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Sacroiliac Joint Steroid Injection

What is a Sacroiliac Joint Steroid Injection? 

A sacroiliac joint steroid injection is a minimally invasive procedure used to treat pain originating from the sacroiliac (SI) joint, where the spine and hip bone meet. The injection delivers a mixture of corticosteroid medication and local anesthetic directly into the affected joint, helping to reduce inflammation and pain. 

How is a Sacroiliac Joint Steroid Injection Performed? 

To perform a sacroiliac joint steroid injection: 

  1. 1. The patient lies face-down, and a cushion is placed under their abdomen to help arch the back and expose the treatment area. 
  2. 2. The physician uses their hands and fluoroscopic (X-ray) guidance to precisely locate the sacroiliac joint. 
  3. 3. The skin and tissues overlying the joint are thoroughly numbed with a local anesthetic. 
  4. 4. Using the anesthetized track as a guide, the physician then advances a small needle directly into the sacroiliac joint. 
  5. 5. A mixture of corticosteroid medication and local anesthetic is injected into the joint, bathing the painful area in the therapeutic medication. 
  6. 6. Finally, the needle is removed, and a small bandage is applied to the injection site. 

What Supplies and Medications are Used for a Sacroiliac Joint Steroid Injection? 

The key components for this procedure include: 

  • – Local anesthetic (e.g. lidocaine or bupivacaine) to numb the treatment area 
  • – Corticosteroid medication (e.g. triamcinolone, methylprednisolone) to reduce inflammation 
  • – Fluoroscopic imaging equipment to precisely guide needle placement 

The physician selects the appropriate medications and techniques based on the patient’s individual condition and needs. 

What to Expect After a Sacroiliac Joint Steroid Injection? 

After the procedure, the patient may experience some soreness or discomfort at the injection site, which can typically be managed with over-the-counter pain medication. They may also notice an initial increase in their pain levels as the local anesthetic wears off, before experiencing gradual improvement over the next several days to weeks. 

The anti-inflammatory effects of the corticosteroid medication can provide pain relief that lasts for several weeks or months, though the duration  may vary from patient to patient. Patients should follow their physician’s instructions regarding any activity restrictions and schedule any necessary follow-up appointments. They should promptly report any concerning symptoms, such as increased pain, swelling, or signs of infection, to their healthcare provider.

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