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HPC | Hertfordshire Pain Consultants

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07803 559 091


Injection Treatments for Sacroiliac joints

Local anaesthetic and steroid are injected into the joint

Sacroiliac joint injections are used to reduce inflammation and irritation in these joints.

What is a sacro-illiac joint injection ?

Before the Procedure
  • Sacroiliac joint injections are done as a day case procedure.
  • Do not eat 6 hours before your procedure.
  • You can drink water up to 2 hours prior to the procedure
  • Continue all regular medications except blood thinning medications such as clopidogrel or warfarin.
  • For clopidogrel stop the medication 7 days prior to the procedure.
  • For warfarin, stop the medication 5 days prior to the procedure and have a blood test 24 hours prior to the injection at your local anti coagulation clinic.
During the Procedure
  • During the procedure you will lie on your abdomen on an x-ray table.
  • You will be offered some sedation to minimise any pain during the procedure.
  • Under X-ray control and using local anaesthetic a needle is guided into the sacro-illiac joint.
  • A combination of local anaesthetic and steroid is injected into the joint to reduce inflammation.
  • The procedure takes about 20 minutes to perform and does cause some discomfort – but this will be controlled during the procedure.

After the procedure

  • You will be in the recovery room for about 60 minutes
  • You will need someone to drive you home
  • It is common to experience an increase in pain once the numbing medicine wears off
  • The steroid does not become effective for 36-48 hours
  • Activity should be restricted for the first 24 hours after the injection.
  • We rarely see any problems with these injections

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