Lateral branch blocks as a treatment for sacroiliac joint pain: A pilot study

Cohen, Steven P.; Abdi, Salahadin

doi:10.1053/rapm.2003.50029

Cited by 98 publications

(151 citation statements)

References 19 publications

(27 reference statements)

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“…Eight of nine patients had more than 50% pain relief that lasted for more than nine months 16 . Ferrante et al reported use of radiofrequency denervation with bipolar electrodes for thermoablation along the sacroiliac joint line.…”

Section: Resultsmentioning

confidence: 96%

“…Histological analysis of the sacroiliac joint has verified the presence of nerve fibers within the joint capsule and adjoining ligaments. It has been variously described that the sacroiliac joint receives its innervation from the ventral rami of L4 and L5, the superior gluteal nerve, and the dorsal rami of L5, S1, and S2, or that it is almost exclusively derived from the sacral dorsal rami 5,7,12,13,14,15,16,17 .…”

Section: Resultsmentioning

confidence: 99%

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Long-term follow-up in sacroiliac joint pain patients treated with radiofrequency ablative therapy

Romero

Vital²,

Zanini

et al. 2015

Arq. Neuro-Psiquiatr.

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Sacroiliac joint (SIJ) pain is responsible for up to 40% of all cases of lumbar back pain.Objective Report the long-term efficacy of radiofrequency denervation for sacroiliac joint pain at six, twelve and eighteen months.Method Third-two adults’ patients with sacroiliac join pain diagnosis were included for a prospective study. Primary outcome measure was pain intensity on the Numeric Rating Scale (NRS). Secondary outcome measure was Patient Global Impression of Change Scale (PGIC).Results Short-term pain relief was observed, with the mean NRS pain score decreasing from 7.7 ± 1.8 at baseline to 2.8 ± 1.2 at one month and to 3.1 ± 1.9 at six months post-procedure (p < 0.001). Long-term pain relief was sustained at twelve and eighteen months post-procedure, with NRS pain remaining at 3.4 ± 2.1 and 4.0 ± 2.7, respectively.Conclusion Radiofrequency denervation of the SIJ can significantly reduce pain in selected patients with sacroiliac syndrome.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Long-term follow-up in sacroiliac joint pain patients treated with radiofrequency ablative therapy

Romero

Vital²,

Zanini

et al. 2015

Arq. Neuro-Psiquiatr.

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“…When selecting patients, neither double comparative blocks nor prognostic lateral branch blocks have proved to enhance outcomes. Studies in cadavers have demonstrated that the L5−S3 levels should be targeted in most people, although some individuals may benefit from lesioning L4 and S4 as well [21,22]. Indirect evidence has shown that cooled probe technology can enhance lesion size, and may this improve treatment outcomes [24].…”

Section: Discussionmentioning

confidence: 99%

Single strip lesions radiofrequency denervation for treatment of sacroiliac joint pain: two years’ results

Bellini¹,

Barbieri²

2016

Anaesthesiol Intensive Ther

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Background: Sacroiliac joint pain can be managed by intra-articular injections or radiofrequency of its innervation. Single strip lesions radiofrequency denervation is a new system. The objective of this study was to present one of the first utilizations of this innovative technique. Methods: 60 patients who met the diagnostic criteria for sacroiliac joint syndrome were enrolled in the study. In total, 102 single strip lesions radiofrequency denervations were performed. Pain intensity was measured with the Oswestry low back pain disability questionnaire and the Oswestry Disability Index whose scores were assessed at 1, 3, 6 and 12 months after the procedure. Results: 91.8 % of the 102 radiofrequency treatments resulted in a reduction of more than 50% pain intensity relief at 1 month, 81.6% at 3 months and 59.16% at 6 months. In 35.7% of cases, the relief was continuative up to 1 year. No relief was observed in 12.24% of cases. The ODI scores improved significantly 1 month after the procedure, compared with the baseline scores. The ODI scores after 6 months improved very clearly compared with the baseline scores and with the 3-month scores. Conclusions: Single strip lesions radiofrequency denervation using the Simplicity III probe is a potential modality for intermediate term relief for patients with sacroiliac pain.

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“…Clinical data on the efficacy of PRF are limited, whereas there is a stronger evidence for CRF, not only with respect to pain relief but also in terms of functional restoration (21)(22)(23)(24)(25). Additionally, most reports are retrospective in nature and have involved only small patient groups.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Pulsed Radiofrequency Denervation in the Treatment of Chronic Facetjoint Pain: An Observational Study

Colini-Baldeschi

2012

Anesth Pain

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Lateral branch blocks as a treatment for sacroiliac joint pain: A pilot study

Abstract: In patients with SI joint pain who respond to L4-5 dorsal rami and S1-3 LBB, RF denervation of these nerves appears to be an effective treatment. Randomized, controlled trials are needed to further evaluate this procedure.

Cited by 98 publications

References 19 publications

Long-term follow-up in sacroiliac joint pain patients treated with radiofrequency ablative therapy

Long-term follow-up in sacroiliac joint pain patients treated with radiofrequency ablative therapy

Single strip lesions radiofrequency denervation for treatment of sacroiliac joint pain: two years’ results

Evaluation of Pulsed Radiofrequency Denervation in the Treatment of Chronic Facetjoint Pain: An Observational Study

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