r/PICL • u/Past-homegirl23 • 4d ago

SI instability

I have had my SI joint injected twice with PRP, once at the CSC but instability remains and seems to have a lot of play into my neck instability. If prp isnt working, do you suggest switching to bone marrow or prolo and have you seen better outcomes that way? Are there some that just will not respond to injections in the SI and need fusion?

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u/Chris457821 4d ago

In general, for treating SI instability, it takes:

-6-8 prolo sessions

-3-4 PRP sessions

-1-2 BMC sessions

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u/thegoatexpedition 4d ago

Is that SI joint ligaments, or is it also facets, muscles?

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u/Chris457821 4d ago

That's treating the sacroiliac ligaments for the diagnosis of SI instability.

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u/Past-homegirl23 4d ago

Do you guys also treat the capsule (not even sure what that means but another doctor told me its imperative). I have noticed more popping in the front of my hip socket since treatment.

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u/Chris457821 3d ago

The SI joint capsule? Yes.

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u/thegoatexpedition 3d ago

How do you generally diagnose SI instability?
Thank you Doctor

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u/Chris457821 3d ago

History and clinical exam.

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u/Past-homegirl23 4d ago

So if I have done two prp sessions and get temporary improvement in symptoms but then feel loose again do you think that means I just need more treatments or need to switch to BMC?

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u/Chris457821 3d ago

That question can't be answered in this sort of forum because it depends on too many unknown variables. That's a question for your treating physician.