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Interventional Pain Management

Sacro-iliac Joint Injection

A sacroiliac joint injection refers to a combination of anesthetic and steroid medications injected into the sacroiliac joint between the sacrum (triangular bone at the bottom of the spine) and the pelvis, to relieve pain, stiffness, or inflammation. The sacroiliac joint is a large joint and when it becomes painful, it can cause acute or chronic pain locally or it can refer pain into your groin, abdomen, hip, buttock, or leg. The sacroiliac joint injection is one of many interventional pain treatment services available at our pain management center. Moderate sedation may be used for comfort during the procedure. By providing a variety of therapeutic options, our interventional pain management physicians are able to treat your painful condition most effectively. We will determine if sacroiliac joint injections are right for you which may provide pain relief and lead to a better quality of life.

The Sacroiliac Joint Injection Procedure
You will be brought to the fluoroscopic suite. You will be asked to lie face down and a cushion may be placed under your stomach for comfort and to arch your back for proper injection placement. Our interventional pain management physician will then use a fluoroscope or x-ray machine to locate the best position to inject the sacroiliac joint. A local anesthetic will be used to numb the skin and tissues that extend down to the surface of the sacroiliac joint. As a minimally invasive technique, the physician will advance a needle through the anesthetized track and into the sacroiliac joint. Contrast dye is injected to confirm that the tip of the needle is located within the joint space. Once confirmed, a combination medication (steroid and anesthetic) will be injected into the painful joint. Finally, the needle is removed and a small bandage is applied.

What to Expect After the Sacroiliac Joint Injection Procedure?
After the sacroiliac joint injection procedure, you will typically be observed at our pain management center for about 20-30 minutes for observation purposes. You may already find some pain improvement during this recovery period. Some potential side effects of the sacroiliac joint injection technique include numbness, weakness, or an odd feeling in the leg for a few hours following the injection. Some patients may notice a slight increase in pain for several days due to the needle injection itself. You may be asked to record your pain scale during the next week and provide that information to our physician at follow-up visit.

You can find out if the sacroiliac joint steroid injection technique will help your acute or chronic pain condition by contacting our interventional pain management center. Our pain management physicians are focused on providing the best possible care for you.