Radiofrequency ablation of the Sacroiliac Joint (SI Joint)

The pains of sacroilic joints are low back pain in 10-25% of chronic low back pain. Unfortunately, there are 2 SI joints, each of which can cause pain at a given time due to degenerative arthritis. The SI joints are the same as any other joints and suffer from painful arthritis. Ahh, the beauty of aging! Typical treatments for pain from the SI joint include over-the-counter medicines such as Tylenol and anti-inflammatory drugs, physical therapy, chiropractic and potentially a TENS unit.

If these treatments are unsatisfactory, the pain reliever physician can help the joint pain of SI with different alternatives. One may be the short-term use of narcotics. Long-term drug use is not recommended for sacroiliary arthritis.

Injections into sacroilic joints can serve two purposes. The first diagnostic that can tell the pain doctor if the pain really comes from the SI community. Diagnostic injection consists of a numbing drug with or without cytosone. This injection may result in more pain relief for a few weeks.

Occasionally sacroilar joint injections are advantageously used therapeutically, and include cortisone insertion into the joints. If the injection was performed only for diagnostic reasons or using therapeutic agents, it is an important factor to understand the degree of pain relief of the patient. If more than 50% pain relief has been achieved and then worn out, the injection may repeat repeatedly or the patient will be capable of radio ablation. Insurance companies often require this many pain relief to consistently endorse the neurotomy of radio frequency.

The radiofrequency procedure of the sacroilic joints consists of the combustion of small nerve endings with sensation. This can cause pain relief for a few months over two years. Several studies have taken into account the sacroiliac joint radiofrequency ablation and found that pain relief worked well 30-90% of the time. There are no large-scale studies on the radiopharmaceutical neurotomy of SI joint pains.

Generally, insurance companies require over 50% pain relief by diagnostic injection before allowing radiofrequency neurotomy. It's the same as the lumbar and cervical spine patches. A new search reveals that even if patients do not receive excellent analgesics with sacroiliac joint diagnostic injections, the patient can still achieve excellent results with a radio frequency procedure.

Further research is hoping to say that this is really the case. If radiofrequency ablation results in great relief, and after 6 to 18 months, the nerve endings will be restored, then the pain may return. At this time, the radio frequency ablation process can be simply repeated.

Source by sbobet

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