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Sacroiliac Joint Interventions.

David A Soto Quijano1, Eduardo Otero Loperena1

  • 1Physical Medicine and Rehabilitation Residency Program, VA Caribbean Healthcare System, 10 Casia Street, San Juan, PR 00921, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 28, 2017
PubMed
Summary
This summary is machine-generated.

Sacroiliac joint (SIJ) pain is a common cause of lower back issues. This paper reviews various injection techniques, including intra-articular injections and nerve blocks, for diagnosing and treating SIJ pain.

Keywords:
Sacral lateral branch blockSacral lateral branch radiofrequency ablationSacroiliac jointSacroiliac joint injectionsSacroilitis

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Area of Science:

  • Pain Management
  • Musculoskeletal Medicine
  • Interventional Radiology

Background:

  • Sacroiliac joint (SIJ) pain is a significant contributor to lower back problems.
  • Complex and variable SIJ innervation presents challenges for accurate diagnosis and treatment.
  • Multiple SIJ injection techniques have been developed to address this condition.

Purpose of the Study:

  • To review and discuss various diagnostic and therapeutic injection techniques for sacroiliac joint pain.
  • To evaluate the efficacy of different approaches in managing SIJ-related lower back pain.
  • To explore both common and less common interventional strategies.

Main Methods:

  • Review of existing literature on sacroiliac joint injection techniques.
  • Discussion of fluoroscopy-guided and ultrasound-guided intra-articular injections.
  • Exploration of sacral branch blocks and radiofrequency ablation.
  • Inclusion of less common methods: prolotherapy, platelet-rich plasma (PRP), and botulinum toxin injections.

Main Results:

  • Various sacroiliac joint injection techniques can provide pain relief for patients.
  • Accurate intra-articular placement can be challenging due to complex SIJ anatomy.
  • Both common and less common injection modalities offer potential therapeutic benefits.

Conclusions:

  • Effective management of sacroiliac joint pain relies on understanding complex innervation and employing appropriate injection techniques.
  • A range of interventional options, from standard blocks to novel therapies, exist for SIJ pain.
  • Further research may elucidate optimal techniques for specific patient populations.