Sacroiliac Joint Block
Injections are into either the left or right joint. The sacroiliac joints lie next to the spine and connect the tailbone to either side of the hip. Women are more likely to develop this dysfunction, with pain on one side of the lower back, radiating down the leg to the knee, ankle or foot.
During the Procedure
The patient lies facedown on an x-ray table while numbing medication and then steroids are injected into the joint using fluoroscopic guidance for precise delivery. The procedure takes 15 to 30 minutes, with about 30 minutes recovery. Discomfort during the procedure should be minimal.
If a patient desires further sedation, that is certainly available. Usually this isn’t necessary and sedation does increase recovery time. Whether or not the patient is sedated, Dr. Dumitru requires that after a sacroiliac joint block, a patient be driven home.
Patients are advised to take it easy and not return to work or other taxing activities until the next day.
Patients should be aware that after the injection, pain may seem to be gone; this is due to the anesthetic and will only last for a few hours. Unfortunately, the original pain will likely return in addition to some soreness at the injection site. The good news is that a within a few days, the steroid should provide longer-term pain relief.