Understanding Sacroiliac Injections: A Pathway to Relief

At Palomar Spine and Pain, we understand that managing chronic pain, especially in the lower back and pelvis, can be a complex and challenging journey. One of the advanced treatment options we offer to help alleviate pain and improve quality of life is sacroiliac (SI) joint injections. This blog aims to demystify sacroiliac injections, exploring what they are, how they work, and what patients can expect during and after the procedure.

What is the Sacroiliac Joint?

The sacroiliac joint is located in the pelvis, linking the iliac bones (pelvis) to the sacrum (the lowest part of the spine above the tailbone). This joint supports the weight of the upper body when standing and walking. Due to its critical role and location, the SI joint is susceptible to degenerative diseases, inflammation, and associated pain.

Why Sacroiliac Injections?

Sacroiliac joint dysfunction can be difficult to diagnose due to the complexity of the area and the similarity of its pain symptoms with other common conditions like disc herniation and lower back pain. Sacroiliac injections serve dual purposes:

  • Diagnostic tool: By injecting a local anesthetic into the SI joint, we can determine if the joint is the source of the pain based on the immediate relief experienced.

  • Therapeutic treatment: Corticosteroids, often used in conjunction with an anesthetic, provide anti-inflammatory benefits, which can reduce pain and swelling in the joint for a longer period.

The Procedure: What to Expect

At Palomar Spine and Pain, your comfort and safety are our top priorities. Here’s what you can expect during a sacroiliac injection procedure:

  • Preparation: Our medical team will guide you through the preparation process, which includes an explanation of the procedure and obtaining your informed consent.

  • Procedure: You will be positioned lying face down. The area around the SI joint will be cleaned and sterilized. Using fluoroscopy (a type of X-ray) for guidance, the doctor will precisely inject the medication into the SI joint.

  • Duration: The entire process typically takes less than an hour, including preparation, injection, and a short post-procedure observation period.

Post-Procedure Care and What to Expect

Following the injection, you may feel immediate relief due to the anesthetic. This relief may diminish after the anesthetic wears off, and then return as the corticosteroid begins to take effect. It’s common to experience some soreness at the injection site for a day or two.

Recovery and Results

Most patients can return to their normal activities the next day. It’s important to follow a tailored recovery plan, which may include physical therapy to strengthen the muscles around the SI joint and improve joint function for long-term benefits.

Are Sacroiliac Injections Right for You?

While SI injections are effective for many patients, they are just one component of a comprehensive pain management plan. At Palomar Spine and Pain, we consider your overall health, pain history, and other treatments you’ve tried in order to create a personalized pain management strategy.

Conclusion

At Palomar Spine and Pain, we are dedicated to providing you with the most advanced, evidence-based treatments to manage your pain and enhance your quality of life. Sacroiliac injections are a testament to our commitment to innovative pain solutions. If you're suffering from chronic lower back or pelvic pain, contact us to see if sacroiliac injections could be the right option for you.

For more information or to schedule a consultation, visit our website or contact our office. Together, we can tackle your pain and move towards a more comfortable, active life.

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