Sacroiliac (SI) Joint Injections in Novi, MI
About Sacroiliac Joint Injections
The sacroiliac (SI) joints connect the base of the spine (the sacrum) to the pelvis on each side. When an SI joint is irritated or moving abnormally, it can cause pain in the low back, buttock, or sometimes the upper thigh.
An SI joint injection places a local anesthetic, often with a steroid, into the joint. It can help confirm whether the SI joint is the source of pain and can reduce inflammation.
Who may benefit
SI joint injections are commonly considered for low back or buttock pain that examination suggests is coming from the sacroiliac joint rather than the lumbar spine.
What to expect
- Physical examination maneuvers that help point to the SI joint as the pain source.
- The skin is numbed and the medication is placed in the joint, generally with image guidance.
- You may be asked to note how your usual painful activities feel afterward.
- Follow-up and a strengthening and stabilization program as part of your rehab plan.
Physician-led care in Novi
Treatment at Excel Physical Medicine and Rehab is provided under the direction of Dr. Augustus (Peter) Evangelista, who is board certified in Physical Medicine and Rehabilitation and in Pain Medicine. Treatment plans can include on-site physical therapy in Novi.
Verify this physician's specialty and practice address in the Corewell Health directory or Trinity Health Michigan directory.
Common questions
- How can SI joint pain be told apart from a disc problem?
- The patterns overlap, which is why a thorough physiatric exam matters. The response to a diagnostic SI joint injection can also help clarify the source.
- How do I know if this treatment is right for me?
- Every treatment plan at Excel Physical Medicine and Rehab starts with a comprehensive physiatric assessment. Dr. Evangelista reviews your history, examines how the problem affects your function, and discusses whether this option makes sense alongside alternatives such as physical therapy.
This page is general patient education, not medical advice. Whether a treatment is appropriate for you is decided after an in-person evaluation. For emergencies, call 911.
Schedule a consultation
Start with a comprehensive physiatric assessment at our Novi office.