Had SI joint problems for 30-years. Had a lot of pain over the years. Also had years of injections, tons of medications, physical therapy etc... When it gets really bad the only drug that helps is prednisone (icky- I hate steroids, but it works) I'm also taking 1/2 tab of oxycodone a day in the afternoon to give me just a little relief.
One good thing...after 20-years of aggravations that would come and go it's simply a dull pain now without the intense episodes-
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DX:
MDD- Treatment refractory depression
Total Anhedonia
C-PTSD
Hashimoto's Thyroiditis
RX:FINALLY- found a doc to prescribe an MAOI!! 
Nardil (MAOI)
Lithium
Remeron 15mg
K-pin 0.5 mg/night
Levothyroxine
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