Sacroiliac Joint Injection | Pain Management | Dartmouth-Hitchcock
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Sacroiliac Joint Injection

What is a sacroiliac injection?
The sacroiliac joints are the large joints of the low back where the pelvis joins the spine.

What is sacroiliac joint dysfunction?
Sacroiliac joint dysfunction is an injury or inflammation of the joint, which may cause pain in the lower back, buttocks and some times groin and legs. Patients often relate a history of trauma such as a fall on the buttocks or a motor vehicle accident. Pain may also begin after simple twisting motions that combine bending forward, tilting the pelvis, or twisting the trunk as in a golf swing, shoveling snow, or bending and reaching sideways to pick an object off the floor.

Diagram: Sacroiliac Join Injection How is a sacroiliac injection is performed?
The patient is lies on her/his stomach. The skin over the joint is cleaned with antiseptic solution and is injected with local anesthetic, after which the sacroiliac joint injection is performed under X-ray guidance.

What medication is injected?
The medication is commonly a combination of local anesthetic, steroid and x-ray dye

How much time does the procedure take?
The procedure usually takes 20-30 minutes.

How long does the effect last?
The effect might last for a few hours, or much longer.

Who should not have this injection?
If you are taking blood thinners (Coumadin, Plavix, Ticlid or others) or antibiotics, have an active infection, or have a bleeding disorder you should not have the procedure without further discussion. Please warn us of any allergies you have, especially to local anesthetics, X-ray dye and latex.

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