Radiofrequency ablation involving the sacroiliac joint Book Section


Authors: Vodapally, S.; Rakesh, N.; Gulati, A.
Editor: Abd-Elsayed, A.
Article/Chapter Title: Radiofrequency ablation involving the sacroiliac joint
Title Series: Atlas of Interventional Pain Management Series
Abstract: Low back pain (LBP) has consistently been one of the leading causes of years lived with disability, both globally and in the United States. Within the population that suffers from LBP, there are patients with nonspecific low back pain stemming from the sacroiliac joint (SIJ). This diarthroidal joint is susceptible to dysfunction and being the primary pain mediator in many patients, particularly those with risk factors such as leg length discrepancy, gait abnormalities, prior spinal fusions, and pregnancy. Accurately diagnosing the SIJ as the source of a patient’s LBP is complicated, but an accurate history and physical exam followed by a gold standard diagnostic intraarticular SIJ block with a local anesthetic can help confirm the SIJ as the primary pain mediator in this patient population. Once the SIJ is confirmed as the primary cause of pain, radiofrequency ablation (RFA) of the lumbar and sacral nerves innervating the posterior SIJ can help alleviate pain coming from this joint. Various types of RFA and techniques have been developed when performing this procedure, which we will further explore in this chapter. © 2024 Elsevier Inc. All rights reserved.
Keywords: low back pain; bipolar radiofrequency ablation; rfa; sacroiliac joint; lbp; cooled radiofrequency ablation; nonspecific lbp; sacroiliac joint pain; sacroiliac joint radiofrequency ablation; sij; simplicity iii
Book Title: Radiofrequency Ablation Techniques: A Volume in the Atlas of Interventional Techniques Series
ISBN: 978-0-323-87063-4
Publisher: Elsevier Inc.  
Publication Place: Philadelphia, PA
Date Published: 2024-01-01
Start Page: 45
End Page: 59
Language: English
DOI: 10.1016/b978-0-323-87063-4.00017-5
PROVIDER: scopus
DOI/URL:
Notes: Book Chapter: 8 -- Source: Scopus
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  1. Amitabh Gulati
    153 Gulati
  2. Neal Rakesh
    17 Rakesh