Pacific Pain Management
  Home Pain Management Services Patient Information, Forms, and FAQ About Pacific Pain Management Contact Us and Location  
 
PPM-Left
SACRO-ILIAC JOINT INJECTIONS
     

Q: WHAT IS A SACRO-ILIAC JOINT INJECTION?

A: It is an injection of a mixture of local anesthetic and a medication similar to cortisone into the sacro-Iliac joint.  This is a large joint in the low back near the buttocks where the pelvis joins with the spine.  When the sacro-iliac joint is injured it may cause pain in the lower back, buttocks, groin or leg.

  FAQ MENU
 

Q: WHAT IS THE PURPOSE OF THE INJECTION?

A: A sacro-iliac joint injection can serve two purposes.  First, by numbing the joint with local anesthetic we can find out if the joint is in fact causing some or all of your pain.  Knowing this can help us target physical therapy to this joint.  Second, cortisone can reduce inflammation within the joint and provide long lasting improvement in your pain.

Q: HOW LONG DOES THE INJECTION TAKE?

A: It usually takes just a few minutes.  It takes more time to get you positioned comfortably for the procedure, wash your back off with a sterile soap and then take several X-rays to locate the best angle for the injection.

Q: WHY DO YOU USE FLUOROSCOPY (X-RAYS) DURING THE PROCEDURE?

A: The opening to the sacro-iliac joint is sometimes quite small.  With fluoroscopy we can obtain the best view of this opening and easily advance the needle.  Then we can inject X-ray dye and see it spread within the joint to prove that the needle is on target.  This takes more time but helps us to give you the best possible results.

Q: WILL IT HURT?

A: Sometimes.  You might feel a sting when the skin is first numbed up and sometimes it can be painful as the needle enters the joint.

Q: WHAT SHOULD I EXPECT AFTER THE INJECTION?

A: You might feel some numbness after the injection.  Often patients have immediate pain relief from the local anesthetic.  You may have mild soreness at the injection site, which is usually well controlled with ice and pain medications such as acetaminophen (Tylenol) and ibuprofen.  Most patients notice an improvement in their pain within the first few days.

Q: WHAT SHOULD I DO AFTER THE PROCEDURE?

A: We advise patients to take it easy for the rest of the day.  If you receive intravenous sedation you will need to have a ride home and will not be able to drive or return to work until the following day.

Q: HOW LONG DOES THE EFFECT OF THE MEDICATION LAST?

A: This can be difficult to predict since everybody responds differently to the injection, but it can last anywhere from a few days to many months or more.

Q: HOW MANY INJECTIONS DO I NEED TO HAVE?

A: Usually one to three injections are done, depending on how well you do after each one.

Q: WILL THE SACRO-ILIAC JOINT INJECTION HELP ME?

A: Most patients get very good pain relief.  Sometimes, however, people do not get any pain relief at all and this shows us that the sacro-iliac joint is in fact not causing their pain.  In that case we need to do a different type of injection next to try to help relieve their pain.

Q: WHAT ARE THE RISKS?

A: As with any procedure, there are minor common risks from either putting in the needle or the cortisone.  You might be sore afterwards, or the cortisone might cause facial flushing, a headache, fatigue or irritability for a day or two.  Diabetics will notice an increase in their blood sugar for up to a few weeks and may need to temporarily adjust their medications.  There is a rare chance of infection, nerve injury or making your pain worse.  Sometimes the injection may not help you.

Q: WHO SHOULD NOT HAVE THIS INJECTION?

A: You should not have the procedure if you have an infection.  It is safer to wait until after the infection is treated.  If you are on coumadin you will need to stop taking it for 4 days ahead of the procedure.

Q: WHAT CAN I DO TO IMPROVE MY CHANCES FOR SUCCESS?

A: You will probably do best if you also receive physical therapy, chiropractic or osteopathic manipulation.  In addition to their treatment, they will also show you some exercises to do at home and it is quite helpful to do those regularly.

Return to top of list

Copyright © 2015 Pacific Pain Management


PACIFIC PAIN MANAGEMENT - Phone: (503) 654-5636 - Fax: (503) 654-5638

HOME | PAIN MANAGEMENT SERVICES | PATIENT INFORMATION | ABOUT US | CONTACT US
LOCATIONS | MEDICATION MANAGEMENT | CHRONIC PAIN PROGRAM | FAQ | MOBILE

PPM-Right
 
Copyright © 2012- - All Rights Reserved | Designed & Hosted by WORD Web Design
Pacific Pain Management