When non-surgical treatments for the SI joint fail, surgical options provide permanent stability and pain reduction. Our surgeons remain on the forefront of providing innovative evidence-based spine treatments. Our very own Dr. Christopher Good was the first surgeon in North America to perform robotic guidance sacroiliac fusion in June 2013. We are also very proud of Dr. Michael Hasz and his leading expertise in SI joint related pain. He has been performing SI fusions for nearly 20 years using various techniques, and in more recent years the iFuse Implant System. Dr. Hasz is a lead principal investigator in SIFI, an SI-BONE national prospective outcome study. Our collective expertise in SI fusion techniques and involvement in SIFI allows the Virginia Spine Institute to offer an array of treatment options for our patients suffering from sacroiliac related pain.
On occasion, you may feel numb, slightly weak or have an odd feeling in your leg for a few hours after the injection. You may notice a slight increase in your pain lasting for several days as the numbing medication wears off before the cortisone is effective. Ice will typically be more helpful than heat in the first 2-3 days after the injection. You may begin to notice an improvement in your pain 2-5 days after the injection. If you do not notice improvement within 10 days after the injection, it is unlikely to occur. You may take your regular medications after the procedure, but try to limit them for the first 4-6 hours after the procedure, so that the diagnostic information obtained from the procedure is accurate. You may be referred for physical or manual therapy after the injection while the numbing medicine is effective and/or over the next several weeks while the cortisone is working.