X-ray-guided sacroiliac joint injection
X-ray-guided sacroiliac joint block is a minimally invasive injection aimed at eliminating pain in the lower back, pelvis, and lower extremities.
The sacroiliac joints connect the sacrum and ilium bones of the pelvis. If these joints are not functioning properly, inflammation (sacroiliitis), degenerative changes, and chronic pain may develop. This procedure involves injecting an anesthetic and anti-inflammatory medication directly into the joint cavity. This quickly relieves pain, improves mobility, and reduces the need for painkillers.
Before receiving the injection, the patient consults with a spine surgeon. This involves an examination, CT or MRI imaging analysis, and ruling out other causes of pain syndrome, including nerve root compression. In case of underlying diseases, blood tests, an ECG, and necessary specialist consultations are prescribed. Patients taking anticoagulants or antiplatelet agents must coordinate their treatment regimen with their attending physician. No special preparation is required, and the procedure may be performed on an emergency basis in cases of severe pain.
The procedure is performed on an outpatient basis without hospitalization. After the skin is treated with antiseptic and the patient is given local anesthesia, the surgeon uses X-ray guidance to visualize the sacroiliac joint and accurately inject the medication. X-ray navigation provides precise control over needle positioning, eliminating the risk of accidental penetration into surrounding tissues. The procedure takes 15-20 minutes.
The procedure is performed under the control of an electro-optical converter — an X-ray system that provides accurate real-time visualization. We also use sterile disposable needles, syringes, and certified medications.
After the procedure, the patient should rest for 20-30 minutes under medical supervision. After that, they can leave the clinic and resume normal activities. Over the next few days, they may undergo prescribed physical and exercise therapy to restore motor activity and prevent recurrence.
Benefits
Minimally invasive
No surgical intervention or hospitalization
Accurate
Drug administration under X-ray visualization
Outpatient
The patient leaves the clinic on the day of the procedure
Safe
No damage to blood vessels or nerve structures
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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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