Sacroiliac Joint Injections 

In Maryland, Pennsylvania, Florida and Virginia


 A sacroiliac joint (SI) injection is an injection of local anesthetic and steroid medication administered in the sacroiliac joint. At Pain and Spine Specialists, we offer sacroiliac joint injections as a part of our comprehensive pain management services. These injections can significantly alleviate symptoms such as lower back pain, sciatica-like pain, or discomfort when sitting or standing for long periods.

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Benefits of Sacroiliac Joint Injections 

At Pain and Specialists, we understand how debilitating chronic pain can be. We're here to offer you a lifeline in the form of sacroiliac joint injections. This innovative treatment targets the root cause of your discomfort, providing long-lasting relief from chronic pain conditions. By reducing inflammation and pain in your sacroiliac joint, this procedure can restore your quality of life and functionality, empowering you to enjoy your daily activities once again.

If you're intrigued by the potential benefits of sacroiliac joint injections and want to delve deeper, we invite you to explore further. By using the navigation buttons below, you'll find comprehensive information about who makes an ideal candidate for this procedure, valuable tips for a smooth recovery, and answers to frequently asked questions.

When you're ready to take the next step, our team of sacroiliac joint injection specialists is here for you. Whether you're ready to schedule a new patient consultation or you simply have more questions, we're just a click or a call away. You can reach us by filling out our contact form or by giving us a call. Remember, at Pain and Specialists, we're not just treating your pain - we're here to help you regain control over your life.


What Patients Are Saying


Great office, good people. Been there quite a few years. Never a problem. Leave them a message, they always respond. I've had six back surgeries 2knees and right shoulder. Gregg keeps my chronic debilitating pain managed well so I can still live my life best I can. Im so grateful.

Jenny Martins / google review

Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery... and much more. His office is professional.

Mom To2 / vitals

Dr. Rao is such an amazing doctor! During my first visit, he never tried to rush through my appt.; he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.

Nikki / healthgrades

Digital Treatment Guide

Sacroiliac Joint Injections Digital Guide

Explore our comprehensive digital guide on sacroiliac injections. This guide equips you with extensive knowledge about the procedure, helps you understand if you're an ideal candidate, unravels the diagnosis process, and responds to many common queries related to sacroiliac joint injections.

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Understanding the Sacroiliac Joint

The sacroiliac joint is a critical part of your body that you might not think about often. It's the place where your lower spine and pelvis connect. Unlike other joints in your body that provide a wide range of movement, your sacroiliac joint is designed for stability. It's where your lower spine connects with your pelvis, forming a strong, rigid connection that supports the weight of your upper body.

This joint plays a crucial role in transferring weight and forces between your upper body and legs. Every step you take, every time you sit or stand, your sacroiliac joint is working hard to maintain balance and absorb shock. It's like the bridge connecting your torso and legs, ensuring seamless movement and support.

While other joints such as your knee or elbow allow for bending and flexing, the sacroiliac joint has limited mobility. This is crucial for providing the stability you need to move safely and effectively. But remember, just like any other joint, your sacroiliac joint can also be affected by conditions such as arthritis or injury, which can cause discomfort and pain. 

A graphic of the hip and sacroiliac joint in the human body

What Is an SI Joint Injection?

Sacroiliac joint injections, a form of pain management injection therapy, are a specialized procedure that you may find beneficial in your journey toward pain relief. These injections work by delivering targeted medication directly into the sacroiliac joints. The medication typically consists of a local anesthetic for immediate pain relief and a corticosteroid to reduce inflammation over time.

The local anesthetic provides immediate pain relief by numbing the area, giving you a much-needed break from the discomfort. This also helps your healthcare provider confirm that your pain is indeed originating from the sacroiliac joint.

The corticosteroid, on the other hand, works over a longer period. It's an anti-inflammatory medication that reduces swelling and irritation in and around your sacroiliac joint. By addressing the root cause of your pain, the corticosteroid helps to relieve your discomfort effectively for an extended period.

An injection in the sacroiliac joint falls under the category of interventional pain management. Interventional treatments are procedures that involve injections or minor surgery to address the source of pain directly. They offer a more proactive approach compared to conventional pain management methods, such as medication or physical therapy.


Pain Regions Affected 

SI joint shots primarily target the sacroiliac joint itself. With that said, their benefits can extend to various regions in your body that are interconnected.

The most immediate area of relief is the lower back, as this is where the sacroiliac joint is located. By reducing inflammation and numbing pain in this area, you can experience a significant decrease in your lower back discomfort.

The sacroiliac joint also plays a critical role in transferring forces from the upper body to the lower body. This means that pain or inflammation in this joint can potentially affect the hips, buttocks, and even legs. Therefore, treating the root cause, the sacroiliac joint, can help alleviate pain in these connected areas as well.

What Conditions Do Sacroiliac Joint Injections Treat?

If you're dealing with pain stemming from sacroiliitis, SI joint dysfunction, ankylosing spondylitis, or a traumatic injury, a sacroiliac joint injection may be able to help. 

  • Sacroiliitis: Sacroiliitis refers to inflammation of one or both of your sacroiliac joints, leading to significant discomfort in your lower back or buttocks, and sometimes even extending down your legs. Sacroiliac joint injections deliver a local anesthetic and a steroid medication directly into the inflamed joint. This not only numbs the pain but also reduces inflammation, providing relief from your symptoms.
  • SI Joint Dysfunction: If your sacroiliac joint isn't functioning properly, it can lead to low back pain and/or leg pain. Sacroiliac joint injections can help manage this pain effectively. The injection goes right into the affected joint, reducing inflammation and soothing the area, helping you regain function and mobility.
  • Ankylosing Spondylitis: Ankylosing spondylitis is a type of autoimmune arthritis often affects the sacroiliac joint. The inflammation can cause pain and stiffness, making it hard to move. Sacroiliac joint injections can help by delivering anti-inflammatory medication directly to the site of the problem, reducing inflammation and relieving pain.
  • Traumatic Injury: Accidents or falls can damage the sacroiliac joint, leading to persistent pain. Sacroiliac joint injections can provide targeted relief. By delivering medication directly to the painful joint, these injections can numb the pain and reduce swelling, helping you recover from your injury.

Our doctors understand that everyone's experience with pain is unique. We work alongside you to understand your specific condition and tailor a treatment plan that best suits your needs. 

Sacroiliitis medical poster with lines showing the regions of the sacroiliac joint.


Candidates for Treatment

This treatment is typically offered as an interventional pain management strategy after conventional therapies, such as physical therapy and medications, have been explored. It's especially beneficial for adults who suffer from chronic lower back pain due to conditions like arthritis, inflammation, or injuries that result in sacroiliac joint dysfunction.


Our Comprehensive Consultation Process

At Pain and Spine Specialists, we understand that your journey towards pain relief starts with a thorough understanding of your condition. Therefore, we prioritize a comprehensive consultation process that focuses on accurately diagnosing your pain before recommending any treatment options, such as SIJ injections. Here is what our comprehensive consultation process looks like:

  1. 1
    Review of Medical History: Your journey towards relief starts with a thorough review of your medical history. We consider all aspects - from previous injuries and treatments to current symptoms and lifestyle factors. This provides us with a solid foundation to understand your pain better.
  2. 2
    Physical Examination: Our doctors conduct an in-depth physical examination to assess your condition. This includes testing your range of motion, strength, and reflexes, and identifying any areas of tenderness or discomfort.
  3. 3
    Diagnostic Imaging: To get a clear view of what's happening inside your body, we use advanced diagnostic imaging techniques such as X-rays, MRI, or CT scans. These images help us identify any abnormalities or changes in your sacroiliac joint that could be causing your pain.
  4. 4
    Nerve Tests: In some cases, nerve tests might be necessary to determine if your pain is stemming from a nerve issue. These tests provide valuable insights into your nervous system's functioning and help us pinpoint the source of your pain.

Remember, our primary goal is to understand your pain and find the most effective treatment for you. We're committed to walking this journey with you, providing expert care and support every step of the way. 

A Xray image of the hip joints in the human body.

SIJ Injections Procedure

If you're considering Sacroiliac Joint Injections for your pain management, here's what you can expect before, during and after the injection procedure for sacroiliac joint pain:

Four circles with icons on the center that represent the four process for Pain and Spine Specialists procedures
Four circles with icons on the center that represent the four process for Pain and Spine Specialists procedures
  1. 1
    Preparing for the Procedure:Our provider will provide detailed instructions tailored to your specific situation. These may include dietary instructions, medication adjustments, and what to wear on the day of the procedure. We encourage you to share any concerns or questions you might have at this stage – remember, we're here to support you.
  2. 2
    The Procedure:On the day of the procedure, you'll be comfortably positioned on your stomach or side. After cleaning the area over the sacroiliac joint, a local anesthetic will be applied to numb the skin. Using X-ray guidance, also known as fluoroscopy, our specialist will direct a small needle into the sacroiliac joint. Once confirmed, an anti-inflammatory medication (usually a steroid) along with an anesthetic will be injected into the joint to reduce inflammation and block pain signals. The procedure typically takes less than 30 minutes.
  3. 3
    After the Procedure: Immediately after the procedure, you'll spend some time in our recovery area under close monitoring. While many patients experience immediate pain relief due to the local anesthetic, it's important to note that the long-lasting effects of the steroid usually take two to three days to kick in. You might experience some soreness at the injection site which typically resolves within a few days. As your safety is our utmost priority, we strongly recommend arranging transportation home post-procedure as you might feel slightly drowsy from the sedative. We also suggest taking it easy for the rest of the day. Our team will provide you with detailed post-procedure care instructions and will be available for any follow-up questions or concerns.
Customers served! 1 %  Americans Affected by lower back pain at any given time in their lives.

Patients reported injection pain relief and improvements in mobility six months after the injection. - NIH

Customers served! 1 %  Americans Affected by lower back pain at any given time in their lives.

Studies report that up to 90% of people experience pain relief when they receive image-guided injections. - Healthline

66.7%
Of Patients

After injection in one study, SI joint dysfunction was reduced for more than 6 weeks for 66.7% of participants. - NIH

What to Expect After an SI Joint Shot

Following the procedure, it is important to understand the risks and SI joint injection side effects. While the sacroiliac joint injection success rate is extraordinarily high, as with any medical intervention, potential risks exist. These may include infection, bleeding, increased pain, allergic reactions to the medication used, or nerve damage. However, these are relatively rare occurrences.

In the days following the SI joint injections, you may notice some tenderness or swelling at the injection site. This is usually temporary and can be managed with ice packs and over-the-counter pain medications. Some patients may still be in pain after SI joint injection, but this typically subsides within a few days.

Our doctors will closely monitor your progress and the effectiveness of the treatment. Regular follow-ups are an integral part of our care plan, allowing us to assess your response to the treatment and make necessary adjustments. In cases where the SI procedure does not provide adequate relief, our providers will discuss other treatment options like SI Joint Fusions. 


More Frequently Asked Questions

What types of doctors offer Sacroiliac Joint Injections?

Sacroiliac joint injections are typically offered by several types of medical professionals. These include pain management specialists, physiatrists, anesthesiologists, neurologists, and orthopedic surgeons. Among these, pain management specialists are particularly well-versed in diagnosing and treating chronic pain conditions, making them a popular choice for this procedure.

Are SI Injections covered by insurance?

Coverage for sacroiliac joint injections can vary widely depending on your specific insurance plan. Many insurance providers do cover this procedure as it is often considered a necessary treatment for certain chronic pain conditions. However, it's always recommended to check with your insurance provider for specifics about your coverage.

What are the alternatives to Sacroiliac Injections treatment?

Alternatives to sacroiliac joint injections may include physical therapy, chiropractic care, oral medications, nerve blocks, radiofrequency ablation, or even surgery in severe cases. The best treatment option depends on the individual's specific condition and overall health status.

How do I find a Sacroiliac Joint Injections treatment center near me?

To find a treatment center near you that offers sacroiliac joint injections, you can use online search tools, ask for recommendations from your primary care physician, or contact local hospitals or clinics for information.

How do I find a Sacroiliac Joint Injections specialist near me?

A good place to start is by asking your primary care physician for a referral. You can also search online or use a healthcare provider directory to find specialists in your area who offer this treatment.

Is SI Joint Injections considered a minimally invasive treatment?

Yes, sacroiliac joint injections are considered a minimally invasive procedure. This means they involve only a small incision or needle puncture and are usually performed on an outpatient basis.

How much does Sacroiliac Joint Injections cost?

The cost of sacroiliac joint injections can vary widely depending on factors like your location, the specific healthcare provider, and your insurance coverage. It's always best to check with your healthcare provider and insurance company for the most accurate estimate.

Do Medicare and Medicaid cover SI Joint Injections?

Both Medicare and Medicaid often cover sacroiliac joint injections, but coverage can vary depending on the specific plan and state. It's recommended to check directly with your plan to understand what is covered.

do sacroiliac joint injections hurt?

Most people report little or no pain during the injection procedure, some may experience some discomfort from the needle insertion or pressure of the medication being injected. Your doctor will work with you to make sure that any discomfort is minimized and tolerated as best as possible.

Our Comprehensive Approach to Treating Sacroiliac Joint Pain

In treating sacroiliac joint pain, our pain management specialists take a comprehensive approach that goes beyond providing immediate relief. We aim to understand the root cause of your pain, which involves detailed assessments and diagnostic procedures. We then create a personalized treatment plan that addresses both your immediate discomfort and long-term health.

Our treatment plans typically involve a combination of advanced procedures for nerve pain, alternative therapies for chronic pain, medication management programs, minimally invasive spine procedures, and targeted steroid injection therapies. Each of these approaches has proven effective in managing sacroiliac joint pain, and our specialists will guide you to the treatments that best suit your specific situation.

Our goal is not just to alleviate your symptoms but also to improve your overall quality of life. We strive to help you regain mobility, return to your daily activities, and live a life free from debilitating pain.

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About Us

At Pain and Spine Specialists, you find experienced medical practitioners dedicated to managing chronic pain through sacroiliac joint injections. We assure you of personalized, patient-centered care that has successfully alleviated countless chronic pain conditions. Your relief starts here.

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Candidates For Treatment

Patients with the following disorders, injuries, diseases, or infections may be candidates for a SI Joint Injection.

Related Pain Regions

Sacroiliac Joint Injections are often used to treat pain in the following regions:

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Suffering from chronic pain? Let our specialists help with Sacroiliac Joint Injections. Contact us today for personalized treatment options.

Appointment FAQ's

Billing / Insurance Questions

We Accept All Insurances!

That includes Medicare and state Medicaid.

How Soon Can I Be Seen?

Usually within one week of the initial call.

Appointments can be schedule by phone or through our contact form here.

What To Expect During Appointments

At Pain and Spine Specialists we provide comprehensive pain care while offering the most up-to-date minimally invasive techniques. Our ethos is to treat each patient (and potential patient) as if they were a family member.

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Patient Portal / Policies

At Pain and Spine Specialists we want to provide the most efficient and pleasurable experience possible. As in all medical facilities, we have certain policies in place to ensure that you receive the time you require to address your needs as well as enhance your experience while in our care.

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Reviews and Testimonials

We encourage patient feedback to better improve your experience. We strive to create a friendly and warm environment where patients feel their voices are heard and validated.

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Meet Our Team

SI Joint Injection Doctors in Maryland, Pennsylvania, Florida and Virginia


At Pain and Spine Specialists, you receive care from highly skilled, board-certified doctors who specialize in comprehensive pain management. Our team brings over 20 years of experience in treating chronic pain using sacroiliac joint Injections, nerve blocks, radiofrequency ablation, and more.

You can find our offices throughout MarylandPennsylvaniaFlorida, and Virginia. Regardless of where you are located, our expert team is within reach, ready to partner with you on your journey towards pain relief. 

MEET OUR PARTNER

OUR PARTNER

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

MEET OUR PARTNER

MEET OUR PARTNER

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

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