The Sacroiliac Joint Injection

[@XCarfaxAbbeyX]

Do I really have to withhold Motrin three days before for this injection?

[@majesticthirteen5358]

I'm about to have this procedure done. Your video helped me a lot to understand things. Thanks for posting.

[@DrEdwardSRubin]

Your welcome

[@Indian-girl09]

Doc when you get this injection can it irritate the problem more? Since I got the injections the pain is more frequent and more stronger ?

[@chris-p-Bacon836]

Thank you for the information.

[@DrEdwardSRubin]

Your welcome

[@fwmemdmmekba1061]

WE NEED THIS TYPE OF MEDICAL FIELD here in MARSHVILLE NC

[@ehabtuffaha7613]

I have SI pain , i tried cortistiroid injection but didnt work , may i repeat it or whats ur recomendation cz the pain really is unaffordable !

[@DrEdwardSRubin]

I cannot comment on specific cases, but for patients who get a positive temporary response the SI joint fusion may be an option. We have a video on that

[@SaltySquid]

I am getting this on Tuesday and i am nervous for the procedure. I have had injections and nerve burns before, but never get used to needles.

[@XCarfaxAbbeyX]

Having this done day after New Years day. I had it do e two years ago. No pain, pressure. I don't think it helped much. I am trying again as I am in horrible pain...

[@alexbel87]

Can the patient return to the regular exercise routine 3 days after the injection, or is a longer wait recommended?

[@DrEdwardSRubin]

I recommend patients can return to normal activity in 48hrs. I am ok with exercise as long as they use common sense and ease up if feeling pain. Could take 7-10 days for full effect

[@lasoilyn3173]

I had this injection 2 days ago and I feel pressure on the lower back area and stiffness . The experience was abit painful I had 2 injection anesthesia in each side it was around ny buttocks area one side each.then the corticosteroids was medicine was injected. medicine was not painful as I had the anesthesia but after it was painful when I got home I had to take pain killers and a cold pack on the areas

[@mushfiquamuhammad9286]

Is it painful ?? It has any side effects? Please answer. I am really scared to do this procedure , as I have other health issues like DM, Hypothyroidism, High Blood pressure.

[@terismith4512]

Who do you go to for pira formus pain and works on adhesions

[@DrEdwardSRubin]

On exam you can differentiate a piriformis pain from SI joint. Piriformis is similar but usually more tender over the the muscle. It is possible to do a piriformis injection first and then if no relief go to an x ray guided SI joint injection

[@JardineFlower]

Is the "therapeutic" injection the same as the "diagnostic" injection?

[@DrEdwardSRubin]

Therapeutic usually involves steroid and diagnostic is just local anesthetic. A diagnostic will only last a couple hours

[@JardineFlower]

@@DrEdwardSRubin the diagnostic lasted 3 months. 2nd injection was therapeutic and lasted a few weeks 😔

[@ZoeGoldenLife]

Will this help for long-term pain relief?

[@DrEdwardSRubin]

3-6 months usually. Fusion is the best long term fix.

[@michaelwenger6343]

So I have been doing CrossFit for 10 years. I started having hip pain and then it went away. It came back along with back pain while standing for long periods. When I would sit down I would get jolting buttocks spasms. I also get pins and needles type feelings. Would a streiod injection help me?

[@DrEdwardSRubin]

I recommend seeing a pain specialist. I cannot comment on specific medical situations in this context

[@michaelwenger6343]

Saw a pain specialist and received a lumbar steroid injection. Doing worlds better! Thank you! @@DrEdwardSRubin

[@meglythomancy7041]

How long does it take for the procedure?

[@DrEdwardSRubin]

Couple min. This is a quick procedure. Should be done with image guidance - X-ray or ultrasound

[@jengaguevara5180]

Can you be sedated

[@DrEdwardSRubin]

About 1/2 my patients request sedation, but can be done awake. Takes 1-2 minutes

[@vailsage01]

​@@DrEdwardSRubin My xrays show "moderate left and right sacroiliac osteoarthritis, moderate bilateral hip osteoarthritis and mild degenerative disc disease of the visualized lumbar spine" (whatever that means). The PA recommends guided steroid injections into both hip joints in one office appointment (but not sacroiliac?). The ortho hip docs here won't do any sort of sedation for the procedure, not even a pre-procedure oral like a single flexiril beforehand. Quote "you don't need it, it's only a little uncomfortable, then it's over". Not true. It's insanely excruciating, I know. I've had guided intra-glenohumoral shots 2 x years ago for a torn up shoulder (ultimately requiring shoulder a 4 hour surgery). I'm not a wimp, I know pain. I've had a c-section epidural that wore off DURING the procedure; I felt my legs moving and my organs shifted to be sewn back up (fyi, the doc re-anesthetized). Any theories on my the docs won't use any sedative, but may only use a shallow (if that) surface anesthetic (which doesn't help)? Honestly, I'd rather just live in daily pain than do this without some sedative.

[@XCarfaxAbbeyX]

Not needed. Very quick. Pressure not pain and then it's over.

[@judykoenig-uk2dw]

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