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The sacroiliac joint connects the sacrum (the triangular bone at the base of the spine) to the ilium (the large bone of the pelvis) on each side of the body. Issues with the sacroiliac joint can lead to lower back pain, hip pain, and buttock pain.
A sacroiliac joint injection is a procedure commonly used to diagnose and alleviate pain in the sacroiliac joint, which is located in the lower back, near the spine.
The procedure involves injecting a local anesthetic and sometimes a corticosteroid medication into the sacroiliac joint to relieve pain and reduce inflammation.
Treatment Summary at a glance
| Side Effects: | Minor pain at injection site |
|---|---|
| Results: | Pain free joints |
| Duration of Results: | Between a few months and a lifetime |
| Back to Work: | Within two days |
| Full Recovery: | Within two weeks |
What conditions and injuries are treated with sacroiliac joint injection?
Sacroiliac joint injection is used to both diagnose and treat your low back pain caused by inflammation of the joint. To perform the injection, the patient lies on the stomach. The skin is cleansed with antiseptic solution and numbed with a local anaesthetic.
Using X-ray guidance, a needle is inserted into the SI joint. Once the needle is in the correct location a mixture of numbing medication and steroid is injected. This procedure usually takes 10 minutes to complete.
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FAQ
Am I suitable for sacroiliac joint injection?
At consultation, your Consultant will be able to tell you if you are suitable. We may need an MRI or x-ray to confirm next steps.
Does sacroiliac joint injection hurt?
There is some discomfort with needle insertion which we minimise by numbing the skin over the join with a local anaesthetic.
How long does sacroiliac joint injection take?
Pain reliving injections take no more than 20 minutes per joint.
Is there any downtime/recovery time following sacroiliac joint injection?
All procedures are carried out under local anaesthetic so within one and three hours of your procedure, patients are typically discharged. All patients should have a chaperone (friend, family member or carer) to collect them after their procedure and remain with them on their journey home.
You are likely to feel mild pain in the joint for two to three days, however the pain can be managed with regular strength painkillers.
Post procedure, you should refrain from strenuous activity for at least two weeks.
What kind of results can I expect from sacroiliac joint injection?
Patients can feel immediate pain-relief. If this is not the case, do not worry, effects may take some days to come through and research has found it could take between 3-5 days.
How do we diagnose at Dr SW Clinics?
Depending on the joint issue you present with, there may be a couple of ways to diagnose your pain and thereby find you a lasting solution.
Firstly, you will have a telephone consultation with one of our highly trained patient advisors. This patient advisor will ask you a series of pre-assessment questions to better understand your personal needs.
You will then be invited for a consultation with one of our leading experts. To better gain an understanding of the problem, the Consultant may suggest you receive an x-ray or an MRI.
What is an x-ray?
A diagnostic test that can help identify what issues are causing the pain.
What is an MRI?
A diagnostic test using a magnetic field and radio waves for a detailed image of both joint and soft tissue.
What is an ultrasound?
Typically a handheld device that provides an on the spot image of the soft tissue.
Once we’ve received the results of your diagnostic tests, our team will be able to advise you on next best steps to get you pain free.
What are the risks and side effects of sacroiliac joint injection?
Serious side effects and complications are rare. The most common problem after the injection is having pain in the area of the injection for a few days. The other complications are infection, bleeding and nerve injury. These complications are minimised by using sterile technique, and fluoroscopy for x-ray needle guidance.
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