Sacroiliac Pain Treatments
Sacroiliac Joint (SIJ) Disease is one of the major causes of low back pain. The SIJ is located at the junction between the spine and the
pelvis. The SIJ is a weight baring joint as the weight from the upper body is transmitted down the spine, through the SIJ and into the pelvis,
hips, and lower extremities. The SIJ is supported by many muscle groups and ligaments that are richly innervated by free nerve endings and
spinal nerve roots. When there is inflammation to the SIJ, the abundance of nerves become irritated and patients experience intense low
back pain. Patients typically complain that pain associated with SIJ worsens when sitting for long periods of time or performing twisting
motions and will usually resolve with exercise.
Treatments:
SIJ Steroid Injections: involve injecting a steroid into the joint space of the SIJ, where the irritated nerve roots are located. This injection
includes both a long-lasting steroid and a local anesthetic (lidocaine, bupivacaine). The steroid reduces the inflammation and irritation and
the anesthetic works to numb nerves in the area. The combination medicine then spreads throughout the joint and surrounding areas,
reducing inflammation and irritation. The entire procedure usually takes less than 15 minutes.
SIJ Traumeel Injections: Traumeel is a homeopathic natural anti-inflammatory medication that has very few side-effects and can be injected
into the SIJ when steroid medications are not desired.
Medial and Lateral Branch Blocks: The medial and lateral branches innervate the SIJ and blocking these nerves is diagnostic and
therapeutic. If your pain is better after the injections, than you may be a candidate for radiofrequency procedure.
Radiofrequency: The medial and lateral branches innervate the SIJ and can be destroyed with radiofrequency. The nerves typically grow
back, but people report pain relief from ranging from 3 months to 3 years.
Spinal Cord Stimulation: A small electrode is typically placed in the epidural space and electrical current is directed through the electrode. If
pain relief is attained, a permanent system with battery and electrodes can be placed under the skin.
Chiropractic Manipulation: The SIJ can sometimes be manipulated into place if it is believed to be out of alignment.
TENS unit: Electrical current is directed over the skin to the most painful area. The brain can not perceive the pain it previously felt, but now
feels the “tingling or buzzing” sensation that is commonly used to describe TENS therapy. TENS therapy may also cause the brain to release
endorphin (the body’s natural pain fighters).
Physical Therapy: Is extremely important to increase range of motion and continue to maintain strength in a painful shoulder.
Acupuncture: Acupuncture is an alternative treatment that was originally started in China over 2000 years ago and is quickly gaining
acceptance and popularity in Western Medicine for the treatment of many conditions (Facco 2007). Research continues to explore the use of
acupuncture in the treatment of many chronic pain conditions.
Benefits:
Chronic lower back pain is one of the most difficult conditions for physicians to treat. Commonly seen, the pain may go into remission with
periods of decreased or absent symptoms, however, more frequently than not, the pain returns and causes a chronic pain syndrome in most
people. SIJ injections are a minimally invasive, low risk procedure that can cause a significant decrease in symptoms without disrupting your
daily activities. In patients suffering from chronic SIJ pain, SIJ injections are preferred to the more conventional methods of treatment (Pereira
2000).
Risks:
SIJ injections are considered an appropriate non-surgical treatment for many patients who suffer from lower back pain. The associated risks,
although rare, include nerve damage, bleeding, and infection. Some of the potential side effects of the corticosteroid may include elevated
blood sugars, weight gain, arthritis, stomach ulcers, and transient decrease in the immune system.
Outcome:
Patients have reported that SIJ pain began spontaneously or had an insidious onset, while others recognize a specific event that triggered
the occurrence of the pain. Frequently the pain can be due to a traumatic injury to the spine resulting in residual SIJ inflammation. While
conservative treatment, such as NSAID's and physical therapy may be effective, Murakami and Tanaka reported in 2007 that the effect of
periarticular injection into the SIJ was 96% effective in pain improvement in patients with SIJ complaints with minimal complications (2007
Murakami).
How We Can Help You:
Arizona Pain Specialists is a Pain Center of Excellence and we realize the burden SIJ pain can have on your life. We believe a
compassionate patient-centered program integrating allopathic and complimentary treatments is the most effective method to obtain long-
term pain relief.
During an initial visit, a pain physician will evaluate and diagnose your painful condition and build a customized treatment program that is
specific for you. If you or someone you know could benefit from treatments we offer please contact Arizona Pain Specialists today.
Articles:
Murakami E, Tanaka Y, Aizawa T, Ishizuka M, Kokubun S. J Effect of periarticular and intraarticular lidocaine injections for sacroiliac joint pain:
prospective comparative study. Orthop Sci. 2007 May;12(3):274-80. Epub 2007 May 31
Pereira PL, Günaydin I, Duda SH, Trübenbach J, Rémy CT, Kötter I, Kastler B, Claussen CD. Corticosteroid injections of the sacroiliac joint
during magnetic resonance: preliminary results J Radiol. 2000 Mar;81(3):223-6
Sacroiliac Joint (SIJ) Disease is one of the major causes of low back pain. The SIJ is located at the junction between the spine and the
pelvis. The SIJ is a weight baring joint as the weight from the upper body is transmitted down the spine, through the SIJ and into the pelvis,
hips, and lower extremities. The SIJ is supported by many muscle groups and ligaments that are richly innervated by free nerve endings and
spinal nerve roots. When there is inflammation to the SIJ, the abundance of nerves become irritated and patients experience intense low
back pain. Patients typically complain that pain associated with SIJ worsens when sitting for long periods of time or performing twisting
motions and will usually resolve with exercise.
Treatments:
SIJ Steroid Injections: involve injecting a steroid into the joint space of the SIJ, where the irritated nerve roots are located. This injection
includes both a long-lasting steroid and a local anesthetic (lidocaine, bupivacaine). The steroid reduces the inflammation and irritation and
the anesthetic works to numb nerves in the area. The combination medicine then spreads throughout the joint and surrounding areas,
reducing inflammation and irritation. The entire procedure usually takes less than 15 minutes.
SIJ Traumeel Injections: Traumeel is a homeopathic natural anti-inflammatory medication that has very few side-effects and can be injected
into the SIJ when steroid medications are not desired.
Medial and Lateral Branch Blocks: The medial and lateral branches innervate the SIJ and blocking these nerves is diagnostic and
therapeutic. If your pain is better after the injections, than you may be a candidate for radiofrequency procedure.
Radiofrequency: The medial and lateral branches innervate the SIJ and can be destroyed with radiofrequency. The nerves typically grow
back, but people report pain relief from ranging from 3 months to 3 years.
Spinal Cord Stimulation: A small electrode is typically placed in the epidural space and electrical current is directed through the electrode. If
pain relief is attained, a permanent system with battery and electrodes can be placed under the skin.
Chiropractic Manipulation: The SIJ can sometimes be manipulated into place if it is believed to be out of alignment.
TENS unit: Electrical current is directed over the skin to the most painful area. The brain can not perceive the pain it previously felt, but now
feels the “tingling or buzzing” sensation that is commonly used to describe TENS therapy. TENS therapy may also cause the brain to release
endorphin (the body’s natural pain fighters).
Physical Therapy: Is extremely important to increase range of motion and continue to maintain strength in a painful shoulder.
Acupuncture: Acupuncture is an alternative treatment that was originally started in China over 2000 years ago and is quickly gaining
acceptance and popularity in Western Medicine for the treatment of many conditions (Facco 2007). Research continues to explore the use of
acupuncture in the treatment of many chronic pain conditions.
Benefits:
Chronic lower back pain is one of the most difficult conditions for physicians to treat. Commonly seen, the pain may go into remission with
periods of decreased or absent symptoms, however, more frequently than not, the pain returns and causes a chronic pain syndrome in most
people. SIJ injections are a minimally invasive, low risk procedure that can cause a significant decrease in symptoms without disrupting your
daily activities. In patients suffering from chronic SIJ pain, SIJ injections are preferred to the more conventional methods of treatment (Pereira
2000).
Risks:
SIJ injections are considered an appropriate non-surgical treatment for many patients who suffer from lower back pain. The associated risks,
although rare, include nerve damage, bleeding, and infection. Some of the potential side effects of the corticosteroid may include elevated
blood sugars, weight gain, arthritis, stomach ulcers, and transient decrease in the immune system.
Outcome:
Patients have reported that SIJ pain began spontaneously or had an insidious onset, while others recognize a specific event that triggered
the occurrence of the pain. Frequently the pain can be due to a traumatic injury to the spine resulting in residual SIJ inflammation. While
conservative treatment, such as NSAID's and physical therapy may be effective, Murakami and Tanaka reported in 2007 that the effect of
periarticular injection into the SIJ was 96% effective in pain improvement in patients with SIJ complaints with minimal complications (2007
Murakami).
How We Can Help You:
Arizona Pain Specialists is a Pain Center of Excellence and we realize the burden SIJ pain can have on your life. We believe a
compassionate patient-centered program integrating allopathic and complimentary treatments is the most effective method to obtain long-
term pain relief.
During an initial visit, a pain physician will evaluate and diagnose your painful condition and build a customized treatment program that is
specific for you. If you or someone you know could benefit from treatments we offer please contact Arizona Pain Specialists today.
Articles:
Murakami E, Tanaka Y, Aizawa T, Ishizuka M, Kokubun S. J Effect of periarticular and intraarticular lidocaine injections for sacroiliac joint pain:
prospective comparative study. Orthop Sci. 2007 May;12(3):274-80. Epub 2007 May 31
Pereira PL, Günaydin I, Duda SH, Trübenbach J, Rémy CT, Kötter I, Kastler B, Claussen CD. Corticosteroid injections of the sacroiliac joint
during magnetic resonance: preliminary results J Radiol. 2000 Mar;81(3):223-6
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Book I - Pain Syndromes
Chapter 1 Low Back Pain
Chapter 2 Neck Pain
Chapter 3 Cancer Pain
Chapter 4 Headaches
Chapter 5 Spinal Stenosis
Chapter 6 Sciatica
Chapter 7 Arthritis
Chapter 8 Fibromyalgia
Chapter 9 Motor Vehicle Injuries
Chapter 10 Complex Regional Pain
Syndrome
Chapter 11 Vertebral Body
Fractures
Chapter 12 Hip and Leg Pain
Chapter 13 Diabetic Peripheral
Neuropathy
Book II - Interventional Procedures
Chapter 14 Epidural Steroid
Injection
Chapter 15 Facet Injections/Medial
Branch Blocks
Chapter 16 Radiofrequency Ablation
Chapter 17 Spinal Cord Stimulator
Implants
Chapter 18 IntraDiscal
Electrothermal Therapy (IDET)
Chapter 19
Vertebroplasty/Kyphoplasty
Chapter 20 Discography
Chapter 21 Percutaneous
Discectomy
Chapter 22 Occipital Nerve Block
Chapter 23 Sympathetic Block
Chapter 24 Stellate Ganglion Block
Chapter 25 Intrathecal Pump
Implants
Chapter 26 Caudal Steroid Injection
Chapter 27 Adhesiolysis
Chapter 28 Cervical Steroid
Injection
Chapter 29 Sacroiliac Joint
Injections
Chapter 30 Celiac Plexus Block
Chapter 31 Head and Neck
Procedures
Chapter 32 Joint Injections
Chapter 33 Continuous Catheter
Nerve Blocks
Chapter 34 Peripheral Nerve
Stimulation/Field Stimulation
Chapter 35 Disc Denervation
Book III Other Treatments
Chapter 36 Medication Management
Chapter 37 Acupuncture
Chapter 38 Prolotherapy
Chapter 39 Botox
Chapter 40 Massage
Chapter 41 Alternative and
Complementary Medicines
Chapter 42 Exercise and Nutrition
Counseling
Chapter 43 Prayer
Chapter 44 Cognitive Behavioral
Therapy
Chapter 45 Group Therapy
Chapter 46 Biofeedback
Chapter 47 Chiropractic
Manipulations
Chapter 48 Vitamin Supplements
Chapter 49 Customized
Pharmaceutical Formulations
Chapter 50 Hormone Therapy
Frequently Asked Questions
Chapter 1 Low Back Pain
Chapter 2 Neck Pain
Chapter 3 Cancer Pain
Chapter 4 Headaches
Chapter 5 Spinal Stenosis
Chapter 6 Sciatica
Chapter 7 Arthritis
Chapter 8 Fibromyalgia
Chapter 9 Motor Vehicle Injuries
Chapter 10 Complex Regional Pain
Syndrome
Chapter 11 Vertebral Body
Fractures
Chapter 12 Hip and Leg Pain
Chapter 13 Diabetic Peripheral
Neuropathy
Book II - Interventional Procedures
Chapter 14 Epidural Steroid
Injection
Chapter 15 Facet Injections/Medial
Branch Blocks
Chapter 16 Radiofrequency Ablation
Chapter 17 Spinal Cord Stimulator
Implants
Chapter 18 IntraDiscal
Electrothermal Therapy (IDET)
Chapter 19
Vertebroplasty/Kyphoplasty
Chapter 20 Discography
Chapter 21 Percutaneous
Discectomy
Chapter 22 Occipital Nerve Block
Chapter 23 Sympathetic Block
Chapter 24 Stellate Ganglion Block
Chapter 25 Intrathecal Pump
Implants
Chapter 26 Caudal Steroid Injection
Chapter 27 Adhesiolysis
Chapter 28 Cervical Steroid
Injection
Chapter 29 Sacroiliac Joint
Injections
Chapter 30 Celiac Plexus Block
Chapter 31 Head and Neck
Procedures
Chapter 32 Joint Injections
Chapter 33 Continuous Catheter
Nerve Blocks
Chapter 34 Peripheral Nerve
Stimulation/Field Stimulation
Chapter 35 Disc Denervation
Book III Other Treatments
Chapter 36 Medication Management
Chapter 37 Acupuncture
Chapter 38 Prolotherapy
Chapter 39 Botox
Chapter 40 Massage
Chapter 41 Alternative and
Complementary Medicines
Chapter 42 Exercise and Nutrition
Counseling
Chapter 43 Prayer
Chapter 44 Cognitive Behavioral
Therapy
Chapter 45 Group Therapy
Chapter 46 Biofeedback
Chapter 47 Chiropractic
Manipulations
Chapter 48 Vitamin Supplements
Chapter 49 Customized
Pharmaceutical Formulations
Chapter 50 Hormone Therapy
Frequently Asked Questions