big toe but are having a heart attack. I have Arthritis in my spine, went to my GP said 'Could this be referred pain?' I was sent for a MRI, low and behold Disc Bulge? I was happy, had the reason. pain was acute lower right abdominal and kinda knee, thigh area? However the Disc shown on the MRI was the Disc for Sciatica which I did not have. In fact it seems this pain was coming from Disc higher up T12. Anyway St Patrick's Day stood up and BANG, this time lower right, lower left acute onset pain and sciatica! I have now lost the feeling to my right foot, waiting on the results of the EMG test as the area would be S1 and not L3/4 Bulge let alone T12, abdominal pain. Yes much depends on WHICH Disc! Could be more than one, could be nerve root involvement, could be nerve entrapment at the hip, the list is endless.

Answer 2

Sacroiliac Joint Dysfunction:
As a Cause of Back Pain





Anatomy:
The sacroiliac (SI) joint is one of two large joints connecting the ilium(part of the pelvic bone) and the sacrum(the tail bone). The joints are also peculiar in having two types of cartilages covering its syrfaces. The surfaces also consist of ridges and depressions that lock the two bones together providing great stability. As it is not designed for motion, there is tendency for it to "lock" as we grow older.

Causes:
Common cause is injury especially a direct fall to the buttocks, motor vehicle accident, and a direct blow to the side of the pelvis leading to injuries to the tough ligaments that hold the surfaces of the joints together. This could further lead to increase motion of the joint with its associated wear and tear leading to arthritis/degenerative changes. It could also be caused by bony abnormality of the pelvic bones, ligament laxity during pregnancy from hormones (relaxin, progesterone) produced in preparation for the opening of the pelvic outlet for the delivery of the baby, and also other causes of wear and tear of the joints leading to arthritis.

Symptoms:
Several in nature and could mimic any type of back pain. Common symptoms include low back pain, buttock pain, thigh pain, sciatic-type of pain and difficulty sitting for a prolong time in a particular position. It should be considered as a possible cause of any back pain and be ruled out

Diagnosis:
The process of diagnosis includes history with questions about the pain and any previous injury, examination which will include general neuro-muscular tests and specifics tests including patrick's test (in which the leg is brought up to the knee and the knee pushed upon to distract the joint), fortin's test (in which tender spots are elicited directly over the joint itself), and others including distraction test, compression test and Gaenslen test (the first descriptive of actions on the joint to elicit the pain). Then, investigative tests are requested including CAT Scan, MRI, Plain X-ray of the joint, Bone Scan and sometimes diagnostic steroid/local anesthetic injection into the joint. Tests to rule out other possible causes of back pain.

Treatment:
Treatment options vary depending on cause and nature of the pain. Often, a rehabilitative approach of mobilization (for a stiff joint) or stabilization for a hypermobile joint with other modalities for ligament strengthening. Series of injections to the joint using steroid and local anesthetics could also be offered. In recent times, a new option of radiofrequency ablation of the nerves supplying the joint and also injection of concentrated sugar solution into the ligaments around the joint (prolotherapy) could also be performed. If all these should fail, a surgical option of stabilization could also be offered.

Answer 3

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Answer 4

Ice your spine - and take Aleve for pain and inflammation. See your chiro as soon as you can -