Used primarily for diagnosing or treating low back pain, the sacroiliac joint injection (SI) has also been used to treat those symptoms that appear in conjunction with sacroiliac joint dysfunction. Located next to the spine, connecting the sacrum and hip, the sacroiliac joint can become quite painful when inflamed or suffering from dysfunction. SI involves the injection of anesthetic and steroids into this joint to reduce inflammation and pain, and is a procedure available at Khavkin Clinic.
Diagnosis Or Treatment: Why Sacroiliac Joint Injection?
If your doctor has decided that this treatment is appropriate for your condition, they are likely to order a diagnosis SI first. There are differences between which substances are used in the injection based on its purpose, the two injection styles are listed below:
- Diagnosis: If your doctor suspects that you may be suffering from sacroiliac joint dysfunction they’ll order a diagnostic SI. These injections carry an anesthetic meant to ease the pain associated with dysfunction, and following the injection, the patient will be asked to perform those activities that would typically aggravate their pain. In cases where 70-80% of the pain has been diminished, the doctor will put forth a tentative diagnosis of dysfunction. At this point, a second injection will be scheduled and performed using a different type of anesthetic, and if the pain is similarly diminished by this second anesthetic the diagnosis will be confirmed.
- Therapy: If being used to treat sacroiliac joint dysfunction a different combination of medications will be used. In addition to the anesthetic, a corticosteroid will be added as an anti-inflammatory. In the event that the pain relief from this injection is prolonged, physical therapy may be prescribed to aid in further reducing pain and restoring mobility to the patient. This form of injection can be repeated as necessary, up to three times a year.
How The Sacroiliac Joint Injection Procedure Is Performed
All procedures start with receiving informed consent from the patient, a confirmation that the patient has received sufficient information about the procedure to understand the risks and details of the injection. Following this, the patient will be taken to a radiography table for the procedure.
- The patient will be positioned on the table, face down, often with a pillow for the comfort of the patient.
- Throughout the patient’s vitals will be monitored.
- Intravenous sedatives may be supplied to aid in patient relaxation.
- An iodine or alcohol-based solution is used to clean the injection site.
- In most cases, the injection site will be numbed with an anesthetic.
- The needle will be inserted for the procedure, and a contrast dye injected to ensure the needle is properly positioned.
- Once the position of the needle is properly set the medications will be injected based on whether it is a diagnostic or therapeutic treatment.
What Are The Potential Side Effects?
The sacroiliac joint injection is a relatively safe procedure with few common side-effects, and those that do occur are often minor and relatively inconsequential. The risks associated with this procedure are:
- Allergic reactions, especially as related to sensitivities to the contrast or medication.
- Tenderness and bruising can occur at the injection site.
- In rare cases, an infection can occur at the site of the injection or in the joint or tissues.
If you think a sacroiliac joint injection may be appropriate for you, contact Dr. Yevgeniy Khavkin your pain management doctor in Las Vegas, NV for a consultation.