Sacroiliac Joint Injections

A sacroiliac joint (SI) injection is an injection of local anesthetic and steroid medication administered in the sacroiliac joint. Our specialists will accurately determine the source of your pain and devise an individualized treatment plan to help improve your functionality and mobility.

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Sacroiliac Joint Injections Specialists

Using fluoroscopically guided needles, physicians can determine the most beneficial approach to administering the medication. The medication administered to the joint can provide relief from inflammation and reduce or stop the pain signals being sent to the brain.

Keep reading to learn more about Sacroiliac Joint Injections offered by Pain And Spine Specialists or schedule an appointment using our contact form  

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I LOVE LOVE LOVE this office. I was helping my mom find a place for her arthritis pain, and I explained to them how bad it was. They were able to schedule me the same week! That's almost impossible at any doctor's office...and then add COVID..... I was thrilled. I took my mom, and everyone was absolutely so sweet and kind

- Donyasha B.

Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery...and much more. His office is professional.

- Mom To2

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Dr. Roa is such an amazing doctor! During my first visit he never tried to rush through my appt., he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.

- Nikki Walker

In the 3 years as a patient of Dr. Rao, it is my opinion that he is a phenomenal and extraordinary doctor. He keeps up to date with the latest treatment options, will sacrifice time no matter how many are in the waiting room to listen and explain. Dr. Rao has treated multiple patients with rare illnesses, and shows more empathy than any Dr. I’ve met.

- Mom To2

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I have now been with Dr. Rao for 13 years. He is the most caring Doctor I have ever been to! Dr. Rao makes you feel very comfortable at all times. I would not want to go to any other Doctor... I go to the Hagerstown location, everyone is very nice

- Theresa R.

The entire staff from the folks at the front desk to the Nurse, to the Physicians Assistant to the scribe that records the visit for the doctor - (great idea so the Doctor can focus on the patient!!!)

- NVA F.

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Completely the best care you could want the staff is so pleasant and caring and the doctors have true heart for healing, love being a patient here would give 10 stars if I could & absolutely the most caring during my procedure with Dr B

- Cathern C.

Always friendly, courteous, and efficient service. From the ladies, who work the front desk, to the nurses and the doctors. I've always had a good experience with the Harrisonburg office in Virginia.

Krystal Shaffer

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They scheduled my appointment very quickly so that I can get to help that I needed immediately instead of like most places having to wait two to three weeks to get in I called and was able to be seen the next day

- John H.

After transitioning from a pain and spine doctor in Columbia, MD.. The intake staff member at Pain and Spine Specialist made the scheduling a breeze. They were able to get me in within a week.

Rashawn JJ

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What Are Sacroiliac Joint Injections

The space where the pelvis (iliac bone) links to the lowest part of your spine and above the tailbone (the sacrum) is call the sacroiliac (SI) joint. The sacroiliac joint is found in your pelvis and helps transfer weight between your body’s legs and upper body. It allows for movement and energy to be safely transferred between your legs and your torso. The SI joints distribute the weight of your body evenly across the pelvis, acting as a shock absorber. This also reduces the pressure on your spine.  

Any inflammation in the sacroiliac joint can cause lower back pain, buttock pain, groin pain, and leg pain. While these pain symptoms can be common for other pain-causing conditions, a trained medical professional will be able to determine the source of your symptoms. The spaces between the bones and the sacroiliac joints are filled with fluid that assist movement. They are also filled with nerve endings that send signals to the brain.  

When there is inflammation in the SI joints, pain signals are sent to the brain. This may be caused by sacroiliac joint dysfunction. Sacroiliac joint dysfunction is a clinical term used to describe the several health conditions that lead to the joint dysfunction. An SI joint injection can help you find relief from the painful symptoms from sacroiliac joint dysfunction.  

A sacroiliac joint (SI) injection is an injection of local anesthetic and steroid medication administered in the sacroiliac joint. Using fluoroscopically guided needles, physicians can determine the most beneficial approach to administering the medication. The medication administered to the joint can provide relief from inflammation and reduce or stop the pain signals being sent to the brain.


How Do Sacroiliac Joint Injections Work

This injection can help reduce the pain symptoms felt in your sacroiliac joints. The steroid medication and anesthetic produce a numbing effect on the sacroiliac space, producing relief. The SI joint injection can be used to treat the pain in your lower back but also operate diagnostically to determine if the pain is coming from the SI region. SI joint injections can produce enough relief from your symptoms that you can return to a fully functioning life. They are not a permanent cure for the pain, but can significantly help any individual suffering from joint dysfunction symptoms.  

The procedure is performed in a sterile environment. You will be positioned according to the location of your pain. The injection site will be cleansed using betadine or alcohol. Your physician will anesthetize your skin using local anesthetic. A small needle with medication will deliver the anesthetic to the site of pain. You may experience pressure at the site. The process may take up to 15 minutes to administer. You may begin to notice immediate relief, but it may take a day or two for the medication to take full effect.  

The nerves, muscles, and tissue surround the affected area of the sacroiliac joint are bathed in the solution from the injection, reducing inflammation and pain. This allows patients to experience better mobility and help them return to a fully functioning life. Some patients may even benefit from the short term relief because it allows them to participate in physical therapy (another treatment method for sacroiliac joint dysfunction) for long term relief. 


What Conditions Do Sacroiliac Joint Injections Treat?

There are several contributing factors to pain in your sacroiliac joints. An SI joint injection can be recommended by a medical professional or a comprehensive pain management specialist, trained in determining the correct source of your symptoms.  

  • Ankylosing spondylitis: A type of arthritis that causes inflammation, it affects the vertebrae and the joints of the spine. Primarily affects sacroiliac joints.  
  • Injury: Physical trauma from falls, sports accidents, or even car accidents 
  • Osteoarthritis: Years of wear and tear that can wear down cartilage and the fluid between the SI joints 
  • Pregnancy: Pregnant women release the hormone Relaxin which makes the SI joints more elastic to allow for the birth of the baby, however this also contributes to the joints becoming less stable. This lack of stability can create painful symptoms.  
  • Sacroiliitis: Joint dysfunction that results in pain symptoms in your lower back and buttocks 

Immediately after a joint injection, a patient may also experience a temporary increase in pain before the anesthetic is experienced. You will need to take precautions to not overexert yourself and injure the injection site. You will also be asked not to sit in any pools or tubs for 48 hours after the injection to prevent infection. The steroid medication may take 2-3 days to start having a full effect. Patients can use an ice pack applied to the area to alleviate any discomfort.  

Pain and Spine Specialists offers progressive treatments like X-Ray guided fluoroscopy injections for SI Joint Pain, as well as other therapeutic approaches. Our experienced and skilled medical professionals can help establish effective treatments to help reduce your pain symptoms to improve the quality of your life. You can call (301) 703-8767 (Maryland), (724) 603-3560 (Pennsylvania), or (540) 433-1905 (Virginia) and schedule an appointment today. 

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At Pain and Spine Specialists, our team of physicians and nurse practitioners are committed to giving you the most effective treatment when treating your pain. We believe that all patients should have access to quality care, and that is why you can find us conveniently located throughout MarylandPennsylvania, and Virginia.

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At Pain and Spine Specialists, our team of physicians and nurse practitioners are committed to giving you the most effective treatment when treating your pain. We believe that all patients should have access to quality care, and that is why you can find us conveniently located throughout Maryland, Pennsylvania, and Virginia.

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Please note: We accept Workers Compensation Insurance and Personal Injury Patients 

Please note: We accept Workers Compensation Insurance and Personal Injury Patients 


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