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Home » Services & Programs » Sacroiliac Joint Steroid Injection

Sacroiliac Joint Steroid Injection

A sacroiliac joint steroid injection contains a local anesthetic and saline or cortisone solution, and is administered into the sacroiliac joint to provide long-lasting pain relief. This injection therapy uses the same technique as a joint injection.

Medically Reviewed by

Dr. Steven Siwek

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The first step in treating your pain is to get an accurate diagnosis of the cause of your symptoms. Based on your diagnosis, you and your doctor can determine your best treatment options. At The Pain Center, we offer traditional and state-of-the-art therapies to treat your pain and help get you back to your normal activities.

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Sacroiliac Joint Steroid Injection

What is Sacroiliac Joint Injection?
What Types of Pain Does Sacroiliac Joint Injections Treat?
How Does Sacroiliac Joint Injection Work?
Expectations and Recovery
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What is Sacroiliac Joint Injection?

A sacroiliac joint steroid injection contains a local anesthetic and saline or cortisone solution and is administered into the sacroiliac joint to provide long-lasting pain relief. 

This injection therapy uses the same technique as a typical joint injection.

What Types of Pain Do Sacroiliac Joint Injections Treat?

Lower back pain.

What are sacroiliac joints?

Sacroiliac joints are particularly vertebrae at the bottom of your spine, just above your tailbone.

How Does Sacroiliac Joint Injection Work?

A joint injection contains cortisone, a steroid that helps reduce muscle pain and joint inflammation.

The injection may be administered in joints that have been affected by degenerative diseases, including:

  • Arthritis
  • Rheumatoid arthritis
  • Osteoarthritis 

Joint injections may also be used for aspiration, a technique that withdraws excess fluid from affected joints.

Expectations and Recovery

Patients are typically able to function as normal immediately after the procedure is completed. Someone else will have to drive you home as a safety precaution.

You may experience soreness around the site of the injection, but you will likely be able to return to full activity within 24 hours.

Pain relief may last several days to several months. The procedure can be repeated if necessary. 

If the treatment didn’t offer any relief, other options are available.

What Symptoms of Back Pain Should I Watch Out For?

Acute back pain typically lasts up to three months, whereas chronic pain lasts longer. Report all your symptoms to your doctor, especially acute or chronic back pain symptoms such as:

  • Muscle ache
  • Shooting, stabbing, or dull pain
  • Pain radiating toward the neck or down the legs
  • Decreased range of motion and flexibility
  • Pain reduction with rest or minimal movement

Other Conservative Treatments for Chronic Back Pain

Studies show that physical therapy does well to reduce back pain in the short term. Even starting physical therapy early can help prevent later episodes of chronic back pain.

Additional procedures typically performed to treat chronic back pain include:

  • Epidural Steroid Injections
    • For short-term pain relief (typically 3-4 months), steroid injections can be used to treat neck and back pain and can be combined with physical therapy and exercise for maximum benefit.
  • Nerve Blocks
    • Therapeutic nerve blocks contain local pain medications that can control acute pain.
  • Radiofrequency Ablation (Rhizotomy)
    • A minimally invasive procedure in the neck, middle or lower back, that destroys nerve fibers in the back that carry pain signals. It is performed under fluoroscopy (live x-ray).
  • Spinal Cord Stimulation
    • If other therapies aren’t effective for treating your pain, an implantable pain management device can be an option. These devices administer mild electrical pulses to block the transmission of pain.

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