u/AdAny2054

It's been three years between x-rays, and I've gone from my SI joints widening with erosion and sclerosis to narrowing. My pain levels are awful and my mobility is worsening, hence the repeat x-ray. Does this change indicate progression? If this is a stage that leads to fusing, how long has it taken other people to get to complete fusion and did the pain decrease after fusion? I'm HLA-B27+ and have been diagnosed for about eight years. I'm running out of treatment options. I am on my 8th biologic, we just added methotrexate five weeks ago, and I am actually in more pain. We haven't found an NSAID that I can tolerate, and Tramadol isn't touching it. I've also tried steroid injections and RF nerve ablation, which did nothing.