Before the procedure, we will discuss the details with you, including potential risks and benefits. We may ask you about your medical history and any medications you're currently taking. You might be asked to fast for a few hours before the procedure, depending on the type of anesthesia used.
The process begins with a thorough evaluation of the patient's medical history, symptoms, and physical examination. Imaging studies such as X-rays, MRI, or CT scans may be reviewed to help diagnose the source of the patient's pain.
We shall discusses the procedure with the patient, including its purpose, potential benefits, risks, and alternatives. Informed consent is obtained from the patient before proceeding.
The patient is prepared for the procedure, which may involve fasting (if sedation is used), changing into a hospital gown, and positioning on the examination table. You'll be asked to lie face down on an examination table, often with a cushion under your stomach for support, area of injection is cleaned and sterilised.
Depending on the patient's preference and the facility's protocols, local anesthesia and/or sedation may be administered to ensure patient comfort during the procedure.
Fluoroscopy (real-time X-ray imaging) is used to visualise the sacroiliac joint and guide the placement of the needle accurately. This helps ensure the medication is delivered precisely to the intended target.
Using a sterile technique, the doctor inserts a thin needle into the sacroiliac joint under fluoroscopic guidance. The injection typically contains a combination of a local anesthetic (such as lidocaine or bupivacaine) to provide immediate pain relief and a corticosteroid medication (such as triamcinolone or methylprednisolone) to reduce inflammation and provide longer-term relief.
After the injection is completed, the patient is monitored for a short period to observe for any immediate complications, such as allergic reactions or bleeding. Vital signs may be checked, and the patient's pain level is assessed.
The patient is provided with instructions for post-procedure care, which may include avoiding strenuous activities for a period of time, applying ice to the injection site to reduce swelling and discomfort, and taking any prescribed medications as directed.
A follow-up appointment is scheduled to evaluate the effectiveness of the injection and the patient's response to treatment. Further treatment plans, including additional injections or alternative therapies, may be discussed based on the patient's progress.
Throughout the procedure, our team prioritise patient safety, comfort, and effective pain management. We communicate with the patient, address any concerns or questions, and ensure that the procedure is conducted with the highest standards of medical care.