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The sacroiliac joint is a large joint in
the region of your low back and buttocks. When the joint
becomes painful it can cause pain in its immediate region
or it can refer pain into your groin, abdomen, or leg.
A sacroiliac joint injection serves several purposes.
First, by placing numbing medicine into the joint, the
amount of immediate pain relief you experience will help
confirm or deny the joint as a source of your pain. Additionally,
the temporary pain relief of the numbing medicine may
better allow a physical therapist or chiropractor to treat
the joint. Also, time release Triamcinolone will serve
to reduce any presumed inflammation within your joint
and further assist the physical therapist or chiropractor,
if necessary. It is possible to obtain relief from the
injection alone without follow-up physical therapy or
chiropractic care. This may have to be repeated from time
to time. In many patients, we may have to interrupt the
nerve supply to the sacroiliac joint to provide any long
lasting relief.
We always include an injection of the Piriformis muscle
and Trochanteric bursa at the same time. It is the only
muscle that attaches to both sides of the joint and stretches
across the Sciatic nerve. If it moves, it aggravates the
muscle then in turn causes Sciatica. (Not to be confused
with leg pain from a disk impinging a nerve.) All muscles
in the buttock area (nine muscles) eventually attach to
the Greater Trochanter on the side of the hip. With gait
disturbance, the tendinous ends of the muscle are irritated,
and the bursa (lubricating sac) is stressed to the point
of failure leading to inflammation, (bursitis). |
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