J Korean Pain Soc.  1995 Nov;8(2):293-297.

The Effects of Sacroiliac Injection of Local Anesthetics and Corticosteroids on Patients with Acute Sarcroiliac Sprain

• Shin KM

Abstract

Despite applying recent advances in research and technology and taking into acount proper histories and performing thorough physical examinations, a high percentage of patients with low back pain have no identifiable pathology. Problems especially of the sacroiliac joint are commonly missed. The purpose of this article is to describe the effects of sacroiliac injection of local anesthetics and corticosteroids on patients with acute sacroiliac sprain. The sacroiliac joints are essentially nonweight-bearing joints that allows a small amount of anteroposterior rotatory movement around transverse axis usually about 5 to l0cm below the promontory of the sacrum vertically. The ligamentous portion of sacroiliac joint is vulnerable to rotatory movement particularly when the individual is in an awkward position. Injections of 3 ml of 2% lidocaine and 10 mg of methylprednisolone were given twice at two day intervals to 26 patients with acute sacroiliac sprain. Most of those patients obtained excellent results without any adverse effects.

Keyword

Sacroiliac sprain; Local anesthetics and corticosteroids

MeSH Terms

Adrenal Cortex Hormones*
Anesthetics, Local*
Axis, Cervical Vertebra
Humans
Joints
Lidocaine
Ligaments
Low Back Pain
Methylprednisolone
Pathology
Physical Examination
Sacroiliac Joint
Sacrum
Sprains and Strains*
Adrenal Cortex Hormones
Anesthetics, Local
Lidocaine
Methylprednisolone