<s>[INST] I m 21 and I have been suffering SI joint pain for a little over 3 months now. I was in the gym stretching and doing upper body workouts (overhead press, tricep extensions, bicep curls, etc) and my back really started hurting so I ended up going home because of the pain. I haven t had any issues with my back since I started college. A few years ago in high school I was in a car accident and did physical therapy for my SI joints and was fine after a month, I also did competitive cheerleading for 10 years, and occasionally had back problems.Both reasons which probably explain the arthritis that MRI showed in both SI joints that I got when my back had been hurting for a month. I ve tried Naproxen, Meloxicam, physical therapy, and exercises of any kind - simple stretches, bike, etc make it hurt significantly worse. I can go from zero pain then after (not during the exercise) I will have a lot of pain, not soreness, pain. I did an SI joint injection (only in the left to see if it would help) and 2 days after my pain was worse than before the injection and continued for a few days. Finally, the pain was so bad I went to the ER, they ended up doing a lumbar MRI as well, because I had not had one yet and I have a mild bulging disc between L5 and S1, no leg numbess or anything. After a follow up with the orthopedic he thinks the pain is from the SI joints, not the disc. My pain is still worse than it initially was after this injection (which was 2 weeks ago now). What other options are available after trying medicines and injections? Thanks! [/INST] Most of all is to get pain relief you should go for hot fomentation/ice packs for at least of 15 mins and laser therapy sessions available at physiotherapy clinic and ultrasonic therapy. Once the pain is reduced start doing buttock squeeze exercise-lie on your back squeeze buttock muscles hold for 10 counts and repeat for 10 times. Do straight leg raise till 30 degree alternate and make sure to bend one knee while raising other leg straight don't hold the leg bridging will also helps knee to chest exercise slower trunk rotation. </s>