A Novel Approach to the Treatment of Sacroiliac Joint Complex Pain

Rejaei, Damoon; Singh, Naileshni; Sheth, Samir; Koebner, Ian; Fishman, Scott M.

doi:10.1097/aap.0000000000000385

Cited by 3 publications

(1 citation statement)

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“…Previous reports, which utilized bipolar RFTC for synovial joints such as the sacroiliac joint and the thoracic facet joint, provide evidence that this technique is a more effective mode of treatment. [ 8 9 10 ] An ex vivo study utilizing porcine spinal tissue samples confirmed that heating the two electrodes simultaneously appeared to coagulate a wider area and potentially achieved better results in less time. [ 11 ] Based on these findings, we hypothesized that bipolar RFTC will be more efficacious than PIRFT in generating effective RF lesions and decreasing nociceptive input in discogenic LBP patients.…”

Section: Introductionmentioning

confidence: 99%

Fluoroscopy-guided Bipolar Radiofrequency Thermocoagulation Treatment for Discogenic Low Back Pain

Zhang

Ding

Zhao

et al. 2016

Chinese Medical Journal

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Background:The efficacy of percutaneous intradiscal radiofrequency thermocoagulation (PIRFT) for the treatment of discogenic low back pain (LBP) remains controversial. However, all the PIRFT studies utilized monopolar radiofrequency thermocoagulation (RFTC). The aim of this study was to investigate the safety and efficacy of bipolar RFTC for the treatment of discogenic LBP.Methods:A total of 23 patients with discogenic LBP were treated with single-level bipolar RFTC. The patients were assessed before the procedure and at 1 week, 1 month, 3 months, 6 months, and 1 year after the procedure. The primary outcome included the visual analog scale (VAS) score and the Oswestry Disability Index (ODI) score. The secondary outcome included pain relief, reduction of analgesic dose, and patient satisfaction.Results:The VAS and ODI scores were significantly decreased after bipolar RFTC treatment at all time points of follow-up (P < 0.05). Bipolar RFTC treatment also resulted in a significant change in all secondary measures, such as pain relief, reduction of analgesic dose, and patient satisfaction. No serious complications or neurological sequelae were observed in any of the patients.Conclusions:Bipolar RFTC treatment can significantly attenuate pain and improve the function of patients with discogenic LBP.

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Section: Introductionmentioning

confidence: 99%