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SI Joint Injection

An image-guided injection into the sacroiliac joint to help confirm and relieve low back and buttock pain.

What Is SI Joint Injection?

The sacroiliac (SI) joints connect the base of the spine to the pelvis. When irritated, they can cause pain in the low back, buttock, hip or groin. An SI joint injection places numbing medicine, often with a steroid, into the joint. It can both relieve pain and help confirm the SI joint as the source of your symptoms.

Conditions It May Help

  • SI joint dysfunction
  • Low back or buttock pain, often on one side
  • Pain with sitting, standing from a chair or climbing stairs
  • SI joint pain after pregnancy, injury or prior lumbar fusion

How It Is Done

You lie face down, and the skin is cleaned and numbed. Using fluoroscopy and contrast dye, Dr. Rema guides a thin needle into the joint. The procedure typically takes about 15 to 20 minutes.

What to Expect

You will be asked to note how your pain changes over the next several hours. The steroid may take a few days to work. Most people return to normal activity the next day. If injections help only briefly, other options, including minimally invasive SI joint fusion, may be discussed.

Possible Side Effects and Risks

Temporary soreness, a short-term flare of pain, and temporary leg numbness. Uncommon risks include infection and bleeding. Dr. Rema will review your medical history and medications, including blood thinners, before your procedure.

Take the Next Step

Call 845-245-6033 to schedule a consultation with Dr. Rema at Hudson Valley Pain Management, 33 Grand Street, Suite 33A, Kingston, NY 12401. Results vary from person to person, and Dr. Rema will review the benefits and risks for your situation.

Elvis W. Rema, MD · Pain Management · 33 Grand Street, Suite 33A, Kingston, NY 12401 · Phone 845-245-6033 · Fax 845-245-6054 · Castle Connolly Top Doctor

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