42 Sacroiliac Joint Injections: What Is an SIJ Block & How Does It Confirm the Diagnosis?

Building on the series on lower back pain causes, this episode focuses on sacroiliac joint diagnostic blocks — how they are performed, how to interpret results, and what treatment options follow a positive block. The hosts cover the debate around single versus double blocks, the role of radiofrequency neurotomy and prolotherapy as next steps, and the economic and logistical considerations patients face when navigating these decisions. Clinicians will gain clarity on using SIJ blocks as a diagnostic tool to confirm dysfunction and guide a more targeted treatment plan.

Resources:

www.iniyh.com/episodes/ep-42-pain-procedures-sacroiliac-joint-sij-blocks

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

Timestamps:

00:00 Introduction and Episode Overview

00:55 Understanding Lower Back Pain

01:19 Sacroiliac Joint Injections Explained

02:45 Injection Techniques and Controversies

04:05 Diagnostic Blocks and False Positives

06:21 Therapeutic Options and Health Economics

06:37 Patient Pathways and Decision Making

09:39 Injection Protocols and Follow-Up

12:57 SIJ Fusions and Regional Differences

14:44 Conclusion and Next Episode Teaser