Sacroiliac pain is characterized by Stiffness and painful back, with pain in buttocks developing by prolonged sitting and standing.
Technique:
The patient is positioned prone, with the C arm is positioned to visualize the sacroiliac joint. The insulated RF probe (needle) is inserted at the inferior joint margin. The second RF probe is placed more cephalad in the joint; at a distance of less than 1 cm. RF lesions are created at 80°C. Another RF probe is then placed more cephalad in the SIJ, at a distance of less than 1 cm from the second probe, and another lesion is created. Multiple subsequent lesions are then created in a repetitive, alternating manner, going as high in the joint as possible.
The patient is complaining of pain and stiffness in the back, with pain radiating to buttocks developing by prolonged sitting and standing. The procedure is performed in an outpatient setting. The treatment is done with local anesthesia along with IV sedation when needed .The patient is positioned prone, with the C arm is positioned to visualize the sacroiliac joint. The insulated RF probe (needle) is inserted at the inferior joint margin. The second RF probe is placed more cephalad in the joint; at a distance of less than 1 cm. RF lesions are created at 80°C. Another RF probe is then placed more cephalad in the SIJ, at a distance of less than 1 cm from the second probe, and another lesion is created. Multiple subsequent lesions are then created in a repetitive, alternating manner, going as high in the joint as possible. The needles were removed and puncture site was sterilized and covered.
