Avoiding
Surgery for Low Back Pain with Sacroiliac Joint Injections
At
Monmouth Pain and Rehabilitation, we provide a number of minimally
invasive procedures designed to reduce pain and make more accurate
diagnoses. In some cases, Sacroiliac Joint Injections may be used
as part of an overall rehabilitation strategy for low
back pain in our Red Bank, NJ office—in addition to
physical therapy, chiropractic
treatment, and/or acupuncture for
pain relief. Our goal is to ensure that patients can rehabilitate
without
surgery (a traumatic, damaging, and yet common response to
lower back pain) or the long-term
use of oral painkillers.
The
Sacroiliac Joints connect the lower spine and pelvis and are held
together with ligaments. When these ligaments are injured or negatively
affected in any way, pain in the lower back, buttocks and legs
may result. In some cases, this pain may be exacerbated by standing
for too long or by climbing stairs. In cases of extreme pain,
Sacroiliac Joint dysfunction may respond well to injections of
an anesthetic or anti-inflammatory medication (such as a corticosteroid).
There
are a number of common causes of Sacroiliac Joint dysfunction.
Auto accidents and other
traumas can cause damage to the Sacroiliac Joints. Osteoarthritis
is yet another reason some patients have pain in the lower back.
Pregnancy may create a situation in which the Sacroiliac Joints
are altered in order to prepare for childbirth, or may damage
the joints through additional and distorted weight distribution.
Additionally, when the legs are not of equal length, the Sacroiliac
Joints (as well as the spinal discs
and facet joints) can be affected.
Signs
of disorder in the Sacroiliac Joint include:
•
Pain—which may be aching or sharp—experienced on either
side of the lower back;
•
Lower back stiffness in the morning or after sitting for a prolonged
period of time;
•
Pain that makes turning over in bed difficult. Patients may also
struggle to put on shoes or socks, or to twist the legs (such
as when getting out of a car); and
•
Symptoms similar to sciatica, including
referred pain in the lower extremities.
Because
this response is symptomatically comparable to other sources of
lower back pain, it’s important that a proper diagnosis is
made to ensure that a Sacroiliac Joint is, in fact, the genesis
of pain. Fortunately, Sacroiliac Joint Injections are used for both
diagnosis and treatment of pain generating from the Sacroiliac Joints.
Sacroiliac
Joint Injections at Monmouth Pain and Rehabilitation: Diagnosis
and Relief
The
medical staff at Monmouth Pain and Rehabilitation is headed up by
Dr. Joseph Mejia, D.C., our Medical Director and specialist in interventional
pain management and musculoskeletal medicine. Sacroiliac Joint Injections—like
many of the interventional procedures in our office—are often
guided by Fluoroscopic imaging for
increased accuracy and effectiveness.
For
diagnostic purposes, a local anesthetic may be injected in the suspected
Sacroiliac Joint. When or if the anesthetic manages to relieve pain,
a more precise diagnosis can be made in order the guide the formation
of pain management and rehabilitation strategies.
When
used for longer-lasting pain relief, Sacroiliac Joint Injections
may involve the use of a corticosteroid. This procedure may provide
relief for several months and, in many cases, can help patients
to use healthy means of rehabilitation such as physical therapy
or chiropractic care.
To
learn more about treatment for lower back pain, pain in the legs,
auto accident injuries, or for general information on pain
management in our Red Bank NJ office, contact
Monmouth Pain and Rehabilitation.
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