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Medical Forum / Diseases and Disorders / Arthritis / September 2007

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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

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Many people around the world are waiting for a marrow transplant. Please
volunteer to be a marrow donor and literally save someone's life:
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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

;)

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/

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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