An Interventional Pain and Sports Medicine Practice

An Interventional Pain & Sports
Medicine Practice

What is Sacroiliac Joint Dysfunction and Sacroiliac Joint Arthritis

Sacroiliac-joint-dysfunction | Barr Center | Virginia Beach, VA

The large, C-shaped sacroiliac (SI) joint connects the pelvic bones (the ilia) to the sacrum at the base of the spine. There are a pair of SI joints, one on either side of the tailbone. Serving as shock absorbers for the pelvis and low back, the SI joints move constantly when the body is in motion, helping to provide stability and structural support to the lower part of the body.

What can go wrong with the Sacroiliac Joint?

Sacroiliac Joint DisfunctionThe most common cause of Sacroiliac Joint Dysfunction is from traumatic injury, whether from a fall or traffic accident or from repetitive rotation of the lumbar spine and pelvis during sports and work-related activities. Inflammation of the sacroiliac joints is very common and often occurs for no apparent reason. Mechanical dysfunction of the SI joints is also quite common and we routinely assess for mechanical dysfunction in the office and perform osteopathic manipulation which can be quite helpful. Over stretching, straining, and tearing of the SI joint support ligaments then cause weakening and abnormal motion of the joint, resulting in painful ligaments and joints as well as spasm. Postural imbalances as well as leg length inequalities can also cause Sacroiliac Joint Dysfunction. As a result of this, there can be a Sacroriliac Joint Injection | Barr Centerdisruption of movement in the joint (either too much or too little).

 Sacroiliac (SI) Joint Injections (Sacroiliitis)

A sacroiliac injection places a pain-numbing medicine and steroid directly into the sacroiliac (SI) joint. There are two sacroiliac joints, one located on either side of the sacrum (see arrow pointing to the left sacroiliac joint). The benefit of this procedure is to reduce inflammation, help confirm the SI joint as the source of pain, and better allow a physical therapist to treat the joint.

How is the procedure done?

Sacroiliac Joint InjectionYou will receive a local anesthetic before a small spinal needle is inserted under fluoroscopic guidance into the SI joint. The procedure takes approximately 15 minutes. The arrow shows the needle within the sacroiliac joint. Once the needle is securely positioned into the joint a small amount of x-ray contrast dye will be injected confirming proper needle placement, then a mixture of steroid and lidocaine will be injected.  The joint will numb up within just a few minutes and you will notice the effects of the steroid within several days.

X-ray image of an actual left sacroiliac joint injection.

What should I do the day of the procedure?

  • You may eat a light meal a few hours before the procedure.
  • If you are an insulin-dependent diabetic, it’s important not to change your normal eating pattern prior to the procedure.
  • If you have an allergy to x-ray contrast dye you will need to notify our staff and you will need to take the Radin prep the evening prior to and the day of the procedure.

Does the procedure hurt?

Because the procedure is done under local anesthesia, you should not experience much discomfort.

What should I expect after the procedure?

The local anesthetic may completely eliminate your pain for a few hours. However, the pain may return and you may have sore buttocks for a day or two. Within three to five days, you should start noticing significant pain relief, which may last up to many months.

What should I do after the procedure?

If you have some soreness, you may apply ice packs hourly for 15-20 minutes at a time for the first 48 hours.

How soon can I return to work?

Twelve hours after the procedure, you can perform normal activities as long as they are not uncomfortable. Barring complications, you should be able to return to work the day after the procedure.

How many injections should I have?

We generally do not perform more than three injections within a one-year period. Giving more injections can increase the likelihood of side effects from the steroid. In addition, if three injections within a year have not helped you much, it is very unlikely that you will get any further benefit from additional injections.

Can I have this procedure if I am on Coumadin® or other blood thinners?

No. You should not have the procedure if you are currently taking blood-thinning medication. Ask your doctor, however, before stopping any medications.

Are there any risks with this procedure?

Some temporary discomfort is normal. However, other risks involved with the injection include infection, bleeding, and worsening of symptoms. Although rare, there are side effects that are related to steroid, including:

  • Fluid retention
  • Weight gain
  • Increased blood sugar (primarily in diabetics)
  • Elevated blood pressure
  • Mood swings
  • Insomnia

Can the Barr Center Help You with Back Pain Relief?

Call us at 757-578-2260 or email us at Info@BarrCenter.com to get started on relieving your back pain.

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Other pain management conditions we treat are: Neck PainShoulder PainHip Pain and Knee Pain.  We often use Regenerative Medicine and Physical Therapy in our treatments.

INNOVATIVE PAIN & REGENERATIVE THERAPIES
INNOVATIVE PAIN & REGENERATIVE THERAPIES
Expert care for spine, joint, nerve, sports injuries, and chronic pain.

Find Relief From the Conditions Holding You Back

Dr. Lisa Barr is a leading pain management physician in Virginia Beach with over 35 years of experience diagnosing and treating spine, joint, nerve, and musculoskeletal pain. As a Board Certified PM&R specialist, she focuses on whole-body, non-surgical solutions that uncover the true root cause of pain. She is also the international bestselling author of Outsmart Your Pain and one of the region’s most experienced experts in regenerative medicine, PRP, and advanced biologic therapies.

Spinal Conditions
  • Neck Pain
  • Mid Back Pain
  • Low Back Pain
  • Pelvic Pain
  • SacroiIiac Joint Pain
  • Hypermobility
  • Myofascial Pain
    • Trigger Point
      injections
    • What is Sarapin?
  • Fibromyalgia
  • EOS/Hypermobility
    Syndrome
  • Autoimmunity
    • LDN (Low dose
      Natrexone)
    • Testing
  • Prolotherapy
  • Neuroprolotherapy
  • Neural Therapy
  • Cold Laser
  • Entrapment Neuropathy
    • Carpal Tunnel Syndrome
    • Radial & Ulnar Nerve Entrapment
    • Lower Extremity Entrapment
    • Occipital Neuritis
  • Scar Tissue
  • Peripheral Neuropathy
    • Fatty Acid Testing & Specialized Therapies
    • Cold Laser
    • Nutritional Support
  • Neck Pain
  • Mid Back Pain
  • Low Back Pain
  • Pelvic Pain
  • SacroiIiac Joint Pain
  • Hypermobility
  • Inner Arsenal
  • Vagus Nerve Support
  • Power over Pain Mindset
  • Breathing Practices
Resources

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OVERVIEW

The Barr Center for Innovative Pain and Regenerative Therapies, led by Dr. Lisa Barr, is dedicated to helping people in pain. With over forty years of experience, Dr. Barr and her staff offer a range of evaluation and treatment options, including osteopathic assessment, trigger point injections, prolotherapy, and regenerative therapies. They prioritize a caring atmosphere and involve patients in their own care, ensuring they understand the recommended treatments. If necessary, they collaborate with other professionals to provide a comprehensive approach. Dr. Barr’s expertise has been recognized with the Top Doc award for thirty years.

FAQ

Pain Management and Treatment

The Barr Center for Innovative Pain & Regenerative Therapies is located at:

933 First Colonial Road, Suite 200
Virginia Beach, VA 23454

Phone: 757-578-2260
Email: info@BarrCenter.com

Monday–Thursday: 8:30 am–5:00 pm

Friday: Closed (note: physician on call)

Not always. Some insurance plans—especially HMOs—require a referral before seeing a specialist. To confirm what your specific plan requires, call your insurance provider or contact our office at 757-578-2260.

We accept most major insurance plans (except Medicaid). If your plan requires a referral or pre-authorization to see a specialist, you will need one for your first visit. After your initial consultation, our office obtains any future pre-authorizations, sometimes with assistance from your referring provider. Visit our Patient Resources page for details.

Yes. We offer telemedicine visits for certain appointment types, including follow-up visits and treatment discussions. Some procedures require in-office evaluation, and our team will help determine whether a virtual visit is appropriate.

Conditions and Treatment Questions

Led by pain management specialist Lisa Barr, M.D., the Barr Center provides comprehensive musculoskeletal and pain treatments including:

• Acupuncture
• Mind-body medicine and lifestyle optimization
• Interventional spinal procedures
• Sports medicine
• Physical therapy
• Regenerative medicine (PRP, prolotherapy)

We treat a wide range of pain and musculoskeletal conditions, including:

• Neck, shoulder, hip, back, and knee pain
• Sports injuries and repetitive strain conditions
• Posture, sleep, and movement-related pain
• Car accident injuries, including whiplash

Our approach provides proven alternatives to surgery and long-term medications through targeted injections, hands-on physical therapy, acupuncture, lifestyle guidance, and regenerative medicine.

If your pain is persistent, recurring, or limiting daily activities, it is time for an evaluation. We assess how your joints move, how your muscles function, and whether lifestyle factors are contributing to your symptoms.

We offer a comprehensive, root-cause approach to pain in a boutique practice setting.

Our team is highly specialized, and we combine interventional pain medicine, regenerative therapies, physical therapy, and whole-person care—all under one roof.

Our team includes board-certified physicians, licensed physical therapists, regenerative medicine specialists, acupuncture providers, and experienced clinical support staff with focused expertise in musculoskeletal medicine and pain management.

Preparing for your First Appointment

To help make your first visit efficient, please bring:

• Photo ID
• Insurance card
• Referral (if required by your insurance)
• Completed new-patient paperwork
• Co-pay, if applicable

If you have MRIs, CT scans, X-rays, or lab results, please have your referring provider fax them to our office. You may also download our Medical Records Request Form to expedite the process.

Experiencing Pain? Reach Out For Medication-Free Treatment