Sacroiliac Joint Block (Ultrasound-Guided, X-Ray Fluoroscopy-Guided)

  • Hisashi DateEmail author


Some patients with lower back and leg pain do not respond to lumbar epidural blocks, and no distinct findings are found on magnetic resonance imaging. Such patients may include patients with sacroiliac joint pain. A sacroiliac joint block is used for the diagnosis and treatment of sacroiliac joint pain; it is an important blocking procedure from both therapeutic and diagnostic viewpoints. Although X-ray fluoroscopy-guided sacroiliac joint blocks were predominant in the past, ultrasound-guided blocks are currently common. In some cases, performing infiltration anesthesia in the ligaments (posterior sacroiliac ligament and interosseous sacroiliac ligament) posterior to the sacroiliac joint achieves a blocking effect similar to that of injections into the sacroiliac joint cavity.


Sacroiliac joint pain Ultrasound-guided X-ray fluoroscopy-guided 


  1. 1.
    Kim WM, Lee HG, Jeong CW, et al. A randomized controlled trial of intra–articular prolotherapy versus steroid injection for sacroiliac joint pain. J Altern Complement Med. 2010;16:1285–90.CrossRefGoogle Scholar
  2. 2.
    Luukkainen RK, Wennerstrand PV, Kautiainen HH, et al. Efficacy of periarticular corticosteroid treatment of the sacroiliac joint in non–spondyloarthropathic patients with chronic low back pain in the region of the sacroiliac joint. Clin Exp Rheumatol. 2002;20:52–4.PubMedGoogle Scholar
  3. 3.
    Liliang PC, Lu K, Weng HC, et al. The therapeutic efficacy of sacroiliac joint blocks with triamcinolone acetonide in the treatment of sacroiliac joint dysfunction without spondyloarthropathy. Spine (Phila Pa 1976). 2009;34:896–900.CrossRefGoogle Scholar
  4. 4.
    Hansen H, Manchikanti L, Simopoulos TT, et al. A systematic evaluation of the therapeutic effective ness of sacroiliac joint interventions. Pain Physician. 2012;15:E247–78.PubMedGoogle Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of AnesthesiologySendai Pain-Clinic CenterSendaiJapan

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