Multisociety multispecialty consensus recommendations on corticosteroid injections for facet joint and sacroiliac joint pain
Methodological detailsmodified Delphi process, modified US Preventive Services Task Force grading, Consensus defined as >75% agreement; all statements approved after four rounds of discussion
- Modified Delphi process
- Modified US Preventive Services Task Force grading
- Consensus defined as >75% agreement; all statements approved after four rounds of discussion
Recommendations
As issued by the authors
Corticosteroid injection into the facet joint in patients with joint inflammation may relieve pain and improves function.
Intra-articular, extra-articular (periarticular), and combined administration are effective for sacroiliac joint injections.
No dose-response studies exist, but corticosteroid injections (CSIs) containing 10 mg of methylprednisolone or triamcinolone per facet joint and 40 mg per sacroiliac joint (SIJ) (or their pharmacologic equivalents) are reasonable.
Original publication
Multisociety multispecialty consensus recommendations on corticosteroid injections for facet joint and sacroiliac joint pain. Reg Anesth Pain Med. Published 22 January 2026. doi:10.
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