The Sacroiliac Joint is a large joint that is basically between the hip and back. It is formed by the ilium and the sacrum. Pain associated with the Sacroiliac Joint typically occurs over the buttock. However, this pain can also be referred to the hip joint itself and groin. In some instances it can radiate down the leg similar to sciatica.
Am I a candidate for a Sacroiliac Joint Injection?
Your Pain Doctor along with your referring physician will determine if you are appropriate for an SI Joint injection.
What are the benefits of a Sacroiliac Joint Injection?
SI Joint Injections have the ability to reduce inflammation in a localized fashion, thereby reducing pain and helping to reset the pain pathways in your body. They have the added benefit of targeting the release of medication: directly to the region or area of pain.
How long does the procedure take?
The entire procedure will take approximately 10 minutes.
Where is the procedure performed?
It is typically done in an office or surgical suite using fluoroscopy.
How is the procedure performed?
Typically an IV is started so that the anesthesiologist can administer sedating medication to make you comfortable. Your doctor will typically identify the area he will be injecting using the X-ray machine, and then provide some local numbing medication (Lidocaine) before placement of the needle. The needle is advanced using x-ray guidance into the joint space. Needle position is confirmed with the injection of contrast dye, and the X-ray images. The dye will not be used if there is an allergy. Once needle placement is assured, the therapeutic solution is injected.
What if I am afraid of needles?
Typically patients with needle phobia do just fine with sedation to help relax them. They also typically will have little to no memory of the actual procedure.
Is it painful?
Generally no, your doctor will do everything possible to minimize and discomfort during the procedure. This may require sedation and is typically achieved with the numbing medication (lidocaine).
What are the risks and side effects?
The procedure is generally safe. However, with any procedure or medications there are potential risk, complications, and side effects. The potential risks to a certain degree depend on the region of the epidural. Whenever a needle is introduced through the skin there is risk of infection, bleeding, and soreness. For this reason, all our procedures are performed under sterile technique, and a careful history is taken to ensure any risks of bleeding are minimized. On occasion, one may develop numbness do to extensive spread of the local anesthetic. All complications are extremely rare.
How long does a Sacroiliac Join Injection last?
A person’s response will vary depending on their underlying condition, severity of illness, and lifestyle. Some people have a single injection. Others have a partial response and may require additional injections to achieve more robust improvement. Some fail to respond completely. In some cases, a diagnostic injection will be performed. In the case of a diagnostic injection, relief is only temporary. You will be re-evaluated following your initial injection by your doctor.