Joint Injections for Sacroiliac Pain: A Minimally Invasive Solution

joint pain is a common cause of lower back and hip discomfort, often making daily activities like walking, sitting, and bending painful. If traditional treatments such as physical therapy and medication have not provided relief, SI joint injections offer a minimally invasive and highly effective solution for managing pain.

In this article, we’ll explore how SI joint injections work, their benefits, and whether they might be the right option for you.

Understanding Sacroiliac Joint Pain

The sacroiliac (SI) joints connect the sacrum (the lower part of the spine) to the pelvis. These joints provide stability and shock absorption, but when they become inflamed or irritated, they can cause chronic lower back pain that may radiate into the hips, buttocks, and legs.

Common Causes of SI Joint Pain

1. Arthritis – Wear-and-tear or inflammatory arthritis can cause joint degeneration.
   
2. Pregnancy & Childbirth – Hormonal changes loosen the ligaments, increasing strain on the SI joints.
   
3. Injury – Accidents, falls, or repetitive stress can damage the joint.
   
4. Post-Surgical Pain – Spinal fusion or other lower back surgeries may shift weight-bearing to the SI joint.

Symptoms of SI Joint Dysfunction

• Pain in the lower back, buttocks, or hips
  
• Stiffness or difficulty moving after prolonged sitting
  
• Pain that worsens with standing, walking, or climbing stairs
  
• Discomfort while lying on one side or rolling in bed

If you are experiencing persistent lower back or pelvic pain, SI joint injections may be a suitable treatment option.

What Are SI Joint Injections?

SI joint injections are a minimally invasive procedure designed to reduce inflammation and relieve pain in the sacroiliac joint. These injections typically contain:

• Corticosteroids – Potent anti-inflammatory medication to reduce swelling.
  
• Local Anesthetics – Temporary pain relief by numbing the joint.
  
• Hyaluronic Acid (Optional) – Helps lubricate the joint in cases of arthritis.

The procedure is performed using fluoroscopy (X-ray) or ultrasound guidance to ensure accurate placement of the medication.

Benefits of SI Joint Injections

1. Targeted Pain Relief – Medication is delivered directly into the affected joint for faster and more effective relief.
   
2. Minimally Invasive – No incisions or stitches; performed as an outpatient procedure.
   
3. Reduced Inflammation – Helps calm irritation and swelling in the joint.
   
4. Improved Mobility – Patients experience greater ease of movement and reduced stiffness.
   
5. Avoids or Delays Surgery – Effective for many patients without the need for invasive procedures.

What to Expect During the Procedure

1. Pre-Procedure Evaluation

Your doctor will assess your condition, review medical history, and determine if an SI joint injection is right for you.

2. Injection Procedure

• The patient lies comfortably on an exam table.
• A local anesthetic numbs the injection site.
• Using fluoroscopy (X-ray) or ultrasound guidance, a fine needle is inserted into the SI joint.
• The medication is injected into the joint.
• The procedure typically takes about 15-30 minutes.

3. Post-Injection Care

• Patients can return home the same day.
• Some may experience mild soreness at the injection site, which subsides within 24-48 hours.
• Most patients feel significant pain relief within a few days.

Who Can Benefit from SI Joint Injections?

SI joint injections may be suitable if you:

• Have chronic lower back, hip, or buttock pain.
• Have failed to find relief with physical therapy or medications.
• Experience pain during activities like sitting, walking, or climbing stairs.
• Want a non-surgical option to manage SI joint dysfunction?

Are There Any Risks?

While SI joint injections are generally safe, some possible risks include:

• Temporary pain at the injection site.
• Rare infection or bleeding.
• Mild allergic reaction to the medication.

Your doctor will discuss any potential risks and how to minimize them before the procedure.

Conclusion

For individuals struggling with chronic sacroiliac joint pain, SI joint injections provide a safe, minimally invasive, and effective solution. By reducing inflammation and relieving pain, these injections help restore mobility and improve quality of life.

If you are looking for expert care and long-lasting relief, consult the specialists at the Neurology and Pain Management Clinic (NPMC) to see if SI joint injections are right for you. Don’t let SI joint pain hold you back—find relief today!