X-ray-guided sacroiliac and lumbar facet joint injections
Sacroiliac and lumbar facet joint block is a minimally invasive procedure aimed at eliminating pain associated with degenerative-inflammatory changes in the facet joints and sacroiliac joints.
Using X-ray navigation, the specialist injects an anesthetic and anti-inflammatory drug into the pain site. This quickly stops the inflammation and blocks the pain receptors.
No special preparation is required. The patient first consults with a neurologist, who assesses the clinical manifestations and studies MRI, CT, or X-ray images. If the patient is taking anticoagulants, they may need to be temporarily discontinued or replaced after primary care consultation.
The procedure is performed on an outpatient basis and takes 20-30 minutes. The patient lies on their stomach. First, the skin is treated with an antiseptic, and then local anesthesia is administered. Using X-ray visualization, the spine surgeon precisely inserts the needle into the sacroiliac joint and/or lumbar facet joint. The medication includes a local anesthetic and a glucocorticoid, for example. Depending on the purpose of the block, pain relief lasts from several hours to several months.
This procedure involves an electro-optical converter (EOC) — a real-time X-ray navigation system, as well as sterile needles, anesthetics, glucocorticoids, and other prescribed medications.
Following the procedure, patients are advised to remain at the clinic under medical supervision for a period of time. Once discharged, patients may resume normal activities, avoiding excessive physical exertion. If necessary, the physician may prescribe exercise or physical therapy to maintain the results.
Benefits
Accurate
High accuracy of administration thanks to X-ray navigation
Quick and effective
Pain relief within a short period of time
Minimally invasive
The procedure is performed with a single injection
Outpatient
No hospitalization required
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Orthopedic Trauma Surgeon, Vertebrologist
General surgeon, Professor, Doctor of Medical Sciences. Head of the Spine Surgery Department.
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