SI Joint Injection: What You Should Know
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- čas přidán 29. 08. 2024
- 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:
www.soundpaina...
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.
Thanks for this info. The pillow between knees definitely helps!
Wow!!! That’s great! I’m going through the same pain and it’s so painful, I can’t even describe it. I’ve been crying!!!! I’m glad to hear someone that’s been relieved from that pain. That’s amazing! Hope doctors read your comment.
Good on you. I am curious though, my issue/pain only occurs when i sit in and get out of car but i do get a sharp shooting/stabbing pain that is enough to make me cry. did you have this issue as well?
@@jean-pierreserret301 My pain is so severe that I start crying! It seems to happen when I use steps, drive or sit at the desk for more than an hour. It is Truly Debilitating! My poor husband doesn’t know what to do. Somehow crying seem to help release some of the physical pain so I ask him to just let me cry it out. I lay on the carpet flat and that seems to “Straighten” me out (Plus a pain med). It is really painful when I first lay flat. It’s like the sacrum is letting go of a Huge Spasm.
Thanks
My appointment is in a week and I can't wait. This has been a long time coming.
@HeraclitusThoughtBubbles Yes, it made a huge difference. I went from a chronic and consistent 7 to a 2 by the fourth day. I'm glad you asked because you should know that there is positional pain, meaning that I can easily aggravate it and have that 7 come back if I cross my legs or have one foot tucked under the other leg of I'm sitting on the couch. Lying on my left side also aggravates it, but at least it's manageable and tolerable now. My follow up is in another week and I hope they decide to move on to Radio-frequency Ablatiom (RFA) of the nerve. Good luck with yours! I hope it gives you relief.
I'm seeing my pain doc tomorrow and asking for this. Good luck with yours!
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.
Hello! Did they find the problem/Solution? Thank you
สวัสดี welcome to Thailand i got si joint pain really bad .
How did you get on?
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😀
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.👀
I had the injection si. left side from top of the si.What do you think is the right location.It went oke with me ,but today after riding my car with hand gear shift and clutch the pain is back(left food clutch).(better no more car)regards Theo.
To strengthen while in bed flat, squeeze your butt cheeks together about 10 seconds and then relax. After a,few days squeeze and raise your butt a little. Top of thighs should not feel any pain. After a month you hopefully will have less pain.
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.
Sorry for your misery. Especially your foot. My foot is screwed up . I was told not to walk on hills. I found I could avoid pain by walking up hill backwards.
@@singatune I like how you found your own solution to the problem 😊
Thanks! I was an MRI tech for about 18 years and it was common for us to scan the a patient for a lumbar spine, then see them in a few months for a knee on one side or the other because they'd been favoring the other side and threw off their gait. Getting old is a real challenge but the alternative is still undesireable LOL.
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.
Yeah, I wondered about that. When mine flares up it actually swells up like a knot over the joint on the right side. I don't look forward to having a large gauge needle being poked into it.
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!
Good to know! Thanks!
You should make sure your doctor uses ultrasound guidance so they don't hit the wrong spot and cause further damage
Had it done today. The right side I swear he hit a nerve. Ugh. We shall see what transpires the next few days
Did it work
Did it work?
Did they put you out?
did it work did he hit a nerve how are you feeling now ?
Wow what about nerve(damage) pain in the hand does it help
Why did the injection hurt me so bad too the point I wanted too cry I had a bad headache with some face flushing.
I have a headache after trying to read your writing
@@jocko1283 I bet ur mom said the same thing about you jockhole gave me a headache all my life why didn’t I just swallow him 🤓
Did you feel the headache and face flushing right after the injection or days later?
@jocko1283 you're a turd on a stick
I will never have another injection! Worst nightmares ever, EVER
Thank you. Can you describe what made this such a nightmare?
@@eileenstenzel7589 literal nightmare. The night of injection, sleeping peacefully, in bed with roommate as didn't want to sleep in basement after injection. I feel my lips moving, trying to call out for help as I was (dreaming?), experiencing being in a supine position being thrown end to end of the kitchen, close to the ceiling, super fast back and forth.
Felt roommate tapping on my leg so as to wake me, but not startle me. I woke up, told him what was happening, that I could feel my mouth moving, but nothing coming out but babbling.
I fell back to sleep, now I'm standing by bathroom door, a wind whips through my hair and I am once again being picked up and thrown end to end of kitchen, THIS time coming by kitchen sink, whatever it was turned me head down and was getting ready to slam me head first into the floor! I grabbed cupboards and was slamming them, hearing myself screaming for roommate to help me and Jesus to help me!
Roommate woke me up again, I told him what was happening, then I just got up as I was afraid to go back to sleep.
This happened a couple of more times after the injection, to a point where I was seriously afraid to sleep, I will never have another injection ever!
@@kpackage62 this sounds like you were traumatized. Did you have sedation?
@@eileenstenzel7589 sedated for the injection, yes. Never experienced anything like this in my entire life, made me afraid to sleep, but just kept bible handy, rebuked and told it to get out in the name of Jesus! In January 2021 sudden hip rotation so injection was for pain in sacroiliac joint. Third time the thing came it actually stood up in my bed and stepped on my pelvis, I know I didn't get up, but in my mind I cried out to Jesus, got up marched to the front door, opens it and screamed get out in the name of Jesus!!!!
I truly believe something came into me through that injection and will never have another one!
You should tell your doctor they go in the back not the brain
Mine caused excruciating pain after and I’m still in agony 4 months later, not sure what happened
Same! This procedure did not go well with me. I couldn’t walk after and took me a few weeks to walk normal again with out bad radiating pain down the legs.
You should talk to your doctor, it sounds like some nerve damage to be honest
Can straining the groin area caused this?
I'm really experiencing a severe pain in my leg and not being able to walk.
Foot problems like Mortons Neuroma can cause sciatic pain.
0:36
If you have leg pain then it is almost guaranteed to be a spine issue.
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!!!
My was very painful too the point I wanted too cry an believe me I can handle pain then afterword I had a really bad headache an my face was flushed for days
@@lalipopmomma73 thank you for replying. It was awful and I hate I have to go through another round but I need this surgery done!!! The next day everything hurt! I slept with an ice pack! Amazing the things they don't bother to tell you and you have to find out for yourself. Healthcare truly sucks!
Heck no! Where do you live??? Of course you get numbed and can even have twilight if you want. I can't imagine without. Most intense pain to go through.
I just had it, you don't need sedatives.
@@Rn_tasha26 They didn't mean sedatives, they are talking about the local anesthetic at the injection spot.
How often are the injections?
That is a question for your provider. Everyone is different and have different protocols.
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
My Neuro surgeon wants me to do the injection to see if my chronic low back pain goes away. IF it goes away, then it confirms my pain is coming from the sacrum and not my herniated discs in the lumbar. He is not convinced my 3 herniated discs at L3, L4, L5 are causing my pain (IDK why it wouldn’t??). He explain there is no way to get a clear imagine of the sacrum and this injection was the only way to diagnose the pain. IF my pain goes away with the injection, he will stabilize the sacrum with a pin/screw or two. I REALLY hope this is the answer I have been looking for the last 15 years!
I just had my first shot. I feel pretty good now and can walk with a little irritation. I believe this is just temporary.
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
I have left SI joint pain and have received 2 injections with slight relief. Dr put me on Cymbalta. What type of meds did your dr prescribe you?
If your experience is not similar to the procedures described here and in other videos, I’d suggest you go get a 2nd opinion from a different doctor
You “get injections every week”?? Be careful!! It is my understanding that too many injections are Bad in the long term (breaks down bone/tissue)?! AND It Causes scar tissue. I had 5 injections in my lumbar, spread out over 5 years. I Regret it! Last injection my doctor said told me I had so much scar tissue, it felt like she was going through a rock!! My Lumbar is a Hot Mess! Do your own Research about the type of injection you are receiving or get a second option!!
@@workyourlittleintoplenty5107 if I could jump in here, I have researched these drugs. This has black box labeled. Google warnings for it. It can be addicting.
I suggest trying a heating pad three times a day. It may be your only choice, then God help you. 🙏
Injections without an xray and being done every week sounds like perhaps you are having dry needling not si injections
If you are already on some steroid as painkiller will the injection still work?
The way it was explained to me is that applying the steroid directly to the problem area is a more effective way to reduce the inflammation - which is the cause of the pain. Steroid pills like Prednison can help calm down inflammation throughout the body but there is a limit to how often they can be safely taken.
Ive had injections but they only last about a month. I wonder what my options are now as you can only have so many.
Fusion- same here on both sides. Supposed to have fusion on one side this year, found out ins didn’t cover place of service. So, onto next year with hope of fixing it. The pain doc does this at a surgery center… no hospital! Had enough surgeries in hospitals…
Good luck to you!
@@lauriejahoda197 what are your main symptoms? do you have pain sitting long? any instability when standing? thankx
Do they put you out to do this??
no, i’ve had it done 4 times, actually got the 4th done yesterday. I was very much awake and could feel everything. The lidocaine only works if they let it do its thing for a second before sticking the injection needle. It hurts, I have a high pain tolerance thanks to chronic pain/health issues and I would rather break my ankle again or recover from cataract surgery again than get another injection in my SI joint while i’m mostly conscious. If this double dose does give me relief, then the next time i need injections, i will be demanding sedation. I will not go through that pain again. Granted, everyone’s pain tolerances are different but do ask what the pain management is going to be during the procedure. At the very least, get lidocaine and a cooling/numbing spray. That combination was the least painful, sadly it was my first so i’ve been bamboozled.
@@arivollmer5962 my doctor put me out! Thank goodness!
Doing the physical therapy first, then getting the shot. I'm gonna be out!
What he did here is ok except for the steroid. SARAPIN is from a pitcher plant. No bad side effects and does raise blood sugar. A little bit of sreroid is ok but i swear by Sarapin. Hope doctor reads this.
@@memberberry7139
I think insurance companies should pay for Sarapin. More states have doctors, mainly chiropractors using it. I am going to write some letters.
Too many doctors are controlled by medical monopolies. Solo doctors are being driven out of business.