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What to Expect from Sacroiliac Joint Injections?

Sacroiliac joint injections are minimally invasive procedures that are typically performed in an outpatient setting under fluoroscopic (X-ray) or ultrasound guidance to ensure precise needle placement. Before the injection, the patient’s lower back and pelvic area are cleaned, and a local anesthetic is applied to numb the skin. A thin needle is then inserted into the SI joint, and contrast dye may be used to confirm correct positioning before the medication is injected. The entire procedure takes about 20 to 30 minutes, and patients are usually monitored for a short time afterward before being discharged.

After the injection, patients may feel immediate pain relief due to the anesthetic, though this effect is temporary. The full benefits of the anti-inflammatory agent may take a few days to develop as swelling in the joint subsides. Mild soreness at the injection site is common, but most patients can resume light activities the same day. It is recommended to track pain levels and any changes in symptoms over the following weeks, as this information helps healthcare providers assess the injection’s effectiveness. Follow-up appointments may be scheduled to determine if additional treatments are needed.