CT-Guided Pain Management for Sacroiliitis
Sacroiliitis is an inflammatory process of the sacro-iliac joint in the pelvis.
One accepted mode of treatment for this condition is injection of a mixture of an anesthetic and steroids (anti-inflammatory medication) directly into the sacroiliac joint.
This procedure is performed by an expert physician under CT guidance to verify injection directly into the joint.
The aim of the procedure is not to heal the inflamed joint but rather to ease the pain.
Pain is usually relieved for a period of several months.
The procedure can be repeated several times in the same joint, when effects subside after several months.
CT image of the pelvis showing typical findings of Sacroiliitis of the left sacroiliac joint (arrows). |
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The procedure:
Performed under sterile conditions
The patient lies in prone position on the CT table.
A short CT scan of the sacroiliac joints is performed in order to plan the approach.
Local anesthesia is introduced to the area, then the physician gradually advances the needle into the sacroiliac joint with several stops for CT scanning to verify needle position. When the needle is demonstrated in the sacroiliac joint the mixture of anesthetic and anti-inflammatory medication is injected into the joint.
The procedure last 30-40 minutes.
Following the procedure
The patient is required to stay in house for observation for approximately one hour.
Special preparations
After scheduling an appointment, the patient will receive a list of requirements by mail or fax. The specified blood results should be up-to-date.
Patients receiving anti-coagulant treatment should notify their physician for specific preparations.
