The sacroiliac joint can undergo degenerative changes such as osteoarthritis, or inflammatory conditions like anylosing spondylitis. These conditions cause erosion of the cartilage that supports the joint, leading to eventual joint dysfunction. Dysfunction of the sacroiliac joint can lead to chronic lower back pain and discomfort. Nerve irritation and inflammation may also occur, which can exacerbate symptoms.
Procedure: Sacroiliac Joint Steroid Injection
The procedure is performed under fluoroscopic (X-ray) guidance to ensure accurate placement of the injection. A local anesthetic is administered to numb the skin and deeper tissues. This is followed by the injection of a corticosteroid (anti-inflammatory medication) and a local anesthetic into the sacroiliac joint. The corticosteroid reduces inflammation and pain, providing both immediate relief from the anesthetic and longer-term relief from the steroid.
Videos:
Sacroiliac joint steroid injection
Post-operative Care for Sacroiliac Joint Steroid Injection:
Patients are monitored post-procedure to ensure no immediate adverse reactions. Activity is gradually resumed, with physical therapy often recommended to improve strength and flexibility. Pain relief typically begins within a few days and can last for several months, depending on the individual’s response and the severity of the joint dysfunction.
Goals of Sacroiliac Joint Steroid Injection:
Alleviate pain and inflammation in the sacroiliac joint
Improved mobility and quality of life for patients.
Provide an effective non-surgical treatment option for sacroiliac joint dysfunction.
Benefits of Sacroiliac Joint Steroid Injection:
Benefits of sacroiliac joint steroid injection include:
Targeted pain relief with minimal systemic side effects compared to oral medications.
Allows patients to engage in rehabilitative exercises and activities more comfortably.
May reduce the need for more invasive treatments such as surgery.
Side Effects:
Risk of infection
Allergic reaction to medication
Pain at injection site
Temporary worsening of symptoms.
Resources:
https://www.cedars-sinai.org/health-library/tests-and-procedures/s/sacroiliac-joint-injection.html
https://www.spine-health.com/treatment/injections/sacroiliac-joint-injection-lower-back-pain