Sacroiliac Joint Injections – What You Need To Know

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Sacroiliac (SI) joints are the larger joints that are at the base of your spine. Over time, these joints can become arthritic, usually due to some type of trauma. If one of the joints are affected, this can cause the pelvis to be out of alignment. Not only can this be painful, but it can decrease your overall quality of life if left untreated. Sometimes just sitting can increase the sacroiliac joint pain.

There are opportunities to repair and restore the joints or correct alignment through injections at New York Interventional Pain Medicine.

About the Procedure

The patient lies face down on the procedure table. The area to be injected is numbed with local anesthetic prior, and then a needle is directed to the target area. The procedure is monitored via fluoroscopy (x-ray equipment and contrast dye).  Because this is an injection, it is minimally invasive and there can be some discomfort due to a needle. You may have sedation for this procedure, but many people are fine under just a local anesthetic.

Risk or Side Effects

Overall there has been very little complications with this procedure. However, with any injection, there is a risk of bleeding or infection.

If steroid medication (synthetic cortisone) is used, there may be some side effects from the medication. This may include:

  • flushing
  • insomnia
  • increased heart rate
  • some swelling
  • a potential rise in blood pressure and/or blood sugar

Side effects are usually mild and temporary.  At a minimum, you should monitor your blood pressure and or blood sugar carefully until you are sure they are back to normal levels.

You may have an allergic reaction to any of the medications used. If you have a known allergy to any medication, especially x-ray contrast dye or local anesthetics, notify our staff before the procedure takes place.

Am I a candidate for SI joint injection?

Anyone with back pain from their sacroiliac joints is likely eligible, at least should come in for a screening.  Contact us today at (646) 846-5545 for a consultation and we can assess your pain and fit for this procedure.