Sacroiliac Joint Injection

[Sheila6830]

I notice that I am still having some discomfort in my lower left back/butt area. The chiropractor is pretty sure it is my SI joint and told me that I should use ice, anti-inflammatories, stop over extending that joint (stop using my eliptcal, don't run, etc.)

I am wondering is an injection for the SI joint will also help the pudendal nerve? Are these similar?

I notice that besides my SI joint bothering me (I sit at a desk all day long), that I also sometimes have pain when I get aroused. I have been reading that this is due to the pudendal nerve.

Has anyone had a guided injection from a radiologist for their SI joint? Does it help the pudendal?

I'm desperate here.

[jess188]

The sacroiliac joint injection is done under floroscope or Xray and may help in relieving pain in the SI area. Typically, a numbing agent like lidocaine or marcaine is used, then a steriod like depomedrol or Kenalog.
I too have SI problems, and also pudendal neuralgia. I am getting a trigger point injection into the SI area ( the muscle) instead of the joint, and then probably a seperate trigger point injection into the muscle of the pelvic floor to help the muscle relax and so my PT can work on the stubborn tight band.
So, the SI injection isnt meant to help the pudendal nerve, but rather the SI lower back pain that you are experiencing. For pudendal nerve pain, if you are ooking for an injection, you would need to discuss a trigger point injection into the pelvic floor or a nerve block. But this is something you would need to ask your dr.

[3girls]

how is this diagnosed? the pudendal nerve entrapment, i mean????

[jess188]

Pudendal nerve entrapment is only diagnosed by surgery, but drs cab often have a good idea if you go through a series of 3 nerve blocks ( pudendal) and they relief the area temporarily. Thenerve blocks will tell then if the nerve is affected not if it is entrapped.
I have pudendal neuralgia ( iriitation or inflammation of the pudendal nerve from my pelvic floor muscles being too tight impinging on the nerve). I take Gabapentin ( an anticonvulsant, which helps with nerve misfirings), Elavil ( in a low dose helps nerve pain) and may be switching to Lyrica which is the newer anticonvulsant on the market. I also have to take a long acting narcotic for flaring pain.
I am not offering med advice, but it depends where you liveas to what Dr you can see. I was diagnosed in Sc.