Sacroiliac Joint Injection

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Sacroiliac Joint Injection

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The sacroiliac (SI) joint can be a source of low back pain. In assessing the etiology of the low back pain, a complete history, physical examination, psychosocial evaluation, and appropriate imaging may be helpful. Various clinical tests specific to the SI joint during the physical examination have been documented in aiding the diagnosis of SI pain.

By using SI anesthetic blocks for diagnosis, the SI joint has been shown to be a source of pain in 10-27% of suspected cases of chronic low back pain. [1]  Patients with medical conditions such as gout, rheumatoid arthritis, Marie-Strumpell or ankylosing spondylitis, psoriasis, fracture, malignancy, congenital deformity, or infection can also develop pain in the SI joint.

Pregnant women are at risk for SI joint pain because pregnant women produce a hormone called relaxin, which causes excess motion at the SI joint. [2]  Patients with a leg length discrepancy can also develop SI joint pain. [3]  In addition, any condition that limits weightbearing (eg, history of surgery on a limb or pain in the lower extremity) may cause SI joint pain because of the uneven distribution of weightbearing during the gait cycle. [3]  Patients who have undergone prior spinal surgery may also have increased SI joint pain. [4, 1]

 Injection of the SI joint (see Technique) can be either diagnostic or therapeutic.

Indications for SI joint injection are as follows:

Absolute contraindications for SI joint injection include the following:

Relative contraindications include the following:

Patients taking anticoagulation medications have an increased bleeding time; therefore, such medications should be held for 7 days prior to the injection and for 24 hours after the injection. Patients taking anticoagulants for reasons such as stroke and heart disease should speak to the prescribing physician before holding the anticoagulation medication for the procedure.

The SI articulation is an amphiarthrodial joint, formed between the auricular surfaces of the sacrum and the ilium. The articular surface of each bone is covered with a thin plate of cartilage. They are separated by a space containing a synoviumlike fluid; hence, the joint presents the characteristics of a diarthrosis. The ligaments surrounding the joint are the interosseous ligament and the anterior and posterior SI ligaments.

Motion at the joint is limited; in one analysis, rotation was a mean of 2.5° (0.8-3.9°), and joint translational movement was a mean of 0.7 mm (0.1-1.6 mm). [5]  No difference was reported in the motion between symptomatic and asymptomatic joints.

The morphologic and physiologic base for pain signals originating from the normal anterior capsular and interosseous ligaments is provided by the calcitonin gene-related peptide (CGRP) and substance P immunoreactive fibers present in these ligaments. [6]  Therefore, both extra-articular and intra-articular approaches should be considered for diagnostic infiltration for SI joint pain.

An anatomic study on adult cadavers demonstrated that the SI joint is predominantly, if not entirely, innervated by sacral dorsal rami. [7]

In 2001, Murata et al performed a study to delineate the sensory innervation in the ventral and dorsal sides of the SI joint. [8]  They reported that the dorsal innervation derives from the dorsal root ganglions of the lower lumbar and sacral levels (from L4 to S2), and the ventral innervation originates from the dorsal root ganglions of the upper lumbar, lower lumbar, and sacral levels (from L1 to S2).

The presence of nerve fibers and mechanoreceptors in the SI ligament has been demonstrated. [9]  Referral patterns based on SI joint provocation and analgesia have been published [10, 11, 12] ; however, the only pain pattern found to be associated with patients who responded to SI joint injections was groin pain. [13]

As many as two thirds of patients may have significant improvement of approximately 9 months’ duration with steroid injection. The pain may recur, and the injection can be repeated. [14, 15] However, systematic reviews have found the short- and long-term effectiveness of intra-articular SI injections to be poor. [16]

A double-blind study was done in 10 patients with painful sacroiliitis. [17] A total of 13 joints were injected with either steroid (n = 6) or placebo (n = 7). At 1 month, patients described greater than 70% pain relief in five of the six SI joints injected with corticosteroids. No pain relief was reported in the placebo-injected joints.

Maigne JY, Planchon CA. Sacroiliac joint pain after lumbar fusion. A study with anesthetic blocks. Eur Spine J. 2005 Sep. 14(7):654-8. [Medline].

Russell R, Reynolds F. Back pain, pregnancy, and childbirth. BMJ. 1997 Apr 12. 314(7087):1062-3. [Medline].

Chi B. Sacroiliitis. Warfield C, Fausett H, eds. Manual of Pain Management. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2002. 95-8.

Katz V, Schofferman J, Reynolds J. The sacroiliac joint: a potential cause of pain after lumbar fusion to the sacrum. J Spinal Disord Tech. 2003 Feb. 16(1):96-9. [Medline].

Sturesson B, Selvik G, Uden A. Movements of the sacroiliac joints. A roentgen stereophotogrammetric analysis. Spine. 1989 Feb. 14(2):162-5. [Medline].

Szadek KM, Hoogland PV, Zuurmond WW, et al. Nociceptive nerve fibers in the sacroiliac joint in humans. Reg Anesth Pain Med. 2008 Jan-Feb. 33(1):36-43. [Medline].

Fortin JD, Kissling RO, O’Connor BL, et al. Sacroiliac joint innervation and pain. Am J Orthop. 1999 Dec. 28(12):687-90. [Medline].

Murata Y, Takahashi K, Yamagata M, et al. Origin and pathway of sensory nerve fibers to the ventral and dorsal sides of the sacroiliac joint in rats. J Orthop Res. 2001 May. 19(3):379-83. [Medline].

Vilensky JA, O’Connor BL, Fortin JD, et al. Histologic analysis of neural elements in the human sacroiliac joint. Spine. 2002 Jun 1. 27(11):1202-7. [Medline].

Fortin JD, Dwyer AP, West S, et al. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part I: Asymptomatic volunteers. Spine. 1994 Jul 1. 19(13):1475-82. [Medline].

Fortin JD, Aprill CN, Ponthieux B, et al. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part II: Clinical evaluation. Spine. 1994 Jul 1. 19(13):1483-9. [Medline].

Slipman CW, Jackson HB, Lipetz JS, et al. Sacroiliac joint pain referral zones. Arch Phys Med Rehabil. 2000 Mar. 81(3):334-8. [Medline].

Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine. 1995 Jan 1. 20(1):31-7. [Medline].

Liliang PC, Lu K, Weng HC, Liang CL, Tsai YD, Chen HJ. The therapeutic efficacy of sacroiliac joint blocks with triamcinolone acetonide in the treatment of sacroiliac joint dysfunction without spondyloarthropathy. Spine (Phila Pa 1976). 2009 Apr 20. 34(9):896-900. [Medline].

Hawkins J, Schofferman J. Serial therapeutic sacroiliac joint injections: a practice audit. Pain Med. 2009 Jul-Aug. 10(5):850-3. [Medline].

Hansen H, Manchikanti L, Simopoulos TT, Christo PJ, Gupta S, Smith HS, et al. A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions. Pain Physician. 2012 May-Jun. 15(3):E247-78. [Medline].

Maugars Y, Mathis C, Berthelot JM, et al. Assessment of the efficacy of sacroiliac corticosteroid injections in spondylarthropathies: a double-blind study. Br J Rheumatol. 1996 Aug. 35(8):767-70. [Medline].

van der Wurff P, Hagmeijer RH, et al. Clinical tests of the sacroiliac joint. A systematic methodological review. Part 1: Reliability. Man Ther. 2000 Feb. 5(1):30-6. [Medline].

van der Wurff P, Meyne W, Hagmeijer RH. Clinical tests of the sacroiliac joint. Man Ther. 2000 May. 5(2):89-96. [Medline].

Russel AS, Maksymowych W, LeClercq S. Clinical examination of the sacroiliac joints: a prospective study. Arthritis Rheum. 1981 Dec. 24(12):1575-7. [Medline].

Broadhurst NA, Bond MJ. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J Spinal Disord. 1998 Aug. 11(4):341-5. [Medline].

Bogduk N. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J Spinal Disord. 1999 Aug. 12(4):357-8. [Medline].

Dreyfuss P, Michaelsen M, Pauza K, et al. The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spine. 1996 Nov 15. 21(22):2594-602. [Medline].

Dreyfuss P, Dryer S, Griffin J, et al. Positive sacroiliac screening tests in asymptomatic adults. Spine. 1994 May 15. 19(10):1138-43. [Medline].

Russel AS, Maksymowych W, LeClercq S. Clinical examination of the sacroiliac joints: a prospective study. Arthritis Rheum. 1981 Dec. 24(12):1575-7. [Medline].

van der Wurff P, Buijs EJ, et al. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures. Arch Phys Med Rehabil. 2006 Jan. 87(1):10-4. [Medline].

Elgafy H, Semaan HB, Ebraheim NA, Coombs RJ. Computed tomography findings in patients with sacroiliac pain. Clin Orthop Relat Res. 2001 Jan. 112-8. [Medline].

Merskey H, Bogduk N, eds. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definition of Pain Terms. 2nd ed. Seattle: IASP Press; 1994. [Full Text].

Todd D, Mohamed S. Diagnostic and therapeutic procedures in pain management. Borsook D, LeBel A, McPeek B, eds. The Mass General Handbook of Pain Management. Boston: Little, Brown; 1996. 134-84.

Bernard TN, Cassidy JD. The sacroiliac joint syndrome: pathophysiology, diagnosis, and management. Frymayer JW, ed. The Adult Spine: Principles and Practice. New York: Raven Press; 1991. 2107-30.

Simon S. Sacroiliac joint injection and low back pain. Waldman S, ed. Interventional Pain Management. Philadelphia: WB Saunders; 2001. 335-339.

Kirkaldy-Willis WH, Burton CV. Managing Low Back Pain. 3rd ed. New York: Churchill-Livingstone; 1999. 121-48.

Rana SH, Farjoodi P, Haloman S, Dutton P, Hariri A, Ward SR, et al. Anatomic Evaluation of the Sacroiliac Joint: A Radiographic Study with Implications for Procedures. Pain Physician. 2015 Nov. 18 (6):583-92. [Medline].

Pereira PL, Gunaydin I, Trubenbach J, et al. Interventional MR imaging for injection of sacroiliac joints in patients with sacroiliitis. AJR Am J Roentgenol. 2000 Jul. 175(1):265-6. [Medline].

Tahaei SA, Baez-Cabrera LD, Lin PS, Furman MB. Sacroiliac intraarticular joint injection: ultrasound guidance. Furman MB, Berkwits L, Cohen I, Goodman BS, Kirschner JS, Lee TS, et al, eds. Atlas of Image-Guided Spinal Procedures. 2nd ed. Philadelphia: Elsevier; 2018. 181-4.

Rosenberg JM, Quint TJ, de Rosayro AM. Computerized tomographic localization of clinically-guided sacroiliac joint injections. Clin J Pain. 2000 Mar. 16(1):18-21. [Medline].

Hansen HC. Is fluoroscopy necessary for sacroiliac joint injections?. Pain Physician. 2003 Apr. 6(2):155-8. [Medline].

Block BM, Hobelmann JG, Murphy KJ, Grabow TS. An imaging review of sacroiliac joint injection under computed tomography guidance. Reg Anesth Pain Med. 2005 May-Jun. 30(3):295-8. [Medline].

Pekkafahli MZ, Kiralp MZ, Basekim CC, et al. Sacroiliac joint injections performed with sonographic guidance. J Ultrasound Med. 2003 Jun. 22(6):553-9. [Medline].

Jee H, Lee JH, Park KD, Ahn J, Park Y. Ultrasound-guided versus fluoroscopy-guided sacroiliac joint intra-articular injections in the noninflammatory sacroiliac joint dysfunction: a prospective, randomized, single-blinded study. Arch Phys Med Rehabil. 2014 Feb. 95(2):330-7. [Medline].

Perry JM, Colberg RE, Dault SL, Beason DP, Tresgallo RA 3rd. A Cadaveric Study Assessing the Accuracy of Ultrasound-Guided Sacroiliac Joint Injections. PM R. 2016 Dec. 8 (12):1168-1172. [Medline].

Soneji N, Bhatia A, Seib R, Tumber P, Dissanayake M, Peng PW. Comparison of Fluoroscopy and Ultrasound Guidance for Sacroiliac Joint Injection in Patients with Chronic Low Back Pain. Pain Pract. 2016 Jun. 16 (5):537-44. [Medline].

Bydon M, Macki M, De la Garza-Ramos R, Youssef M, Gokaslan ZL, Meleka S, et al. The cost-effectiveness of CT-guided sacroiliac joint injections: a measure of QALY gained. Neurol Res. 2014 Oct. 36(10):915-20. [Medline].

Althoff CE, Bollow M, Feist E, Marticorena-Garcia SR, Eshed I, Diekhoff T, et al. CT-guided corticosteroid injection of the sacroiliac joints: quality assurance and standardized prospective evaluation of long-term effectiveness over six months. Clin Rheumatol. 2015 Jun. 34 (6):1079-84. [Medline].

Norman GF. Sacroiliac disease and its relationship to lower abdominal pain. Am J Surg. 1968 Jul. 116(1):54-6. [Medline].

Schuchmann JA, Cannon CL. Sacroiliac strain syndrome: diagnosis and treatment. Tex Med. 1986 Jun. 82(6):33-6. [Medline].

Hartung W, Ross CJ, Straub R, Feuerbach S, Schölmerich J, Fleck M, et al. Ultrasound-guided sacroiliac joint injection in patients with established sacroiliitis: precise IA injection verified by MRI scanning does not predict clinical outcome. Rheumatology (Oxford). 2010 Aug. 49(8):1479-82. [Medline].

Murakami E, Tanaka Y, Aizawa T, et al. Effect of periarticular and intraarticular lidocaine injections for sacroiliac joint pain: prospective comparative study. J Orthop Sci. 2007 May. 12(3):274-80. [Medline].

Nacey NC, Patrie JT, Fox MG. Fluoroscopically Guided Sacroiliac Joint Injections: Comparison of the Effects of Intraarticular and Periarticular Injections on Immediate and Short-Term Pain Relief. AJR Am J Roentgenol. 2016 Nov. 207 (5):1055-1061. [Medline].

Savran Sahin B, Aktas E, Haberal B, Harman A, Canan Yazici A, Kaygusuz H, et al. Sacroiliac pain and CT-guided steroid injection treatment: high-grade arthritis has an adverse effect on outcomes in long-term follow-up. Eur Rev Med Pharmacol Sci. 2015 Aug. 19 (15):2804-11. [Medline].

Burnham RS, Yasui Y. An alternate method of radiofrequency neurotomy of the sacroiliac joint: a pilot study of the effect on pain, function, and satisfaction. Reg Anesth Pain Med. 2007 Jan-Feb. 32(1):12-9. [Medline].

Yin W, Willard F, Carreiro J, et al. Sensory stimulation-guided sacroiliac joint radiofrequency neurotomy: technique based on neuroanatomy of the dorsal sacral plexus. Spine. 2003 Oct 15. 28(20):2419-25. [Medline].

Cohen SP, Abdi S. Lateral branch blocks as a treatment for sacroiliac joint pain: A pilot study. Reg Anesth Pain Med. 2003 Mar-Apr. 28(2):113-9. [Medline].

Aydin SM, Gharibo CG, Mehnert M, Stitik TP. The role of radiofrequency ablation for sacroiliac joint pain: a meta-analysis. PM R. 2010 Sep. 2(9):842-51. [Medline].

Cánovas Martínez L, Orduña Valls J, Paramés Mosquera E, Lamelas Rodríguez L, Rojas Gil S, Domínguez García M. Sacroiliac joint pain: Prospective, randomised, experimental and comparative study of thermal radiofrequency with sacroiliac joint block. Rev Esp Anestesiol Reanim. 2016 May. 63 (5):267-72. [Medline].

Bellini M, Barbieri M. Single strip lesions radiofrequency denervation for treatment of sacroiliac joint pain: two years’ results. Anaesthesiol Intensive Ther. 2016. 48 (1):19-22. [Medline]. [Full Text].

Lee JH, Lee SH, Song SH. Clinical effectiveness of botulinum toxin A compared to a mixture of steroid and local anesthetics as a treatment for sacroiliac joint pain. Pain Med. 2010 May. 11(5):692-700. [Medline].

Kim WM, Lee HG, Jeong CW, Kim CM, Yoon MH. A randomized controlled trial of intra-articular prolotherapy versus steroid injection for sacroiliac joint pain. J Altern Complement Med. 2010 Dec. 16(12):1285-90. [Medline].

Cusi M, Saunders J, Hungerford B, Wisbey-Roth T, Lucas P, Wilson S. The use of prolotherapy in the sacroiliac joint. Br J Sports Med. 2010 Feb. 44(2):100-4. [Medline].

Schutz U, Grob D. Poor outcome following bilateral sacroiliac joint fusion for degenerative sacroiliac joint syndrome. Acta Orthop Belg. 2006 Jun. 72(3):296-308. [Medline].

Plastaras CT, Joshi AB, Garvan C, Chimes GP, Smeal W, Rittenberg J, et al. Adverse events associated with fluoroscopically guided sacroiliac joint injections. PM R. 2012 Jul. 4(7):473-8. [Medline].

Stephen Kishner, MD, MHA Professor of Clinical Medicine, Physical Medicine and Rehabilitation Residency Program Director, Louisiana State University School of Medicine in New Orleans

Stephen Kishner, MD, MHA is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Association of Neuromuscular and Electrodiagnostic Medicine

Disclosure: Nothing to disclose.

 

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Erik D Schraga, MD Staff Physician, Department of Emergency Medicine, Mills-Peninsula Emergency Medical Associates

Disclosure: Nothing to disclose.

Mariam Chowdhry, DO Resident Physician, Department of Physical Medical and Rehabilitation, Louisiana State University School of Medicine in New Orleans

Mariam Chowdhry, DO is a member of the following medical societies: American Academy of Pain Medicine

Disclosure: Nothing to disclose.

Sacroiliac Joint Injection

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