SacroIliac Joint injection
The relationship between the sacroiliac joint (SIJ) and low back pain has been a subject of much debate with some researchers regarding SIJ pain as a major contributor to the low back pain problem, with others regarding it as unimportant or irrelevant. The sacroiliac joint has been shown to be a source of pain in 10% to 27% of suspected cases with chronic low back pain utilizing controlled comparative local anesthetic blocks.
The sacroiliac joint is a diarthrodial synovial joint with abundant innervation and capability of being a source of low back pain and referred pain in the lower extremity. There are no definite historical, physical, or radiological features to provide definite diagnosis of sacroiliac joint pain, although many authors have advocated provocational manoeuvers to suggest sacroiliac joint as a pain generator. An accurate diagnosis can be made by controlled sacroiliac joint diagnostic blocks.. Intraarticular injections, and radiofrequency neurotomy have been described as therapeutic measures.
At Pain Spa Dr Krishna is very experienced in interventional treatments. We always perform SI joint injections under ultrasound guidance or fluoroscopy imaging for greater accuracy and improved safety. Ultrasound gives the added advantage of targeting the surrounding ligaments and muscles, which can be contributory to low back pain.