What are sacroiliac injections?

Sacroiliac injections are injections of steroids or other medications directly into the sacroiliac joint by a pain management doctor in San Diego. These joints can be found on either side of the tailbone, and they connect your tailbone to your pelvis.

What is the purpose of the sacroiliac injections?

These injections are designed to reduce inflammation or swelling in or around the sacroiliac joint space. This can help to reduce pain or any residual symptoms that inflammation may cause to your joint or any surrounding structures.

How long does this process take?

The actual injections take between five and ten minutes at a San Diego pain management clinic.

What is injected?

With the sacroiliac injections a mixture of local anesthetic and steroids are injected to reduce pain and to prolong the positive effects.

Is the process painful?

The sacroiliac injections is an injection performed by a pain management doctor in San Diego through the skin and the deeper tissue which causes some pain. Before the injection takes place the skin and the deeper tissue are numbed using a local anesthetic. This helps to alleviate the discomfort felt during the procedure. Some patients will receive sedation in addition to this to make the process easier. The procedure is conducted under a local anesthetic not a general anesthetic which means that you are not “out” during the process. Some patients opt for additional sedation, as mentioned above, and the amount provided is often contingent upon the tolerance levels of the patient.

How is the process performed?

The sacroiliac injections are conducted with the patient lying on their stomach at a San Diego pain management clinic. There is often an x-ray used to determine the correct placement for the needle but thinner patients may not need this. Patients who have IV sedation will be monitored using a blood pressure cuff, EKG, and blood oxygen monitoring device. The skin where the injection will take place is cleaned using an antiseptic and then numbed using an anesthetic. The injection needle will be placed appropriately and the injection carried out. After the process is complete the needle is removed and a covering applied to the area of injection.

What can be expected after the procedure?

After the sacroiliac injections you will feel no pain or little pain, but this is due to the anesthetic. This feeling will go away after a few hours. You may feel sore at the site of the injection for a day or two. This is because of the mechanical process used to place the needle. After the third day you will begin to notice pain relief.

You should have someone else drive you home following the procedure as the injection can cause temporary leg weakness. Any patient undergoing sedation for the sacroiliac injections is required to have a ride home. Patients are advised to have a day or two to relax after the procedure and ice can be applied to the injection site.
Unless you faced complications you can return to work the following day. The most common complication felt is soreness at the injection site. The medication should bring with it lasting effects for several days to several months. If the first injection is not effective, you may return for another in two weeks.