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Had right SI joint injection today, please share your experiences w/ this injection

MingMMing Posts: 1,127
edited 06/11/2012 - 7:25 AM in Spinal Injections
I had right side SI injection today and it didn't hurt too bad. Nothing compared to the 2 tattoos that I have lol. Anyway, I felt great afterwards, it must have been the anesthesia they inject before the injection. I am starting to feel a little sore in my butt and lower back and slightly down right side of leg. He did say it could take a couple days to work. Has anyone had this injection and if so could you please let me know your experiences good and bad? The only thing I did feel was a burning pain down the right side of my butt and into the back of my leg. I can't remember if it was the dye he injected or the injection itself. I forgot to ask what kind of med he injected in me. I hope it's not a steriod because that gives me flushing in my face and weight gain. The PM is referring me to another doc who can prescribe extended release meds like oxycontin as well as manipulations to the SI area.


  • I have had so many before surgery I lost count. If you felt something down your leg in the area you had issue with, most likely the shot will help you. It usually means they "hit" the spot I was told. I am also sure, but call the doctor, that they did injection some steroid. I also get facial flushing and some burning sensation on my face but it goes away. I hope for you that it works. Once I got my 360 fusion those SI joint pains disappeared. I woke from surgery without them and so far(1 month) they haven't returned. I think my L4/L5 caused so much inflammation it affected my SI joints, just a guess but what else explains it other than misalignment??? Get well soon
  • He did say it was a good sign that I felt that. I am glad the surgery helped you out. I hope that this injection combined with manipulation therapy will help. I have to check and make sure my new insurance pays for the manipulation. It doesn't pay for chiropractic treatment but maybe they can count it as PT.
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  • I did notice an improvement for a day or so but this morning I started feeling the pain on the right SI joint area and the pain is starting to go down my right leg again. Could it just have been the anesthetic they use to numb you before injection that made me feel better and not the injection itself? I don't know how long it takes for the anesthetic to wear off. I was pretty hopeful yesterday because I went to my son's flag football banquet and was able to stand and sit with no pain until I woke up this morning and now I am getting very discouraged. I have to call PM on Monday to report my progress.

    My birthday is tomorrow and it would be nice to spend it pain free. Maybe I need to do some Cherrybombs tomorrow lol, wanna join me cherrybomb80? <:P
  • Hello Michele,

    Hope you had an enjoyable birthday, AND especially that your pain has become less. May I ask what your PM doc had to say?

    Yep, for the first day or two after I have had an ESI I feel 10 years younger, and I attribute that mostly to the residual lidocaine. For me it takes about 2-3 days after an injection to begin to know if the corticosteroid (Kenalog) worked. Thankfully each ESI given to me by my PM doc has worked and lasted for about 4 months.

    Take care.

  • Hello Michele and Everyone,

    Okay, hang on, this may get a bit lengthy. lol

    I had my first ESI containing Kenalog in Jan '07 by a PA. She twisted that $#%$ needle all over. Hurt like H, and had a big bruise for a month. The injection did help for about 10 days.

    Before going on a short vacation end of Feb '07 I had a 2nd ESI by another PA. He was much MUCH better. That injection helped for a couple of weeks.

    My spinal surgeon recommended that I seek the help of the PM doc they have in the institute. I was reluctant, but oh what the heck I thought I might as well. After looking at my MRIs and x-rays and doing his exam the PM doc recommended that I have an ESI. To which I replied "What for, I've already had two with very limited success?" I also told him that of the people I had spoken with the vast majority had no improvement with an ESI.

    WELLLllll, he REALLY tried very hard to convince me to have another ESI. His statement "ONLY I give my patients an ESI, I will not let a PA or any spinal surgeon in the institute give an ESI to any patients of mine." was enough to let him give me a shot.

    At the time of my visit to my PM doc I had pain in my lower back, pain going down my right leg, and a tingling sensation in the lower part of my leg.

    PM doc said the pain in my leg was caused by a pinched nerve at the L3/L4 area because of a herniated disc.

    SOOooo he gave me an injection to the L3/L4 spot. He also used a fluoroscope to help him guide the needle to exactly the precise location the corticosteroid needed to be. A slight about of pain during the injection but that was it.

    That evening my wife said I was walking more upright. A week later the pain in my right leg was gone, and a month later the tingling sensation in the lower part of my leg was gone. That injection was given in Apr '07. To this day, no pain in my right leg and no tingling sensation either.

    Since then he has given me ESI injections for lower back pain caused by slipped L5/SI vertibrae (I can't spell or pronounce the medical S word. lol) He makes that injection right up my tailbone. Doesn't sound good I know, HOWEVER, almost no discomfort at all. I'm in the ESI room for about 10-15 minutes, and then another 15-20 minutes in a recliner until the lidocaine wears off enough for me to have some stability when I walk. My wife drives me home, I take it easy for a couple of hours and then I'm back outside working in our gardens. My last injection was later part of Aug '08 and is still working fairly well. It's the GRRRRrrr arthritis all over me joints in this dark cold rainy weather we have been having. Can't wait for Spring!!!

    Sorry so long, hope I haven't lost anyone along the way.

    Have a MOST wonderful Christmas!!!


    P.S. - I'm TOTALLY convinced that for an ESI to have any chance of working the doc MUST use a fluoroscope to help him/her guide that needle to precisely the exact location the corticosteroid must go so it can reduce/eliminate the inflammation. ALSO, the expertise of the doctor is SOOOooo very important.
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  • Thanks for sharing your experience RichT. I have a really good PM. I think the steroid just isn't working for me. It seems the pain came back after the lidocaine wore off. I am still waiting for PM's assistant to call me back. I left a message on Tuesday. I have to call back tomorrow because I need a refill on pain meds because I will never make it through christmas with the script I have so I hope she answers my call. I am glad that you had such a positive experience. I believe my next step is an epidural which I think is what you are talking about.
  • Hello Michele,

    I'm just a bit confused regarding the type of injections you have had. Perhaps I misunderstood, but I thought you did have an epidural injection containing the lidocaine to numb any pain, and the corticosteroid to reduce inflammation which in turn would reduce/eliminate the pain. Correct? Wrong? Mind clarifying? If you didn't get an epidural injection, then was it just an injection into muscle tissue?

    Yes, for me I have received epidural injections.

    Now to add confusion to the mix. lol When you say "I believe my next step is an epidural" - are you talking about an epidural containing lidocaine and the corticosteroid or are you talking about a nerve block?

    Sorry for all the questions. I just want to make sure I understand correctly.

    "God Bless all my Spiney friends" - Michele, that is very nice. And bless us He does, even with our Spiney issues.

    Take care.

  • If you look under injections in Spine health you will see 2 different kinds. I had an injection into the sacroilliac joint and then a trigger shot. I didn't have the epideral yet. That's my next step. I don't know how to paste a link yet so just search injections on the spine health site and I am pretty sure you will see the difference between the two. I will see if I can find it, paste the link and send to you.
  • Hello Michele,

    Thanks for your response.

    Okay, I'd agree you have not had an epidural injection in the true sense of the word. However, Michele, did the injection contain lidocaine (to kill the pain of the injection itself), and a corticosteroid to reduce inflammation? If so, those are the same "ingredients" in an epidural injection. The location of the injection would be the only difference.

    My past 3 injections have been at the Lumbosacral Joint (or L5/S1).

    Now a question - What is a "trigger shot"?

    I did look under the Pain Injection Health Center but didn't find anything about "2 different kinds" of injections beside the epidural and nerve block injections. Was I on the right "page"?

    I'll look forward to the link.

    One last question if I may - Have you ever had an MRI of your lower back?

    May you have a WONDERFUL Christmas!!!

  • I am not sure how to send the link but I will look into it. The trigger point shot was a shot in the exact location that was also causing pain in addition to the SI joint injection. I don't know exactly what was in either injection though. I asked about an epidural today and they are referring me to another doc that does manipulation and to give me pain meds and if that doesn't work they want me to go through my primary doc. It looks like they've thrown in the towel on me but I wasn't done yet. I wanted to try the epidural and then have them do a nerve test. I don't understand why they are giving up on me so quickly. I don't want to be on pain meds but they are treating me like I am a drug seeker. I told the assistant today that I want to get off pain meds and fix the problem rather than masking the symptoms with narcotic pain meds and I want my life back and I want to go back to work in a couple of weeks. Why are they giving up on me!? I am so mad, sad and a bunch of others emotions all together.
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