Labrum tear vs SI joint pain

Get an SI joint block and see if the pain goes away. If it does, it is the SI likely. If not, probably not. I wouldn't get surgery if they are not sure where it is coming from.

If you're still having the problem, hang in there. I've had butt/hip pain for 10 months. Have been diagnosed with labrum tear, piriformis strain and now S I joint inflammation. My sports doc wants to do the joint injection but I think I'll try S I phys therapy first. I agree that I wouldn't undertake surgery unless the Doc's were near certain it was the source of the pain. I've heard there's a medical saying that when you operate for pain that's what you get.

I know this is an older post but I was curious as to your outcome. I am about to undergo SI injection (x 3) and nerve ablation this coming Monday to provide me with temporary relief as the surgeon is booked for 3 more weeks. I will be having a right labral tear repair with FAI maintenance to remove bone spurring as well as SI fusion, again on the right side.

SI fusion should be one of the last things you do.

Seriously get a second opinion.

You have a labral tear, so what? So does almost every active person living in the west. Further most have no pain. This procedure is for the benefit of the surgeons bank account.

Re the fusion of the sij wtf! I hope you dont have visions of running again. Unless you have major instability this op is probably not going to be helpful.

I have had the minimally invasive sacroiliac joint fusion surgery. It can take 4 to 6 months for the fusion to fully take effect. But to advise you, it would be extremely helpful to have the si joint injection. My surgeon did 2 injections. 1 injection, then the 2nd one a few weeks later. It removed the pain, but you must remember that this injection is ONLY for diagnostic purposes. It does not last more than a day or two. This tells the surgeon that the si joint IS the pain generator.

So, since this post of yours was a while ago, tell me how your situation is now. From 2kitties.

Agree with gfg.

All these procedures will do is line the wallets of your surgeon.

In reality the sensitivity and sensitivity of the diagnostic tests that are being used is extremely poor, probably not much better than flipping a coin.

As a general rule - avoid surgery (unless your leg is actually falling off). The long term outcomes of labral surgery, are actually very poor - with the majority of patients being unsatisfied in terms of pain and function. To make matters worse there is a suggestion that it may advance the osteoarthritic process.

I beg to differ as to the worst case scenario--I had the same pain that you describe in 2014, and was talked into having my SI joint fused by a neurosurgeon. It was a miserable "minimally invasive" surgery with a miserable recovery after which my pain was 10 times worse. Finally had a hip scope done to look for a labral tear, as mine didn't show up on imaging tests. Found and repaired the tear, recovery was a breeze and I've been pain free ever since.

Hi Traci I recently read your post and I think over these past 7 years of extreme pain you are the only person that has given me any hope. Will you tell me your story?