SI Joint Injections

SI joint dysfunction can be caused by pregnancy (hormonal relaxation of pelvic ligaments), arthritis, trauma, or excessive physical activity. Because symptoms often mimic sciatica, herniated discs, or hip problems, an accurate diagnosis is key — which the injection itself can help confirm.

In some cases, contrast dye is used along with the anesthetic and steroid to confirm the SI joint is the primary pain source. If a patient experiences immediate relief after the injection, it strongly indicates the SI joint is the cause of their discomfort.

Treatment is often combined with physical therapy to strengthen the muscles around the pelvis and lower back, along with lifestyle modifications like maintaining a healthy weight and avoiding excessive bending, twisting, or heavy lifting. For patients who don’t find relief through conservative treatment, regenerative medicine options like PRP or, in severe cases, SI joint fusion surgery may be considered.

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