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Sacroiliac Joint Steroid Injection

骶髂關(guān)節(jié)激素注射

A sacroiliac joint injection is designed to diagnose and treat pain and inflammation from sacroiliac joint dysfunction.

　　骶髂關(guān)節(jié)注射用于診斷和治療的骶髂關(guān)節(jié)功能紊亂引起的疼痛和炎癥。

Either too much or too little movement in one of the sacroiliac joints, which are located at the bottom of the spine on each side of the sacrum, can cause lower back pain and/or leg pain.

　　骶髂關(guān)節(jié)位于脊柱底部骶骨的兩側(cè)，無論活動過多還是活動過少，都會引起腰痛和/或腿痛。

An injection in the sacroiliac joint usually has two goals: to confirm the sacroiliac joint as the source of the pain, and to alleviate that pain.

　　骶髂關(guān)節(jié)注射通常有兩個目的：首先是確定骶髂關(guān)節(jié)是不是疼痛的來源，其次是減輕疼痛。

The procedure begins with the patient lying on his or her stomach. The area around the sacroiliac joint is numbed with an injection of a local anesthetic.

　　準備注射時，患者取俯臥位，骶髂關(guān)節(jié)周圍的區(qū)域注射局部麻醉藥物進行麻醉。

Then, using fluoroscopy dye and X-rays to assist in guiding the injection, a needle is inserted into the sacroiliac joint to deliver medicine directly to the source of pain.

　　然后，用造影劑和X線透視來引導注射。在骶髂關(guān)節(jié)內(nèi)插入穿刺針，將藥物直接注射到引起疼痛的部位。

The medication injected into the joint can be a local anesthetic, such as lidocaine or bupivacaine, and may also include an anti-inflammatory medication, such as a corticosteroid. If the local anesthetic provides immediate pain relief, it diagnoses the sacroiliac joint as the source of the patient’s pain.

　　注射到關(guān)節(jié)內(nèi)的藥物包括局麻藥（比如利多卡因或布比卡因），還可包括抗炎藥物，比如糖皮質(zhì)激素。如果局部麻醉藥使疼痛即刻緩解，可以診斷骶髂關(guān)節(jié)就是疼痛疼痛的來源。

The anti-inflammatory steroid may relieve pain in the sacroiliac joint over a longer period of time, possibly for weeks or months, allowing the patient to pursue physical therapy.

　　抗炎的激素能長時間緩解骶髂關(guān)節(jié)的疼痛，往往長達數(shù)周或數(shù)月，使病人能接受物理治療。

（高晨珉   轉(zhuǎn)）