Sacroiliac Joint Injections

What is it?
The sacroiliac joint is formed between the tailbone of your spine and the hip bone. Inflammation of this joint can be a source of low back pain. Symptoms can occur on one side or both sides. An injection of local anesthetic or anti-inflammatory medication into the joint itself helps to relieve any inflammation and decrease pain. Physical therapy to include massage, exercise and/ or joint manipulation may be necessary to aid in recovery.

The injection
The injection is usually performed with the guidance of x-ray to provide proper placement of medication. In most cases there is no need for sedation; however, if you seem very nervous the nurses will start an IV and give sedation. You will be lying on your belly with a pillow under your pelvis. Under x-ray the medication will be delivered to the appropriate pain source by the physician. The injection takes only a short time; however, you will need to be monitored by the nurses afterwards for approximately 30 minutes before being released.

After the injection
There are not many restrictions following this procedure. You should take it easy the day of the injection, but by the following day you can resume your normal activities. Applying ice to the injected area will help reduce any swelling and/ or irritation that may have been caused from the injection. Following up with your physician 2 weeks following the injection is recommended to assist in your treatment plan.


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