SI Joint Injection: What You Should Know

SI Joint Injection procedure is described by Dr. Andrew McNeil of Peninsula Pain Clinic.

A sacroiliac joint injections (SI) are injections of local anesthetic and a steroid medication into the sacroiliac joint. Due to the numbing medicine used during this procedure, you may experience temporary pain relief afterwards that may last several hours. Once the numbing medicine wears off, however, your pain will most likely return. The steroid medication may give longer lasting pain relief and usually begins working after 24-48 hours.

“The SI joints are very small, but they absorb a lot of shock and experience significant wear and tear as we age. An SI joint injection is almost always performed with fluoroscopy (x-ray) image guidance. This allows the doctor to view the Si joints as they guide the needle to it. It is of the utmost importance that the needle is in the appropriate place before the injection occurs, otherwise, your doctor might rules out SI joint dysfunction as the cause of your pain when the injection does not provide relief. The solution injected into the SI joint is a combination of anesthetic and corticosteroid. This will reduce inflammation and provide pain relief for several months. The entire procedure lasts about 20 to 30 minutes, followed by a brief recovery time. Most patients experience pain relief after only one or two injections. It is never recommended that patients receive more than three injections in a six-month time frame.” – Treatingpain Contact your Sound Pain clinic to learn if SI injections are right for you.

Risks related to this procedure tend to be relatively minor and occur infrequently. Typical risks include:

Risks related to the medications used in the injection, such as a possible allergic reaction to a medication.
Bruising and/or soreness at the injection site.
Infection at the injection site, deeper tissues, or in the joint.

For more information regarding these injections please visit:

[gunillahartgers]

No one could help me with my SI joint pain, so I eventually helped myself. What I did:
*Stopped crossing my legs as much as possible.
*Stopped shifting the weight on my legs.
*Got a more comfortable and softer chair to sit in rather than on the bad couch.
*And finally, started sleeping with a pillow between my knees.
Pain reduced by 90-95 per cent!! I hope this helps someone.

[trisia]

My appointment is in a week and I can't wait. This has been a long time coming.

[kennethwhite]

I have a history of hip pain from an accident while working out at the gym more than 30 years ago. I have explained in detail what happened and not the orthopedic doctor, physical therapist, chiropractor or neurologist, not once discussed the SI joint with me. I moved to Thailand four years ago and finally the last orthopedic doctor I saw here in Thailand sent me to a pain clinic for steroid injections. I can't say there has been that much improvement with my pain. I hope they can come up with a solution when I go for my followup tomorrow.

[hannahavela]

I was in a car accident in 2020 and broke my back. I had to get a spinal fusion from T10-L2 with 2 rods and 10 screws. Fast forward 3/12 years… I’m experiencing excruciating pain. My T10 screw is coming lose since the bone never fused correctly. On top of that my s1 joint is inflamed. I get my injection for my s1 joint at the end of the month. Then I will have to get my T10 bone and screw resolved. Wish me luck! Thank you for your video and knowledge😀

[HugsXO]

I've had L4-5-S1 fused and 2 other arthritis spinal surgeries. I later had to have 3 metatarsals in my right foot fused, 3 plates and 15 screws. Sadly my foot did not heal properly and I had to have the metal removed. This was over 17 months and was on a knee scooter. With all my weight on my left side it irritated my SI joints and I have undergone CT guided injections appx 4 times in the last years. It's an easy procedure and if you are considering having it done, I hope you do. Life is short and pain sucks.

[NelsonLuisv]

I experienced this pain for my 1st time, I fell in my bedroom while reaching for my boots. It hurt like hell and I couldn't get up without help, couldn't walk, drive, etc.. I took 2 SI injections to the back 4 days ago, 1 for each side. It was Excruciating!! I gripped the edge of the bed tightly. It was my 1st time. Worst pain ever. I'm still in pain although manageable, but i feel like i'm walking on eggshells trying not to make a wrong move. I work for myself in construction remodeling kitchens and bathrooms and I'm the only one working at home for the moment trying to make ends meet. I've fallen behind and I know i'm supposed to rest my body and but I went back to work 30 minutes right after the injections because I cant afford to take a break. My family depends on me being able to finish these jobs. I cant help to wonder how fragile we are and we're all just trying to buy some time here. For now I'm depending so much on God for strength to stay active. Feeling like this at 46 feels not too promising.

[vcash]

L4, L5 nerves run very close to the SI joint, and if the SI joint is inflamed could get the nerves inflamed causing pain and confusion in where the problem is coming from.
The injection must be done at the right location to work.
Strengthen pelvic muscles to stabilize the pelvis is also key.👀

[MegaBored]

I have leg length discrepancy so I get one every 10 months or so. IF you've been on a regimen to reduce the swelling and inflammation in the joint beforehand the injection is a breeze, if not you just bite the pillow and it'll be over in a couple minutes.

[lindatruman]

Wow what about nerve(damage) pain in the hand does it help

[bigbear]

Side sleepers - USE PILLOW BETWEEN YOUR LEGS FOR ANY LOWER BACK, HIP, SI JOINT PAIN ISSUES!

Back sleepers - PUT PILLOW UNDER YOUR KNEE CAPS FOR SIMILAR PAIN!

[lalipopmomma]

Why did the injection hurt me so bad too the point I wanted too cry I had a bad headache with some face flushing.

[Shellyd]

You should make sure your doctor uses ultrasound guidance so they don't hit the wrong spot and cause further damage

[nicolebennett]

I'm not being sedated and I'm told no numbing meds. Is this normal? How painful are these injections?! I'm doing them to get insurance to approve surgery this year!!!

[colelife]

Will the pain come back? If I do injections, and what is the main purpose of the injections. Only to numb the pain for sometime? Or what

[christinakumar]

Can straining the groin area caused this?
I'm really experiencing a severe pain in my leg and not being able to walk.

[lees]

Mine caused excruciating pain after and I’m still in agony 4 months later, not sure what happened

[AnimalFarm]

Had it done today. The right side I swear he hit a nerve. Ugh. We shall see what transpires the next few days

[salimataabdul-salam]

If you are already on some steroid as painkiller will the injection still work?

[Whos_Menessa]

I have SI joint inflammation on both sides it sucks! So much pain and cant even walk or even move my body it affects my life really badly, ive been on drugs for 4-5 months did not improve doctor send me to a pain clinic doing injections every Friday he said since im young i should be good in 3 months it takes about 3 months, ive been doing injections every friday since October i still have a months and half to go.. he does not do it with xray or ultrasound he touches and does his injections on my back or lowet back even thighs sometimes depending where he feels it, yes the injections did improve better than drugs but have to rest for 2-3 days (busy mom) i still do have drugs i use them once in a week even sometimes once in 2 weeks, without the injections i was on drugs every single day morning and night makes me lightheaded high calm something weird but works with the pain i dont use it like before I rarely use it cuz i dont need of it i do injections

[kpackage]

I will never have another injection! Worst nightmares ever, EVER