When are sacroiliac SI joint injections indicated

Patient history and physical examination have been shown to be unreliable in the diagnosis of SI joint pain. An analgesic response to a properly performed diagnostic SI joint block is considered the most reliable test to diagnose SI joint-mediated pain. Patients with low back, buttock, or groin pain not attributed to other causes can be considered for SI joint injection. The patient is positioned in the prone oblique position to facilitate visualization of the inferior portion of the joint. A 22-gauge spinal needle is placed in the inferior aspect of the joint, and a small amount of contrast is injected to confirm needle position. Then a small amount of corticosteroid, combined with a local anesthetic, is injected (Fig. 16-10).

Figure 16-10. A, Sacroiliac joint injection. The needle is placed in the joint space. B, Injection of contrast shows dye flow in the joint space, confirming needle placement.
How To Win Your War Against Back Pain

How To Win Your War Against Back Pain

Knowing the causes of back pain is winning half the battle against it. The 127-page eBook, How To Win Your War Against Back Pain, explains the various causes of back pain in a simple manner and teaches you the various treatment options available. The book is a great pain reliever in itself. The sensible, practical tips that it presents will surely help you bid good-bye to back pain forever.

Get My Free Ebook


Post a comment