Sacroiliac joint pain: what treatment and when.
Federico CocconiNikolaos MalliaropoulosAndreas BellMichael Kurt MemmingerFrancesco SimeoneFilippo MiglioriniPublished in: Expert review of neurotherapeutics (2024)
Surgical management for SIJ pain is effective. However, it exposes patients to surgery and, therefore, related complications. Conservative management may be implemented in patients with moderate SIJ pain, with less than six months of symptoms, or not eligible for surgery. Several noninvasive modalities are available, mostly centered on intra-articular injections. Corticosteroids, platelet-rich plasma, and stem cells have only midterm lasting effects, at most for nine months. Radiofrequency ablation is another methodology for pain relief. Both continuous and pulsatile radiofrequency ablation are associated with good outcomes. SIJ fusion can be performed using different techniques; however, a clear recommendation on the most appropriate modality for the management of SIJ pain is still debated.
Keyphrases
- chronic pain
- radiofrequency ablation
- pain management
- neuropathic pain
- stem cells
- platelet rich plasma
- minimally invasive
- end stage renal disease
- chronic kidney disease
- coronary artery bypass
- ejection fraction
- spinal cord injury
- adipose tissue
- skeletal muscle
- prognostic factors
- coronary artery disease
- postoperative pain
- high intensity
- percutaneous coronary intervention
- ultrasound guided
- patient reported
- combination therapy