Radiofrequency neuroablation in the treatment of pain syndrome of the sacroiliac joint
Journal Title: Біль. Суглоби. Хребет - Year 2018, Vol 8, Issue 2
Abstract
Background. Dysfunction of the sacroiliac joint (SJ) plays an important role in the formation of pain syndrome of lumbosacral localization. Radiofrequency neuroablation of SJ can be an alternative treatment in pain syndrome if intraarticular injections of hormonal drugs are ineffective. Multiple studies confirm data about the significant effectiveness of radiofrequency ablation of nerves innervating SJ for a period of 6–12 months. Purpose of the research: to analyze the effectiveness of radiofrequency neuroablation of SJ. Materials and methods. We conducted a prospective study of data in 48 patients (12 men and 36 women) aged 53 to 90 years, who were treated in the outpatient department of State Institution “Institute of Traumatology and Orthopaedics of the NAMS of Ukraine”. Results. A decrease in pain syndrome according to the Visual Analogue Scale (regression of pain by 3–10 points) was established 12 months after in 83 % of patients. Significant improvement was observed in 77 % of persons according to the results of quality of life assessment (Roland-Morris questionnaire) in 12 months. Analysis of treatment outcomes (by the index of recovery) 12 months after revealed: excellent results in 38 %, good — in 42 % of patients, satisfactory — in 20 % (among them — deterioration compared with baseline was noted in 8.3 % of cases). Conclusions. Radiofrequency neuroablation is an effective method for treating pain in the sacroiliac joint. The effect of the procedure is long-term (more than 12 months), and when relapse of the pain syndrome occurs, it is possible to repeat procedures.
Authors and Affiliations
Ya. V. Fishchenko, A. P. Kudrin, L. D. Kravchuk
Clinical and pathogenetic importance of exogenous metals included into the joint prosthesis in knee osteoarthritis
Background. The course of knee osteoarthritis is closely related to the content of metals in the environment of patients, which has a significant additional effect on the nature of microelementosis in patients after join...
Vitamin D deficiency and insufficiency in Ukrainian and Portuguese population: key highlights
Key highlights which were discussed during the Workshop on Vitamin D deficiency and insufficiency, that has been organized and held in Lisbon (Portugal) through the united efforts of Mário Rui Mascarenhas, Professor of E...
The Role of Smoking in the Development of Psoriatic Arthritis and Psoriasis
The paper covers the new data on smoking effects on the development of psoriasis and psoriatic arthritis. It was found that smoking aggravates the severity of psoriasis, worsens the prognosis, and makes the smoking patie...
Abstracts of the III International symposium “Diseases of the bones and joints and the age” (March 12–14, 2018, Lviv, Ukraine)
.
Efficiency and safety of ibandronic acid: focus on the results of randomized researches and meta-analysеs
This review provides current data about the efficacy, safety and tolerability of oral and parenteral forms of ibandronic acid, as well as its use in the complex treatment of systemic osteoporosis and its complications ac...