About SI Joint Injections
Sacroiliac joint (SI) injections, also known as a sacroiliac joint block, are primarily used to diagnose or treat low back pain and/or sciatica symptoms that are caused by sacroiliac joint dysfunction. Your sacroiliac joints are located next to the spine, connecting the sacrum with your hips on both sides of your body. Joint inflammation in either of your sacrum joints can cause back pain. Dr. Kendall Carll, a board-certified North Texas spine surgeon recommends sacroiliac joint injections for two reasons: to help diagnose the source of his patient's pain and to provide pain relief. With more than 15 years of experience treating many causes of back pain, Dr. Carll is passionate about providing minimally invasive solutions that help restore a full quality of life.
"I recently experienced a pinched nerve that severely affected my ability to use my right hand. I contacted Dr. Carll who immediately went to work on my behalf. Knowing that this was a time sensitive situation Dr. Carll went out of his way to ensure that I received the appropriate MRIs, CAT scans, and nerve studies to properly diagnose my situation. After reviewing all the test Dr. Carll exhibited true professionalism and integrity by referring me out to Dr. Patty Young (I am so thankful for your referral) who specialized in the surgery that I would need. Dr. Carll could’ve chosen to operate because I had several degenerative disc, however he chose ethics over profit. Dr. Carll is a true professional that will put your health over profit! When it comes to your health there’s nothing more important than having a doctor that you can trust to be professional and ethical. Thank you Dr. Carll for providing me with both!"- K.H. / Google / Aug 29, 2018
"Dr. Carll and his staff are so kind and professional and make everything so easy for you to understand. Dr. Carll really cares about his patients and I can see that! Literally every day was a risk for me and he has saved my life and taken away all of the pain I have felt for many years. I absolutely cannot tell you enough about how you need to come see him. Even if you have been to other surgeons, just go get his professional opinion."- J.B. / Google / Sep 04, 2020
"Dr.Carll is an amazing back surgeon. He performed a spinal fusion surgery on me and I am very pleased with the results. His staff is amazing, friendly and always helpful. The hospital where he performed the surgery was also amazing! The staff took great care of me and was friendly helpful and caring at all times. I would recommend Dr. Carll to any one of my loved one, friends, even strangers!!!! ALWAYS do your research before picking a back surgeon. Dr. Carll explained everything in a way I could understand & i can say with confidence that he truly cares about his patients!!!!"- Anonymous / Healthgrades / Feb 28, 2020
"My name is Mark Walter. Doctor Carll and his staff are simply the best when it comes to spine and back care, bar none ! Ive had a total of 6 spine surgeries to date. My first one was done by a different doctor and it failed. I found Dr Carll after exhaustive research and countless inital consultations with numerous other doctors and I'm so glad I found him. He has since then performed five additional spine surgeries on me. I was badly screwed up to say the least and he literally gave me my life back. I highly recommend him to everyone including my own family members, one of which he also done surgery on and like me she was totally thrilled with him and the results. His staff are hands down the best in the business and the only team that Ive NEVER had a single complaint or issue with !!! This man knows his stuff and sets the standard other doctors and surgeons only dream of achieving. No games and no lies. Just kindness, honesty, and most importantly, he treats people like his friends and neighbors and not an ATM machine like so many doctors do now days. Give his office a call. Its the best thing you will ever do for your spine & your own peace of mind."- F. / Google / Nov 07, 2019
"Dr Carll was a lifesaver for me! I fought the back pain from a pinched/herniated sciatic nerve for 7 months. I tried everything from PT, chiropractic, spinal decompression, antigravity table, ibuprofen and more ibuprofen and steroids. Eventually, the pain was so unbearable that I could not sit through a meal or even drive. I finally gave up avoiding surgery and went to Dr Carll. I had minimally invasive microdisctectomy and the results were excellent. A few months of rehab later and I’ve got my life back. I’m so glad I saw Dr. Carll! He was so caring and explained everything thoroughly, including what to expect after surgery. His staff was just as wonderful and caring. I’d go back to him in a heartbeat. I’m very grateful for his skilled hands. God bless them."- M.J. / Healthgrades / Oct 15, 2019
Patients who have had a tumor resection, back deformities, infections near the spine, failed spinal fusions, or a documented allergy to other type of injections, are not candidates for SI joint injections. Those who will receive the best results from SI joint injections:
- Have been diagnosed with degenerative sacroiliitis
- Are suffering from SI joint disruption
- Have attempted other nonsurgical, conservative treatments for back pain
- Are experiencing lower back, hip, or groin pain
- Pain in the back that worsens when pressure is applied to the SI joint
Dr. Carll will refer you to the office of a trusted pain management specialist for this treatment. The SI joint injection is usually performed as an outpatient procedure, under local or general anesthesia, with the patient lying flat on their back. A pillow may be placed underneath the hips for comfort. While monitoring your vitals, the doctor will use x-ray technology (fluoroscopy) to inject a contrast dye into your SI joint to help verify the exact treatment area. Once needle placement has been verified, the treatment or diagnostic medications will be injected.
Two types of medications are typically used:
A local anesthetic to provide immediate pain relief, confirming the sacroiliac joint is, in fact, the source of the patient's pain.
An anti-inflammatory medication that helps reduce inflammation within the SI joint, also alleviating the pain for a longer period of time.
What to Expect
Patients often remark that they feel immediate pain relief. This is due to the local anesthetic injected during the procedure and will only last for a few hours. In most situations, your previous level of pain will return and may remain for 3 – 5 days. You will need a ride home from our facility following your injection as it could cause some temporary weakness in your legs. Spine Care of North Texas recommends patients rest and relax the rest of the day following injections. You should feel well enough to return to work the following day. Should you feel discomfort near the treatment area, feel free to use ice packs as needed. Pain relief following SI injections can last several months. However, Dr. Carll may recommend additional injections or supplemental treatment, such as physical therapy, to help improve the underlying cause of your back condition.
Dr. Carll understands that back pain can several affect your life in many ways. SI injections can help decrease pain and increase your quality of life. If you are suffering from back pain caused by SI joint dysfunction and you are ready for a treatment that works, schedule a consultation with Spine Care of North Texas at your earliest convenience. Our skilled team looks forward to helping you take back your life.