Sacroiliac Joint (SI) Injections in Plano, TX

Sacroiliac joint injections may be used when pain is suspected to come from the SI joint rather than another structure in the lower back or pelvis. The patient’s response to the injection can provide useful diagnostic information and may also help reduce inflammation and discomfort for a period of time. Symptoms that may be associated with SI joint pain can include discomfort in the lower back, buttock, hip, or upper leg, especially with standing, walking, climbing stairs, or changing positions.

At NorthStar Joint & Spine in Plano, TX, board-certified Dr. Robert J. Nocerini, MD, evaluates the location and pattern of pain, physical findings, medical history, and available diagnostic imaging before determining whether an SI joint injection may be appropriate. The results of the injection can help guide an individualized pain management plan based on the patient’s symptoms, diagnosis, and functional needs.

Sacroiliac joint injections help in two main ways: in diagnosing the source of a patient’s pain, and in providing therapeutic relief for the pain. Although the two are often combined into one injection, in some cases these are separate and a patient will undergo a purely therapeutic or diagnostic injection.

• Diagnostic — A diagnostic SI joint injection is used to confirm a suspected case of sacroiliac joint dysfunction by numbing the sacroiliac joint with a local anesthetic such as lidocaine. To ensure the injection is accurate, it is performed under fluoroscopy (x-ray guidance). Once the needle has entered the sacroiliac joint, a special dye is injected into the joint to provide contrast and to ensure proper needle placement and spread of medication. After the location of the injection is confirmed accurately, the numbing medication is then administered to the joint.

• Therapeutic — A therapeutic SI joint injection is performed to provide relief of pain associated with dysfunction of the sacroiliac joint. The injection is performed using the same technique as a diagnostic SI joint injection, but an anti-inflammatory medication (corticosteroid) is included in the injection; this provides pain relief by reducing inflammation and swelling within the SI joint.

There are many benefits that sacroiliac joint injections provide, including the following:

• Diagnose the Source of Pain — Injecting a local anesthetic can help pinpoint if the pain starts in the sacroiliac joint, allowing an accurate treatment plan to be developed.

• Help Reduce Pain — Injecting a corticosteroid in the SI joint may help reduce pain and can provide long-term relief in some cases.

• Minimally Invasive Procedure — Sacroiliac joint injections are non-surgical and do not come with long recovery times or dangerous risks of surgery, sometimes providing patients a better alternative to surgery.

Candidates for sacroiliac joint injections include those who:

• Have not found relief from other treatments
• Have pain in the SI joint
• Are in good overall health
• Are not allergic to the medications used in the injections
• Have limited mobility or range of motion
• Have realistic expectations about the procedure

The best way to determine candidacy for sacroiliac joint injections is to receive a consultation from a qualified pain management specialist.

At Northstar Joint and Spine, Board-Certified Dr. Robert Nocerini, MD offers precision-guided sacroiliac joint injections designed to provide quick and lasting pain relief. These injections deliver anti-inflammatory medication directly to the affected area, helping reduce irritation and improve range of motion. Dr. Nocerini’s skill and precision ensure a comfortable, efficient, and highly effective treatment process.

Using state-of-the-art imaging technology, Dr. Nocerini customizes every injection based on the patient’s specific pain pattern and condition severity. He emphasizes on personalized care, ensuring patients receive the attention and long-term support they need. With his expertise and commitment to improving spinal and pelvic function, Dr. Nocerini continues to help patients find relief and restore a pain-free lifestyle.

Contact us today for more information or schedule an appointment online. We are conveniently located at 7704 San Jacinto Pl Suite 200 Plano, TX 75024. We proudly serve patients from Plano TX, Frisco TX, Allen TX, McKinney TX, Richardson TX, Carrollton TX, Addison TX, The Colony TX, North Dallas TX, and surrounding communities throughout Collin County and the Dallas-Fort Worth area.