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Doctor insights on: Joint Injection Procedure Note

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Is sacroiliac joint injection a very common procedure?

Is sacroiliac joint injection a very common procedure?

Yes: Sacroiliac joint injections are commonly performed to achieve either diagnostic (evaluate the source of low back pain) or therapeutic (treat pain related to sacroiliac arthritis) goals. ...Read more

Dr. Stratos Christianakis
1,189 Doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


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Can a registered nurse give a joint injection?

Can a registered nurse give a joint injection?

NO, she can not give: RN, IS NOT QUALIFIED BY TRAINING TO GIVE INJECTION INTO THE JOINT ...Read more

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What are common complications of a facet joint injection?

What are common complications of a facet joint injection?

Pain, numbness: Facet joint injections are often done in the lumbar & cervical spine, often under fluoroscopy (live x-ray), bathing this joint with an anesthetic (lidocaine, etc.) and steroid/cortisone. Common side effects include pain (during and for the first 48 hours), numbness (often temporary) and bleeding (usually minimal). Rare & serious side effects include infection, nerve injury and spinal fluid leak. ...Read more

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How much does a sacroiliac joint injection hurt?

How much does a sacroiliac joint injection hurt?

Generally tolerated: It is generally tolerated by the overwhelming majority of patients under local anesthetic. Sometimes, if patients are more nervous, oral or IV sedation can be used. ...Read more

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Hey docs, should verced i.V. Always be given for pain during facet joint injection?

Hey docs, should verced i.V. Always be given for pain during facet joint injection?

Depends: Versed can help with anxiety during your procedure but not everyone needs this. So make sure you ask what the sedation or anesthesia will do to you during the procedure. Many times they use other medications as well. I would discuss this with your doctor to have a better understanding of what you might go through. ...Read more

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I have a head cold. Can I still have a SI joint injection under sedation?

I have a head cold. Can I still have a SI joint injection under sedation?

Anesthesia: When you are sick is always a risky proposition. Anestesiologists usually suggest rescheduling such a procedure when you are ill, especially if you have a fever. Hope this helps! ...Read more

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Hoping you can tell me, is steriod joint injection safe during pregnancy?

Hoping you can tell me, is steriod joint injection safe during pregnancy?

Probably: I have done these before with no problems but it is best to ask your obgyn about your particular case. ...Read more

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What is the name of the joint injection that can help with chronic ankle pain?

What is the name of the joint injection that can help with chronic ankle pain?

There are a few: The most common injection for joints is a corticosteroid type injection (the contents of which are physician preference). There are other joint injections that are used for knees that are sometimes used in the ankle "off label" and you would need to discuss this and your condition with your specialist to determine what is the best treatment for you. ...Read more

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I had a steroid guided SI joint injection at Noon today. The numbing medicine has wore off. It's becoming painful. What can I do?

I had a steroid guided SI joint injection at Noon today. The numbing medicine has wore off. It's becoming painful. What can I do?

Ice or heat: It is usual for the pain to come after the anesthesia wears off You can ice it or moist heat and usually it is gone the next day Sometimes a pain pill can help but start with advil (ibuprofen) and local treatment first. If it increases then call your provider ...Read more

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Sacroiliac joint injection and cervical nerve block. What are they?

Sacroiliac joint injection and cervical nerve block. What are they?

Very different: An si injection is an injection of the joint between the spine and the tailbone.

A cervical nerve block is an injection of one of the nerves in the cervical spine. ...Read more

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I had a second si joint injection. I am having weakness in that hip. I can't walk normally on one side. The dr said it will be okin2hr but 4 hrs. Not!

I had a second si joint injection. I am having weakness in that hip. I can't walk normally on one side. The dr said it will be okin2hr but 4 hrs. Not!

Wait: I'd give it more time, and wait it out overnight. In most cases the symptoms will completely resolve by then. If not, definitely call your doctor again. Good luck! ...Read more

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What is the difference between facet joint injection and paravertebral injection and epidural injection? Any website with picutres explaining such?

What is the difference between facet joint injection and paravertebral injection and epidural injection? Any website with picutres explaining such?

Location: The facet joints are the joints between the vertebra. An epidural injection goes into the epidural space (the space just outside the sac that covers the spinal cord. Depending on approach epidurals can be translaminar or transforaminal. Paracertebralinjections are in the space immediately to the side of the area where the spinal nerves come out of the spine. The location is the main difference. ...Read more

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9wk po bunionectomy. Big toe crossing over 2nd toe. Getting worse. Joint injection didn't work and doing PT. Will I need surgery again?

9wk po bunionectomy. Big toe crossing over 2nd toe. Getting worse. Joint injection didn't work and doing PT. Will I need surgery again?

I see a revision.: If the position of the toe was correct after surgery, but has drifted SUBSTANTIALLY since, then I feel your chance of spontaneous correction is minimal. Best to get a second opinion soon. ...Read more

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I had a si sacroiliac joint injection near my tailbone 2 days ago and ive been hurting sick to my stomach and feel awful, is this normal after 2 days?

I had a si sacroiliac joint injection near my tailbone 2 days ago and ive been hurting sick to my stomach and feel awful, is this normal after 2 days?

Injection site pain: Injection site pain likely indicates a bone or periosteum bruise; this can trigger pain reactions of nausea and fatigue - like vaso-vagal or poly-vagal reactions; best move at this point is to rest, apply cold packs 20 min on - 20-30 min off, 20 min on, etc; Let the doctor know who injected you - rarely, an infection could complicate ...Read more

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I had a Right SI joint injection today, I am now experiencing bad nausea and a headache along with lower back and leg pain, even with a pain pill?

I had a Right SI joint injection today, I am now experiencing bad nausea and a headache along with lower back and leg pain, even with a pain pill?

Sacroilitis: The nausea and headache may be related to the steroid in the injection. The persistent back and leg pain may be caused by a pinched nerve in the lumbar spine. See a spine specialist for further treatment. ...Read more

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Should I get my facet joint injection with an eye infection?

Should I get my facet joint injection with an eye infection?

Yes: The eye infection posses no problem with this and any injection. ...Read more

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85 year old torn meniscus in right knee, pain/inflammation when walking. Recommend hyaluronic acid joint injection? Other non-surgical therapies?

85 year old torn meniscus in right knee, pain/inflammation when walking. Recommend hyaluronic acid joint injection? Other non-surgical therapies?

If your joint is in-: -good condition, a menisectomy would be advised, even if borderline. This can slow down further degeneration & possibly avoid a replacement. Hyaluronic acid if the joint is bad & the only option is a replacement, if you are one of the people that get great results, you still may avoid a TKA. If successful they do need to be repeated over time. ...Read more

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What's the procedure for a cortisone injection into the hip joint?

What's the procedure for a cortisone injection into the hip joint?

Needle: A needle is placed in the hip joint and steroid is injected. This is often times done under xray (fluoroscopy) or ultrasound. The procedure only takes a few minutes, and is not very uncomfortable. ...Read more

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I was consented for Si joint and medial branch block. On discharge note it says that I've had si joint and sacral ala injections, is this branch block?

I was consented for Si joint and medial branch block. On discharge note it says that I've had si joint and sacral ala injections, is this branch block?

NO!: A sacral block is a block of the sacral nerve roots. A medial branch block is a block of the nerves that serve the facet joints, Two very different procedures and two very different anatomic locations. Perhaps the doctor/operator changed his mind when seeing what was present on your imaging. ...Read more

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Had 2 lots facets joint injections 1st lot work 2nd didn't. What is your answer please?

Had 2 lots facets joint injections 1st lot work 2nd didn't. What is your answer please?

Back pain: The source of the pain may be from a pinched nerve or a tear in the disc rather than inflammation in the facet joint. Alternatively, the facet joint may be too degenerated to respond to cortisone shots alone. Back bracing, physical therapy or chiropractic care may relieve the pain. If these measures fail to eliminate the pain and then surgery may be the next option. ...Read more

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What are sacroiliac joint injections used to treat?

What are sacroiliac joint injections used to treat?

Sacroiliac inflamed: The sacroiliac (SI) joint can be the site of inflammation due to arthritis, from autoimmune disorders, from trauma. Injections into the SI joint, usually with corticosteroids, can reduce inflammation and is used in conjunction with other treatments, such as anti-inflammatory agents and physical therapy. ...Read more

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What is the maximum number of cortisone injections a person have in multiple joints per year?

See details: You need to provide more specifics. What type of arthritis is present? What systemic therapies have been tried? Has the person seen a rheumatologist? In general, repeated injections of multiple joints are not a good idea. ...Read more

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What are the benefits of the ifuse surgery for the si joint vs the old procedure to help repair an si joint. And who does that procedure?

What are the benefits of the ifuse surgery for the si joint vs the old procedure to help repair an si joint. And who does that procedure?

Do not have it done!: Outcome rates are not as good as touted! What are you having for? Did you avulse you sij-inwhich case it would have my qualified "yes, " you did not identify your problem! ...Read more

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I have an inflamed sacra iliac joint that causes me server pain. Injections but they are no longer get working... Is a fusion a good option for me?

Subluxing joint: 32yo female w. chronic sacroiliac joint subluxation & pain might have Hypermobility Syndrome &/or resultant from mechanical injury or from birthing. Yoga "superman" pose to strengthen back muscles, SIJ belt, soft mattress & prolotherapy might help. In severe cases a fusion can be curative. The primary injury is to ligaments of the joint. Injured ligaments do not heal well, and they become loose. ...Read more

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What usually happens after facet joint injections?

What usually happens after facet joint injections?

Did the pain go away: Facet joint injections are a diagnostic and therapeutic tool that is employed by pain medicine specialists. The goal is to see if your familiar pain goes away in the immediate period after the facet blocks are completed and should this occur, then a diagnosis of facet pain is made and if and when the 'original' pain comes back, there are appropriate therapies that can be employed accordingly. ...Read more

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What typically happens after facet joint injections?

What typically happens after facet joint injections?

Hard to say: Depends on your pain issue. Facet injections are helpful and can be long-lasting, however if your get short lived relief you may need to get evaluated for a radiofrequency ablation for longer lasting relief (greater than 1 year of relief is typical). ...Read more

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Are radioactive injections useful for joint problems?

Are radioactive injections useful for joint problems?

Yes: Can show up active inflammatoy changes in joins and also stress fractures. Also can help diagnose cancers of bone and joints. ...Read more

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Can there be a procedure to fill out the lubrication between knee joints.?

Can there be a procedure to fill out the lubrication between knee joints.?

Knee: The fluid is produced naturally by the body- injections of extra thick joint like fluid had been shown to be effective in some people. ...Read more

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Side affects of kenolog injections into the facet space of the vertebra joints?

Side affects of kenolog injections into the facet space of the vertebra joints?

Kenalog (triamcinolone): Steroid side effects include elevated blood glucose temporarily, facial flushing aka steroid flare, as well as temporary feeling of "having an extra cup of coffee", in essence, a jittery feeling. Some patients also describe temporary increase in appetite. ...Read more

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Is there anything I can do to help my young child with pain/ soreness after joint injections?

Is there anything I can do to help my young child with pain/ soreness after joint injections?

Tylenol (acetaminophen): To help relieve the discomfort after an immunization, you can give your child Acetaminophen (tylenol) r Ibuprofen (motrin) and put some ice on the sore area. These symptoms are mild and should resolve within a day or two. ...Read more

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How long should corticosteroid joint injections last? Had in april and rheumo thinks my daughter should get again

3 months, but: 3 months, but injections don't treat the underlying disease. If recurrent need, other treatments may be better. ...Read more

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Will I need surgery in the s1/joint area as I experience severe pain for a year and injections have not helped? Thank you.

Will I need surgery in the s1/joint area as I experience severe pain for a year and injections have not helped? Thank you.

Sacroilitis: Surgery on the si joint is very serious and complicated a good interventionalist can perform a radiofrequency ablation on the sacro iliac joint eliminating pain and the need for surgery. It sometimes only last 6 months but it can be repeated. ...Read more

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Child's rheumo wants to avoid a biologic but already on high dose of metho and had joint injections 3mth ago and need again how can I change her mind?

Child's rheumo wants to avoid a biologic but already on high dose of metho and had joint injections 3mth ago and need again how can I change her mind?

Discuss with her: Sit down with her and discuss both her reasons for not wanting to do the biologic and your reasons for wanting to do it. She does this every day, and probably has valid reasons for her position based on her experience. But you need to let your position be known as well, so that maybe you can come to an agreement about the plan of care. ...Read more