Sacroiliac Joint Injections

What are sacroiliac joint injections?

Sacroiliac Joint (SIJ) Disease is one of the major causes of low back pain. The sacroiliac joint is supported by many muscle groups and ligaments that are richly innervated by free nerve endings and spinal nerve roots. When there is inflammation to the sacroiliac joint, the abundance of nerves become irritated and patients experience intense low back pain. Patients typically complain that pain associated with sacroiliac joint worsens when sitting for long periods of time or performing twisting motions and will usually resolve with exercise.

Sacroiliac joint injections are a minimally invasive, low-risk procedure that can cause a significant decrease in symptoms without disrupting your daily activities.

Who is a good candidate for sacroiliac joint injections?

Steroid injections for joint pain might be useful if you have Sacroiliac Joint (SIJ) Disease.

How sacroiliac joint injections work

The procedure involves injecting a steroid into the joint space of the SIJ, where the irritated nerve roots are located. This injection includes both a long-lasting steroid and a local anesthetic (lidocaine, bupivacaine). The steroid reduces the inflammation and irritation and the anesthetic steroid injections work to numb nerves in the area. The combination medicine then spreads throughout the joint and surrounding areas, reducing inflammation and irritation. The entire procedure usually takes less than 15 minutes.

Are there risks?

Steroid injections for joint pain are considered an appropriate non-surgical treatment for many patients who suffer from lower back pain. The associated risks, although rare, include nerve damage, bleeding, and infection. Some of the potential side effects of the corticosteroid may include elevated blood sugars, weight gain, arthritis, stomach ulcers, and transient decrease in the immune system.

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