Sacroiliac Injections

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  • #35165
    Sarah
    Participant

    Firstly, many thanks to all those who responded to my question about Facet Joint Injections some while ago. Following your comments I made an appointment to see my consultant again, and I saw his registrar who thought I should have the injections in my SI joint, not in my facet joints!

    So has anyone had experience of these steroid and anaesthetic injections in the Sacroiliac Joint to cure back pain felt in this joint? I am still unsure about going ahead with the procedure as I am worried about the risks, and the possibility that I might end up in more pain afterwards. Having spent many years making slow but significant progress with non invasive treatments, I do not want to take any risk of returning to my previous levels of pain.

    Any experiences or views gratefully received.

    Sarah

    #35166
    Di
    Participant

    When I had a sacroiliac injection I was pain free for about 2 days then it went back to normal but I had an anti inflammatory injection,(voltarol) not a steroid. It didn’t make me any worse.
    My facet joint injections were very painful and made me much worse for about a week. However, long term they did no good at all. They were used as a diagnostic rather than a treatment but were obviously in the wrong place.

    #35167
    Anonymous
    Inactive

    I am 100% in agreement with Di, the injections were very painful and the result !!!! not one iota of difference, but looking on the good side, I was no worse for the experience, but I had this procedure done 3 times, so if you want a bit of advice, if it doesn’t work the first time, don’t be talked into having it done again and again as I did.

    #35168
    Karen HG
    Participant

    Hi Sarah

    I’ve had these, with little benefit really, but I do know someone who had an amazingly good result. She was over the moon!

    They were not at all painful when I had them,though. It often just depends on how experienced the person who does them,is.

    Good luck

    Karen

    #35169
    Sarah
    Participant

    John – Was that 3 times into the same joint, or did they try other joints? Regards, Sarah.

    #35170
    jude
    Participant

    I had an injection in my sacral illiac joint in Feb.I found the procedure painful for a day or so but certinally not unbearable. I believe it can be effective if thats the area causing your pain. it was only after it not solving my pain that I was given a MRI scan which showed a herniated disc ! I expect that youve probably reached the stage of being desparate enough to try anything once ! Youve nothing to loose by having it, I believe its a safe procedure. Good luck and I hope it ends your pain for you.

    #35171
    Schnarff
    Participant

    Sarah,

    I have been receiving treatment on my SI joint for about a year now. Symptoms can include pain in the groin/pelvis/hip area; numbness of the leg; pain to the touch in the SI area.

    I would recommend you discuss with your consultant the exact course of injections he is suggesting and what if any would be the next stages of treatment.

    From what you have mentioned they are possibly discussing a combined steroid/anaesthetic injection. This was my first treatment – the anaesthetic part determines whether they have the right joint – if your pain goes immediately after the treatment then its the right place!! It could be that your registrar wants to do this to see if its the SI joint causing you problems.

    After this injection I had to wait 6 weeks for a review during which time my situation improved for a short time and then started to worsen again (but no worse than it had been).

    I believe afterwards they can offer to do this again or move on to the next stage (as I did) whereby you can have prolotherapy treatment, a series of 3 injections. These injections have to be done a month apart, were more painful then the first one and the after effects were far worse to start with. however I believe it has improved my condition overall though not curing it. For example – when I started my treatment I could not tie my own shoe laces but now I can!

    If you want to discuss it further just let me know

    J

    #35172
    sherry
    Participant

    Hi Sarah

    I just read your message an was wondering what symptons you are having?
    I had my Facet joints injected in 5 places 6 weeks ago an had alittle relief but an still having pain in both buttocks an my usual lower back pain.
    From what i have read that is one of the symptons if there is a problem with the Sacroiliac joint.
    I have an appointment with the hopital in 2 weeks an am going to discuss it with my consultant.

    Best wishes

    Best wishes

    #35173
    Sarah
    Participant

    Sherry,
    My pain symptoms are sharp pain on one side of my lower back, I think it’s at the PSIS – where the pelvic bone meets the sacrum, and my pelvic bone sticks out a little here and frequently looks bruised. The pain is sharp on any slightest reaching forward motions, it is also brought on by sitting. The pain sometimes goes into my buttock and down the front of my thigh – however this referred pain is much less intense than the pain in the back. Also I generally have a lot of aching in my lower back and sometimes legs, and due to my restricted movements from the pain over the years I now have a very stiff back.
    I’ve been doing some research into the SI joint and have found a very informative web site which you – and others – might like to have a look at. Beware it will take some reading – there’s loads of technical papers – but very interesting. The site is http://www.kalindra.com.
    Something I discovered from this site is that a false negative can be obtained from SIJ injections. The injection apparently needs to be placed in the tissues surrounding the joint, not in the joint capsule itself. If the injection is placed inside the joint capsule, and the capsule is not torn (so it can’t leak out), then the fluid does not get to the surrounding tissues, and will therefore give a false negative! If you haven’t seen your consultant yet maybe you’d like to ask him about this.
    Good luck, let me know how it goes, and happy reading!

    #35174
    Anonymous
    Inactive

    Do you mean spine-health? If so, it is an extremely good website with lots of information.

    Inga.

    #35175
    Anonymous
    Inactive

    Many thanks, Inga. I’m using the Dragon voice activated program with a microphone and we sometimes get things wrong!

    http://www.spine-health.com

    It’s an excellent site for backs, necks and spine-related topics generally. Sound information.

    #35176
    Anonymous
    Inactive

    Hi Sarah,
    I have been having aneasetic injections into my head every 3 mths for past 18 mths. & now on the 2nd jan have to have
    steroid & anesetic injections,
    have always gone to the pain clinic for these but this time have to go to day ward am. am now worried abought having this with what others are having to say relating to more pain.
    i know my head is`nt joints but non the less in a very vital area, the anesetic ones put me in bed for a couple of days.
    just thought i`d mention my problem as

    dno one else seems to have my problem of
    brain tumours.
    i did have laminectomy 36 yrs ago when back surgery was in it`s infancy, & have suffered ever since with back problems which now they tell me my back pain is due to having had all the wrong treatment, but which in my day was of the very best.
    Doreen
    sorry to have gone off track but my problems cause all kinds of symptoms which of course i can`t help.
    anyone had these in the head ?

    #35177
    organiclemon
    Participant

    I was told that although the pain is coming from facet and SIJs with the OA@L1/2 the facet joint injections would be the most helpful.Three specialists said the same thing. However I can’t comment other than say that the facet injections worked. had four of them under IV sedation but was alert.

    #35178
    Karen HG
    Participant

    Hi

    I had a second lot of SI joint injections last week, and they are definitely helping me. The first lot was done by someone else (same hosp tho) and I was initially in agony for about 3 days and then back to the way I was before ie no improvement.

    I had a long chat with the doctor
    who did them as to whether to have any more and I was persuaded to have one more attempt. I’m so glad I did. I’ve had a lot of previous lumbar surgery- but my problem def isn’t facet joints, its SI. I also have numbness problems, but apparantely thats a different issue…they don’t know what, but I’m told its different….

    Anyway, just thought I’d write about my experience. I have been converted!

    Karen

    #35179
    Schnarff
    Participant

    Karen

    Glad to hear that they are working for you – stick with it – and that goes for everyone.

    I am ecstatic to be able to say that after over a year of these injections i am almost “cured”! I was beginning to think that I would have them for life but fingers crossed the last one seems to have made a big difference. I know that it could all go wrong tomorrow but just having one day of no pain is amazing.

    I would recommend that if you are offered these injections you agree to try them.

    Schnarff

    xx

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