Sacroiliac Joint Injections

Restoring Stability: How Sacroiliac Joint Injections Can Relieve Lower Back and Pelvic Pain

If you’re living with persistent pain in your lower back, hips, or buttocks, it might not be your spine that’s the problem—it could be your sacroiliac (SI) joints. At Pain Management Solutions, we specialize in diagnosing and treating this often-overlooked cause of chronic pain using targeted therapies like sacroiliac joint injections.

What Is the Sacroiliac Joint?

The sacroiliac joints are located where the spine connects to the pelvis—one on each side. These joints help absorb shock and support the upper body’s weight when you stand or walk. But when these joints become inflamed or dysfunctional, they can cause significant pain that radiates into the lower back, hips, buttocks, or even the thighs.

What Are Sacroiliac Joint Injections?

Sacroiliac joint injections serve two main purposes:

• Diagnostic – To confirm that the SI joint is the true source of your pain.
• Therapeutic – To reduce inflammation and provide pain relief.

The injection includes a mix of local anesthetic and corticosteroid medication delivered directly into the joint space using real-time X-ray (fluoroscopic) guidance for accuracy.

What to Expect During the Procedure

1. You’ll lie on your stomach while the injection site is cleaned and numbed.
2. A thin needle is guided into the sacroiliac joint under imaging.
3. Medication is injected to reduce inflammation and numb the area.

The entire process takes about 20–30 minutes, and most patients go home shortly afterward.

Conditions Treated with SI Joint Injections

Sacroiliac joint injections can help relieve pain associated with:

• SI joint dysfunction
• Sacroiliitis (inflammation of the SI joint)
• Lower back pain after pregnancy
• Arthritis affecting the SI joints
• Injury or trauma to the pelvis or lower spine

If your pain improves temporarily after the injection, it confirms the SI joint as the pain source and may lead to longer-term treatment options such as radiofrequency ablation (RFA).

How Long Do They Work?

Some patients experience relief within hours, while others notice improvement over several days. Results can last weeks to months, depending on the severity of inflammation and other individual factors.

A Personalized Approach at Pain Management Solutions

At Pain Management Solutions, Dr. Francis Pecoraro uses a step-by-step approach to pinpoint pain sources and deliver effective, image-guided treatments. If you’ve tried other therapies without success, sacroiliac joint injections may be the key to reducing your pain and improving your mobility.