If conservative methods like ice, heat, rest, medical massage, or physical therapy, do not relieve pain symptoms, then a Sacroiliac Joint Injection will be recommended. The first injection will serve as a diagnostic test. If the Sacroiliac Joint Injection provides considerable pain relief, it may be used as a regular therapy.
IV medications may be administered beforehand to help the muscles relax. The doctor will then sterilize the hip area and insert a long, thin needle. The doctor will guide the needle based on fluoroscopy imaging and an injected dye that will mark the area. It will either be inserted in the actual joint or the surrounding ligaments, depending on where the damage is located. A local anesthetic will be injected to numb the area to all pain along with a corticosteroid to provide long term anti-inflammatory relief.
The patient will be monitored for up to thirty minutes after the Sacroiliac Joint Injection. It is important to record all changes in pain and mobility to plan further treatment.
The injection site will be sore for approximately 2-3 days, but can be treated with over the counter ibuprofen. The corticosteroid will activate after several days, at which point the patient should experience the full pain relief. Pain relief will usually last for several months to years if there are no other underlying problems in the area. When the symptoms return, the patient can receive another Sacroiliac Joint Injection and continue doing so as regular therapy.
As with any deep tissue injection, there is a minimal risk of infection and bleeding. Very rare cases of nerve injury have occurred. The corticosteroid may raise blood pressure in some patients.