What are Sacroiliac Joint Blocks?

A sacroiliac joint block involves injecting a combination of medication, typically a local anesthetic and sometimes a corticosteroid, near the sacroiliac joint. The SI joint connects the sacrum (tailbone) at the base of the spine to the ilium (uppermost part of the pelvis) on each side. Inflammation or irritation of this joint can cause significant pain in the lower back, buttocks, and sometimes even radiate down the leg. The injected medication helps:

• Numb the nerves: The local anesthetic provides immediate pain relief by blocking pain signals from the SI joint.
• Reduce inflammation: In some cases, a corticosteroid may be included to reduce inflammation around the joint for longer-lasting relief.

Conditions Treated with Sacroiliac Joint Blocks at Ishaan Ortho & Spine:

• Sacroiliac joint dysfunction: This condition occurs when the SI joint becomes inflamed or irritated, leading to pain in the lower back and buttocks.
• Lumbosacral radiculopathy: Pinched nerves in the lower spine, sometimes caused by SI joint dysfunction, can cause pain radiating down the leg (similar to sciatica).
• Post-surgical pain: Sacroiliac joint blocks may be used after pelvic or lower back surgery to manage pain and promote healing.
• Chronic low back pain: In some cases, SI joint dysfunction can be a contributing factor to chronic low back pain.

Benefits of Sacroiliac Joint Blocks:

• Targeted pain relief: Medication is delivered directly to the source of pain, offering effective relief for pain in the lower back, buttocks, and potentially radiating leg discomfort.
• Diagnostic tool: A successful sacroiliac joint block can help confirm the SI joint as the source of your pain, aiding in diagnosis.
• Minimally invasive procedure: Injections are performed on an outpatient basis (Day Care) with minimal discomfort.
• Improved mobility: By reducing pain, these blocks can help you regain mobility and function in the lower back and legs.
• Potential to avoid surgery: In some cases, successful blocks can provide long-lasting pain relief and help you avoid surgery.

What to Expect During a Sacroiliac Joint Block at Ishaan Ortho & Spine:

1. Consultation: Dr. Subodh M Shetty will discuss your pain symptoms, medical history, and perform a physical examination to determine if a sacroiliac joint block is the right approach for you. X-rays or other imaging tests may be recommended for a more precise diagnosis.
2. Preparation: The area to be injected will be cleaned and sterilized. Local anesthetic may be applied to numb the injection site and minimize discomfort.
3. Fluoroscopy Guidance: Using fluoroscopy (real-time X-ray imaging), Dr. Shetty will carefully guide a thin needle to the precise location near the SI joint.
4. Injection: The medication is then injected near the joint. The entire procedure typically takes less than 30 minutes.
5. Recovery: Sacroiliac joint blocks are Day Care procedures, and you can usually resume most activities after the injection. Dr. Shetty will provide specific instructions regarding rest, icing, and any limitations on movement.

Following a Sacroiliac Joint Block:

• You may experience some mild soreness or discomfort at the injection site, which can be managed with over-the-counter pain medication.
• The pain relief from the local anesthetic typically lasts for several hours, while the effects of a corticosteroid (if used) may take a few days to become apparent.
• Depending on the severity of your condition, a series of injections may be recommended, spaced a few weeks apart.
• It is important to follow Dr. Shetty’s instructions regarding rest and physical therapy exercises to optimize the effectiveness of the treatment.

Are Sacroiliac Joint Blocks Right for You?

Schedule a consultation with Dr. Subodh M Shetty at Ishaan Ortho & Spine in Bangalore to discuss your pain and explore if sacroiliac joint blocks can offer targeted relief. Our Day Care services provide a convenient and effective approach to managing pain and improving your quality of life.