At Alton Pain Clinic, we offer evidence‑based, personalised care for sacroiliac joint dysfunction, including advanced ultrasound‑guided joint injections such as ultrasound-guided cortisone injection and hyaluronic acid injection, designed to relieve pain and restore movement safely and accurately.
Understanding the Sacroiliac Joint
The sacroiliac joint (SI joint) connects the sacrum at the base of the spine to the iliac bones of the pelvis. You have two SI joints, one on each side. These joints act as shock absorbers, transferring weight and forces between the upper body and the legs during walking, standing and lifting.
Although movement in the SI joint is minimal, even small abnormalities can lead to significant pain. Sacroiliac joint dysfunction occurs when the joint becomes inflamed, stiff, unstable or irritated, resulting in localised pain that may radiate to the lower back, buttock, groin or upper thigh.
Common causes include:
- Pregnancy and postpartum changes
- Arthritis and age‑related wear
- Trauma such as a fall or road traffic accident
- Leg length discrepancy
- Previous spinal surgery
- Inflammatory conditions
Symptoms of Sacroiliac Joint Pain
Symptoms vary from person to person but commonly include:
- Lower back pain, usually on one side
- Pain in the buttock or hip region
- Discomfort when standing up from sitting
- Pain when climbing stairs or turning in bed
- Stiffness after periods of rest
Because these symptoms overlap with disc problems and hip disorders, a thorough clinical assessment is essential before deciding on treatment.
Diagnosis at Alton Pain Clinic
At Alton Pain Clinic, diagnosis begins with a detailed medical history and physical examination. We use specific clinical tests designed to stress the sacroiliac joint and reproduce symptoms. In many cases, a diagnostic joint injection is the most reliable way to confirm sacroiliac joint dysfunction. If pain improves significantly after the injection, the SI joint is confirmed as the pain source.
Treatment Options for Sacroiliac Joint Pain at Alton Pain Clinic
Treatment is usually approached in a stepwise manner, starting with conservative care and progressing to more targeted interventions if symptoms persist.
Sacroiliac Joint Injections
When conservative treatments are insufficient, joint injections are one of the most effective non‑surgical treatment options.
At Alton Pain Clinic, we specialise in ultrasound‑guided sacroiliac joint injections, which allow precise placement of medication directly into the affected joint. Ultrasound guidance improves accuracy, effectiveness and safety compared to landmark‑based techniques.
Cortisone Injections
Cortisone is a powerful anti‑inflammatory medication. An ultrasound‑guided cortisone injection can:
- Reduce inflammation within the sacroiliac joint
- Relieve pain and stiffness
- Improve mobility and function
Many patients experience significant pain relief lasting weeks to months, allowing them to engage more effectively in physiotherapy and rehabilitation.
Hyaluronic Acid Injections
In selected cases, hyaluronic acid injections may be offered. Hyaluronic acid helps improve joint lubrication and cushioning, which can be beneficial in degenerative sacroiliac joint conditions. This option may be particularly helpful for patients who cannot tolerate steroid injections or require an alternative approach.
All injections at Alton Pain Clinic are tailored to the individual, following a detailed assessment and discussion of benefits and risks.
Why Choose Alton Pain Clinic?
At Alton Pain Clinic, we take a personalised, patient‑centred approach to treating sacroiliac joint dysfunction. Our focus is on accurate diagnosis, minimally invasive treatments and long‑term improvement rather than short‑term pain suppression.
Our key advantages include:
- Specialist assessment of sacroiliac joint pain
- Advanced ultrasound‑guided joint injections
- Cortisone and hyaluronic acid injection options
- Evidence‑based treatment plans
- Clear communication and aftercare support
When Should You Seek Help?
You should consider specialist assessment if:
- Lower back or buttock pain persists for more than a few weeks
- Pain interferes with daily activities or sleep
- Physiotherapy and medication have not provided relief
- Pain worsens despite rest
Early diagnosis and targeted treatment can prevent chronic pain and improve quality of life.
Summary
Sacroiliac joint pain is a common and treatable condition. At Alton Pain Clinic, we offer tailored, evidence‑based care for sacroiliac joint dysfunction, helping patients return to comfortable movement and everyday activities with confidence.
If you suspect your pain may be coming from the sacroiliac joint, expert assessment is the first step towards effective relief.
Frequently Asked Questions
How do I know if my pain is coming from the sacroiliac joint?
Sacroiliac joint pain is usually felt in the lower back, buttock or hip and is often worse when standing, walking, climbing stairs or turning in bed.
What are sacroiliac joint injections used for?
Joint injections are used to reduce inflammation, relieve pain and confirm the diagnosis of sacroiliac joint pain. They are particularly helpful when conservative treatment has not provided sufficient relief.
Are ultrasound-guided sacroiliac joint injections safe?
Yes. Ultrasound guidance improves accuracy by allowing the clinician to see the joint in real time. This increases effectiveness and reduces the risk of complications compared to injections performed without imaging.