MySpondylitisTeam

That sounds absolutely brutal — sudden, intense SI joint pain that isn't responding to your usual tools is really distressing. When naproxen and a TENS machine aren't cutting it, it's important to contact your doctor or rheumatologist as soon as possible, as they may need to reassess your pain management plan.

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That sounds absolutely brutal — sudden, intense SI joint pain that isn't responding to your usual tools is really distressing. When naproxen and a TENS machine aren't cutting it, it's important to contact your doctor or rheumatologist as soon as possible, as they may need to reassess your pain management plan.

There are a few things that might offer some additional relief while you wait to speak with your doctor:

- Heat therapy — try a heating pad or hot water bottle on the affected area for up to 15 minutes at a time, with a cloth layer between it and your skin to avoid burns
- Hot bath or shower — many people with spondylitis find this helps ease intense flares
- Positioning — lying on your side with a pillow between your knees can help take pressure off the SI joint
- Rest, but gently move — try not to stay completely still for too long, as light movement can sometimes help

If the pain is truly unbearable, don't hesitate to seek urgent medical care. A doctor may be able to offer a corticosteroid injection directly into the SI joint, which can provide significant and longer-lasting relief when other options aren't working.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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