Sacroiliac Joint Injections for Back Pain

The sacroiliac joint is the joint that connects the sacrum (the triangular bone located at the bottom of the spine) to the hips. This joint is a shock-absorbing structure, and is responsible for transmitting all the forces of the upper body to the hips and legs. Therefore, any kind of inflammation or dysfunction to the joint can cause severe pain in the lower back, buttocks, and legs.

Reason for Pain

Usually, middle-aged and young women experience more pain in the sacroiliac joint because of joint dysfunction. This condition happens due to too much movement of the sacrum, which ultimately causes the pain in the hip or lower back to spread to the groin. Interestingly, very little movement can also cause pain to the sides of the lower back or buttocks that eventually spreads down to the legs.

Remedies

Sacroiliac (SI) joint injections are used for the diagnosis and treatment of sacroiliac joint dysfunction. These are long lasting injections that give pain relief for a longer period. However, diagnosis of the joint dysfunction is difficult because the symptoms are similar to that of common types of back pain, like facet syndrome and other lumbar spine conditions.

In order to check for the dysfunction, a diagnostic SI injection is prescribed. During this process, the sacroiliac joint is numbed by a local anesthetic (such as lidocaine) using X-ray guidance (fluoroscopy). After the injection of anesthetic, the patient should try to perform regular activities to check for the pain. If the patient could still feel 75-80% of the pain, then it indicates SI joint dysfunction.

To confirm the diagnosis, a second injection is performed with a different anesthetic, such as Bupivicaine. The joint pain is confirmed if the second injection also fails to the relieve pain by 75-80%.

Treatment

To provide proper pain relief, a therapeutic SI joint injection is prescribed to the patient. An anti-inflammatory medication (corticosteroid) is used along with a numbing medication; the injection is followed with physical therapy for a prolonged pain relief.

Patients should drink plenty of water to flush out the dye used for fluoroscopy and avoid doing excessive physical activities immediately after the injection. It is even better to rest for a day and continue with normal daily chores the next day.

There are no potential risks or side effects associated with the sacroiliac joint injection. However in some cases, patients might suffer from mild side effects like allergic reactions, soreness, bruising, and infection at the site of injection, but these instances are actually rare.

You Might Also Enjoy...

CBD

With so much recent media attention, more and more patients have been asking us at Remedy Pain Solutions what CBD is and if they may benefit from products containing CBD.

Epidural Steroid Injections

Back pain is one of the most common health complaints in America, and something that we at Remedy Pain Solutions treat every single day.

Nerve Blocks

If you are suffering from pain in the spine or other body part, you may be told by your physician that you need to have a nerve block procedure.

SI Joint Pain

Back pain is one of the most common health complaints in America, and something that we at Remedy Pain Solutions treat every single day.

Whiplash

As traffic continues to worsen across Los Angeles, the risk of automobile-related injury continues to rise as well.

Occipital Nerve Blocks

Headaches are a common but very frustrating pain syndrome which may present much differently from one person to another.