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

PainSci » bibliography » Romero et al 2015
Tags: back pain, denervation, pain problems, spine, neurology, treatment

Four articles on PainSci cite Romero 2015: 1. The Complete Guide to Low Back Pain2. The Complete Guide to Patellofemoral Pain Syndrome3. The Complete Guide to Neck Pain & Cricks4. Do Nerve Blocks Work for Neck Pain and Low Back Pain?

PainSci notes on Romero 2015:

Small test of radiofrequency denervation for sacroliac joint pain with positive results, but uncertain methodological quality. Note that although pain was still reduced long-term, it make a partial comeback: these patients were not cured.

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

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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