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 is THE BEST!!! I had to have an A-lift spinal fusion and never before have I seen such a caring doctor and staff. They held my hand through my fears were actually there for me and more throughout the process. I don't believe there is a more caring, more compassionate doctor than Dr. Carll. Thanks to him and his amazing abilities I can feel my right leg again and now live without pain. I will forever be grateful to this office and Dr. Carll for being there for me as a person and as a patient.-Nicole Baucum"- Anonymous / Healthgrades / May 17, 2019
"Excellent care - Very compassionate doctor! Truly cares about your pain and issues."- Anonymous / Vitals / Feb 12, 2019
"Excellent Care!! - I had put off my 360 Spinal Fusion for over a decade, relying on epidurals to deal with the pain. After doing two years of thorough research, I chose Dr. Kendall Carll at the Spine Care of North Texas. Being that I’m in the medical industry, I did ask around, too.From the initial consultation, all staff involved were very supportive and explained all aspects of the procedure; including what I could expect during and after the procedure. Because I never really experienced “excruciating” pain, I stopped taking all pain meds three days after the procedure. I was up and walking the day of the procedure and followed all directives. I was up several times a day walking and learning how to use steps; since I my place is two levels.The staff did a great job setting up my home health care; which included a nurse and a physical therapist. They, too, did an outstanding job. A large part of my job involves air travel. I felt so “good” I reached out to see if I was ok to travel. I followed all restrictions, primarily lifting, and was able to take a two-hour flight. This is amazing considering it was only 23 days post-surgery.If you’re like me and will use insurance, be sure to do the match; to make sure your rehab will be completed by the end of the year.“I am 100% satisfied with my experience with Spine Care of North Texas. Every single person on staff was terrific, and the system worked flawlessly. I now refer all my friends and family to them."- Anonymous / Vitals / Feb 04, 2019
"From the initial consultation, all staff involved were very supportive and explained all aspects of the procedure; including what I could expect during and after the procedure. Because I never really experienced “excruciating” pain, I stopped taking all pain meds three days after the procedure. I was up and walking the day of the procedure and followed all directives. I was up several times a day walking and learning how to use steps; since I my place is two levels. They are the best!!!"- E.E. / Healthgrades / Feb 04, 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.