The sacroiliac joint is a small joint in
the region of the low back and buttocks where the pelvis actually
joins with the spine. If the joints become painful they may
cause pain in the low back, buttocks, abdomen, groin and legs.
Why are sacroiliac joint
A sacroiliac joint injection serves several
purposes. First, by placing numbing medicine into the joint,
the amount of immediate pain relief experienced will help confirm
or deny the joint as a source of pain.
What happened during
An IV will be started so that relaxation
medication can be given. The patient is placed on the x-ray
table on their stomach in such a way that the physician can
best visualize these joints in the back using x-ray guidance
in the operating room.
This skin on the low back is cleaned with
alcohol or a scrubbing solution. Following this, the physician
numbs a small area of skin with numbing medicine. This medicine
stings for several seconds.
After the numbing medicine has been given
time to be effective, the physician directs a very small needle,
using x-ray guidance into the joint. A small amount of contrast
(dye) is injected to insure proper needle position inside the
joint space. Then, a small mixture of numbing medicine (anesthetic)
and anti-inflammatory (steroid) is injected. One or both joints
may be injected depending on location of the patients usual
What happens after the
The patient will be monitored
for 15-30 minutes.
The patient can eat a light
meal within a few hours before the procedure.
If a patient is an insulin
dependent diabetic, they must not change their normal eating
pattern prior to the procedure.
Patients may take their
routine medications. (i.e. high blood pressure and diabetic
You were given a number of medications during the procedure. These
sometimes include sedatives, narcotics, local anesthetics,
steroids, and other medications. Any of these drugs or procedure
itself, sometimes can cause side effects, including drowsiness,
temporary numbness, weakness and soreness.
What To Do After the Procedure?
for a few hours and use assistance if needed.
Resume activity as tolerated, but do not overdo.
Resume regular diet.
Do not drive or
operate machinery for at least 12 hours.
Do not make important decisions for 12-24 hours after treatment.
Walk with assistance as long as numbness, weakness, or
drowsiness is present.
Notify If You Have:
Excessive or abnormal
bleeding / persistent chills or fever over 100°F.
If there is a major change in pain pattern or level.
In case of emergency, call (270) 554-8373.
If unable to reach physician report to the nearest emergency
room and request them to inform physician at Pain Management
Few Other Things:
Take your usual medication.
Apply ice massage as instructed; may use heat if ice is
If IV site becomes painful, place warm towels on the site
for 20 minutes
2-3 times / day.