Medical Forum / Diseases and Disorders / Arthritis / September 2007
Mild Sacroiliitis.
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Marac - 25 Aug 2007 18:52 GMT Hello. I am 21 years old and have been diagnosed with a Sacroiliitis Bill based on a x-ray exam. I have also been diagnosed with a leg length discrepancy of 2,5 cm. My doctor says sacroiliitis is caused by leg length dicrepancy. I did some reading about sacroiliitis and its symptoms and I don't have any except chronic low back pain when I sit. Same doctor says I have a mild sacroiliitis and treats it just with 3 tablets of pain killers(Zaldiar). When I drink them, I don't feel any pain but im worried about side effects. Do you think present therapy is good and do you think I should get a secont opinion?
spodosaurus - 25 Aug 2007 20:53 GMT > Hello. I am 21 years old and have been diagnosed with a Sacroiliitis Bill > based on a x-ray exam. I have also been diagnosed with a leg length > discrepancy of 2,5 cm. My doctor says sacroiliitis is caused by leg length > dicrepancy. He's wrong re: the leg length discrepancy - if that were the case, we'd all have sacroiliitis.
> I did some reading about sacroiliitis and its symptoms and I > don't have any except chronic low back pain when I sit. Same doctor says I > have a mild sacroiliitis and treats it just with 3 tablets of pain > killers(Zaldiar). When I drink them, I don't feel any pain but im worried > about side effects. Do you think present therapy is good and do you think I > should get a secont opinion? Sounds like you're not happy with the diagnosis and/or the treatment, so what do you think you should do regarding a second opinion?
Cheers,
Ari
 Signature spammage trappage: remove the underscores to reply Many people around the world are waiting for a marrow transplant. Please volunteer to be a marrow donor and literally save someone's life: http://www.abmdr.org.au/ http://www.marrow.org/
d'huit - 25 Aug 2007 21:35 GMT Hello. I am 21 years old and have been diagnosed with a Sacroiliitis Bill based on a x-ray exam. I have also been diagnosed with a leg length discrepancy of 2,5 cm. My doctor says sacroiliitis is caused by leg length dicrepancy. I did some reading about sacroiliitis and its symptoms and I don't have any except chronic low back pain when I sit. Same doctor says I have a mild sacroiliitis and treats it just with 3 tablets of pain killers(Zaldiar). When I drink them, I don't feel any pain but im worried about side effects. Do you think present therapy is good and do you think I should get a secont opinion?
hi marac!
i'm trying to convert 2.5 cm into inches. ok. i think it comes out to almost an inch, roughly .99 of an inch.
most human beings have one leg shorter than the other. the average short leg is about a half an inch or roughly about 1.27 cm shorter than the other. most orthopods don't worry about anything less than three quarters of an inch or 1.9cm difference. but 1.9cm and above is the point at which some kind of shoe insert, lift or prosthetic orthodic is orthopaedically reccommended, precisely because it throws one's spine out of alignment, one's balance off, one's gait off and stresses other joints in the leg and hip.
whether or not over three quarters of an inch of shortness, or over 1.9cm, causes sacroillitis is something i cannot address with any degree of authority. however, it makes sense to me that if your spine and hip are being stressed by the excess difference in your leg length, then symptoms of some kind will be in evidence.
i think i would want to ask my doctor to prescribe a prosthetic shoe lift insert, of about 1.27cm or half inch. addressing that leg length issue might eliminate the need for pain pills entirely. however, your doctor might determine you need a short course in anti-inflammatories, if your spine and hip has been sufficiently irritated to the point of inflammation. please talk to an orthopaedist about this issue. hope that helps you.
kate
Donald Whitely - 25 Aug 2007 22:12 GMT HI Marac,
I have bilateral ankle fusion's and bilateral tkr's as a result of these two I wear leg braces with attached shoes to prevent stress fractures. I am in the process of getting a new set of braces and shoes, which will included a lift added to my right extra depth shoe to compensate for my leg length.
When the tech watched me walk up and down the hall with and without my current shoes he said it was very evident my gait was being impaired by the length differential of my legs.
I have severe RA which includes low back pain caused by a number of factors, the above mentioned being one of them. I have no idea if any disease or condition contributes to my leg length other than the common one found among most people. It is possible my surgeries could be a factor.
Perhaps an appointment with an Orthopedist who specializes in legs and feet would put your mind at ease and alert you to any possible further problems you might encounter if any other problem happens to exist or need to be addressed.
I think it depends on how concerned you are at this time.
Don W.
> Hello. I am 21 years old and have been diagnosed with a Sacroiliitis Bill > based on a x-ray exam. I have also been diagnosed with a leg length [quoted text clipped - 5 lines] > about side effects. Do you think present therapy is good and do you think I > should get a secont opinion? Harvey R. Stone - 25 Aug 2007 22:58 GMT > Hello. I am 21 years old and have been diagnosed with a Sacroiliitis Bill > based on a x-ray exam. I have also been diagnosed with a leg length [quoted text clipped - 5 lines] > about side effects. Do you think present therapy is good and do you think > I should get a secont opinion? Hi,,, What do you do to even up the leg length???
Harv
spodosaurus - 26 Aug 2007 08:39 GMT >> Hello. I am 21 years old and have been diagnosed with a Sacroiliitis Bill >> based on a x-ray exam. I have also been diagnosed with a leg length [quoted text clipped - 9 lines] > > Harv Slide her other leg a little further down the bed
;)
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Marac - 27 Aug 2007 14:18 GMT Hi. I wear all kinds of shoes tht even up my LLD and I'm still figuring out which suit me the best. Hopefully, whit the right shoes, pain will go away.
d'huit - 27 Aug 2007 18:09 GMT Hi. I wear all kinds of shoes tht even up my LLD and I'm still figuring out which suit me the best. Hopefully, whit the right shoes, pain will go away.
that alone won't work. the right shoes help prevent injuries, but . . . normal, ordinary shoes that can be bought anywhere, are not designed to compensate for two different leg lengths. ordinary shoes are designed for normal people, with normal leg lengths. there are no height differences between the two shoes of one pair of ordinary shoes.
you will still need to have some kind of prescriptive prosthetic/orthodic to compensate for the excess difference in your leg lengths. you will still need to go to a doctor/orthopaedist/podiatrist to get that prosthetic/orthodic prescribed, for putting "inside" whatever normal shoes you find most comfortable.
kate
Marac - 27 Aug 2007 19:46 GMT > Hi. I wear all kinds of shoes tht even up my LLD and I'm still figuring > out [quoted text clipped - 15 lines] > > kate I have two pairs of prescriptive "orthopedic" shoes and in none of them I don't walk good and normaly. The are are/look as normal shoes but with a heel lift of 1,5 cm (0,6 inch) inserted in. I feel most comfortable in shoes that shoemaker modified for me. He glued another sole of 2 cm (0,79 inch) thickness on whole range of foot (0,79 inch thickness from heel to toe). This is probably question for another newsgroup like orthopedics but since I can't find it, I will post it here. I'm interested if you can send me photos of both your shoes so orthopedic technicians here in Croatia can build me similar ones.Thank you. My email is: borovecm@net.hr
d'huit - 27 Aug 2007 21:29 GMT > Hi. I wear all kinds of shoes tht even up my LLD and I'm still figuring > out [quoted text clipped - 15 lines] > > kate I have two pairs of prescriptive "orthopedic" shoes and in none of them I don't walk good and normaly. The are are/look as normal shoes but with a heel lift of 1,5 cm (0,6 inch) inserted in. I feel most comfortable in shoes that shoemaker modified for me. He glued another sole of 2 cm (0,79 inch) thickness on whole range of foot (0,79 inch thickness from heel to toe). This is probably question for another newsgroup like orthopedics but since I can't find it, I will post it here. I'm interested if you can send me photos of both your shoes so orthopedic technicians here in Croatia can build me similar ones.Thank you. My email is: borovecm@net.hr
sacroiliitis is an arthritic condition. so, you are on a correct support group.
actually, custom, externally modified orthopaedic shoes (the outside lift being heel to toe, as you've indicated), are much better than inserts, but are more expensive. the expense is the only reason why i suggested inserts.
my own shoes, that i personally wear daily, are new balance sneakers with a 7/8" lift inside the shoe. so, pictures of mine won't help you. but since you are willing and able to go to the expense and are more comfortable with the better approach, let's rule out insert suggestions entirely.
one suggestion: call a local podiatrist (a foot specialist) and ask for shoe brand name suggestions for your modification needs. tell them, your problem and that you want to find yourself a comfortable, good, rigid leather-uppers pair of shoes, that has good arch support, enough toebox room, rigid heel support, uppers designed so that it deters pronation and with a heel that your shoemaker can remove to increase the height of the entire sole, heel to toe, easily for you. a podiatrist should have some very good suggestions for you and may even know who you can go to to get your shoes modified in the best way for your needs, like an LCPO.
i don't know if you have these there in croatia, but if you do, this is a better suggestion: find a "prosthetic and orthotic clinic" (or ask your doctor, or orthopaedist or podiatrist to locate one for you.), with an LCPO that runs it. LCPO's specialize in dealing with your kind of needs. most LCPOs do the customized modifications themselves, though some send their measurements out to reputable custom shoe makers to make the shoes according to the LCPO's specifications (he'll take many measurements to get it right for you.).
hope either of those suggestions help you.
kate
Marac - 28 Aug 2007 16:24 GMT > sacroiliitis is an arthritic condition. so, you are on a correct support > group. [quoted text clipped - 36 lines] > > kate Thank you for your trouble. I will try to find the best solution for me. Thanks once again.
Marko Borovec
d'huit - 28 Aug 2007 19:15 GMT > sacroiliitis is an arthritic condition. so, you are on a correct support > group. [quoted text clipped - 36 lines] > > kate Thank you for your trouble. I will try to find the best solution for me. Thanks once again.
Marko Borovec
no trouble. that's what we're here for.<smile> the best of good luck, marko.
kate
Marac - 01 Sep 2007 20:09 GMT As for my sacroiliitis, what would you recommend? I only have pain during longer sitting(15 min +). I also noticed that my singing voice is weak and I cannot sing as I used to. Is this two connected? Doctor examined me and x-rays shows that I have sacroiliitis but when he pulled my leg up(lying on my belly) I didn't feel any pain. He said that if I had sacroiliitis, I would feel pain. Doctor also examined my blood at tissue typing centre. Thank god, I am B27 neg. but I have B7. Is this very bad? As for my therapy, I drink ibuprofen 400 mg 2 pills a day and Zaldiar(37,5mg/325mg) 2 pills a day. What do you think about this therapy? Did LLD caused it? Do you think I should ask for another opinion? Thanks.
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