561 results match your criteria Injection Sacroiliac


Accuracy of Sacroiliac Injections With Ultrasound Guidance.

Am J Phys Med Rehabil 2020 Jun;99(6):e81-e82

Mayo Clinic Arizona, Mayo Clinic School of Medicine, Scottsdale, Arizona and MedStar National, Rehabilitation Hospital, MedStar Georgetown University Hospital, Georgetown University School of Medicine, Washington, DC.

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http://dx.doi.org/10.1097/PHM.0000000000001310DOI Listing

Intra-Articular Sacroiliac Joint Injection: Technical Guide.

Clin Spine Surg 2020 May 19. Epub 2020 May 19.

Indiana Spine Group, Carmel.

Sacroiliac (SI) joint pathology has been an increasingly discussed pathology as a potential etiology for significant low back and lower extremity pain. While patient history and examination maneuvers can assist with identifying the SI joint as a potential cause of pain, an intra-articular SI joint injection is critical to properly diagnose the SI joint as a clinically relevant pain generator. In addition to the diagnostic information from the injection, SI joint intra-articular injections can be performed for therapeutic benefit as part of a multi-modal, conservative treatment approach for SI joint pathology. Read More

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http://dx.doi.org/10.1097/BSD.0000000000001010DOI Listing

Imaging assessment of children presenting with suspected or known juvenile idiopathic arthritis: ESSR-ESPR points to consider.

Eur Radiol 2020 May 12. Epub 2020 May 12.

Department of Radiology, University Hospital of North Norway, Tromsø, Norway.

Juvenile idiopathic arthritis (JIA) is the most common paediatric rheumatic disease. It represents a group of heterogenous inflammatory disorders with unknown origin and is a diagnosis of exclusion in which imaging plays an important role. JIA is defined as arthritis of one or more joints that begins before the age of 16 years, persists for more than 6 weeks and is of unknown aetiology and pathophysiology. Read More

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http://dx.doi.org/10.1007/s00330-020-06807-8DOI Listing
May 2020
4.014 Impact Factor

Criteria for Identifying Technically Difficult Cases when Performing Sacroiliac Intraarticular Injections Based on the Grade of Sacroiliac Arthrogram.

Pain Med 2020 May 6. Epub 2020 May 6.

Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan.

Objective: An intraarticular sacroiliac joint (SIJ) injection cannot always be performed successfully. Based on the patterns of the sacroiliac arthrogram, we explored possible indicators of technically difficult and technically easy injections into the SIJ including demographic features and anatomical features evident on preprocedural imaging.

Design: Observational study. Read More

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http://dx.doi.org/10.1093/pm/pnaa120DOI Listing

Antiplatelet and Anticoagulant Risk for Select Spine Interventions: A Retrospective Cohort.

Pain Med 2020 May;21(5):910-917

Department of Physical Medicine and Rehabilitation, Vanderbilt University, Nashville, Tennessee.

Objectives: To identify significant bleeding complications following spinal interventions in patients taking medications with antiplatelet or anticoagulation effect.

Design: Retrospective chart review of a 12-month period.

Setting: Outpatient academic medical practice. Read More

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http://dx.doi.org/10.1093/pm/pnaa009DOI Listing

Inferior and Intra-/Peri-Articular Superior Sacroiliac Joint Injection Approaches Under Ultrasound Guidance to Treat Metastasis-Related Posterior Pelvic Bone Pain.

Pain Pract 2020 Apr 8. Epub 2020 Apr 8.

Department of Anesthesiology and Critical Care, Memorial Sloan Kettering Cancer Center, New York, New York, U.S.A.

Background: Numerous mechanical and pathologic variables contribute to sacroiliac joint (SIJ) pain. The oncologic population has additional considerations, including tumor burden causing fracture, nerve compression, joint instability, and periosteal inflammation. Post-treatment changes may also restrict joint mobility, causing transitional pain. Read More

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http://dx.doi.org/10.1111/papr.12896DOI Listing

Septic Arthritis and the Opioid Epidemic: 1465 Cases of Culture-Positive Native Joint Septic Arthritis From 1990-2018.

Open Forum Infect Dis 2020 Mar 12;7(3):ofaa089. Epub 2020 Mar 12.

Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Background: The clinical spectrum of septic arthritis in the era of the opioid crisis is ill-defined.

Methods: This is a retrospective chart review of 1465 cases of culture-positive native joint septic arthritis at Boston teaching hospitals between 1990 and 2018.

Results: Between 1990-2008 and 2009-2018, the proportion of septic arthritis cases involving people who inject drugs (PWID) rose from 10. Read More

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http://dx.doi.org/10.1093/ofid/ofaa089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7100530PMC

Developing Neuraxial and Regional Pain Procedural Skills Through Innovative 3-Dimensional Printing Technology.

J Am Osteopath Assoc 2020 Apr;120(4):273-282

Context: Various forms of simulation-based training, including training models, increase training opportunities and help assess performance of a task. However, commercial training models for lumbar puncture and epidural procedures are costly.

Objective: To assess medical students' and residents' perception of 3-dimensional (3D)-printed lumbar, cervical, and pelvic models for mastering joint injection techniques and to determine the utility of ultrasonography-guided needle procedure training. Read More

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http://dx.doi.org/10.7556/jaoa.2020.044DOI Listing

FEASIBILITY OF COLOUR DOPPLER ULTRASOUND FOR DETECTION OF INTRAARTICULAR SACROILIAC JOINT INJECTION: A CASE SERIES.

Ulster Med J 2020 01 18;89(1):42-43. Epub 2020 Feb 18.

Department of Anaesthesia and Pain medicine, University Hospital Limerick, Ireland. Department of Anaesthesia and Pain Medicine, Beaumont University Hospital, Dublin, Ireland.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027172PMC
January 2020

Use of Diagnostic Injections to Evaluate Sacroiliac Joint Pain.

Int J Spine Surg 2020 Feb 10;14(Suppl 1):30-34. Epub 2020 Feb 10.

Center for Diagnostic Imaging, St Louis Park, Minnesota.

The sacroiliac joint is a complex, variable, and irregular structure, thought to be the source of 15% to 30% of low back, pelvic, and radicular pain. Several predisposing factors, including prior spinal surgery and particularly lumbar fusion, can contribute to joint inflammation and acceleration of joint degeneration. Evaluation of the sacroiliac joint as a pain generator using history and physical alone can prove difficult, because a number of other pathologies can have a similar presentation. Read More

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http://dx.doi.org/10.14444/6081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041665PMC
February 2020

Case report and review of the potential role of the Type A piriformis muscle in dynamic sciatic nerve entrapment variant of piriformis syndrome.

Surg Radiol Anat 2020 Feb 28. Epub 2020 Feb 28.

Medical Department, Fremantle Football Club, Cockburn Central, WA, Australia.

Piriformis syndrome (PS) is an underdiagnosed but common cause of chronic buttock pain and sciatica. Anatomical variants of the piriformis muscle and sciatic nerve have not been thought to be significant in the pathophysiology of PS however, recent description of the piriformis musculotendinous junction has identified a common variant that we believe frequently results in dynamic sciatic nerve entrapment at the infra-piriformis fossa. We performed ultrasound guided low-dose Botulinum Toxin-A (BTX-A) injection to the lower piriformis muscle belly in an elite Australian Rules football player with PS and Type A piriformis muscle to relieve symptomatic sciatic nerve compression. Read More

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http://dx.doi.org/10.1007/s00276-020-02440-8DOI Listing
February 2020

Best practice in radiofrequency denervation of the lumbar facet joints: a consensus technique.

Br J Pain 2020 Feb 3;14(1):47-56. Epub 2019 Apr 3.

Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.

Background: Radiofrequency denervation is used to treat selected people with low back pain. Recent trials have been criticised for using a sub-optimal intervention technique.

Objectives: To achieve consensus on a best practice technique for administering radiofrequency denervation of the lumbar facet joints to selected people with low back pain. Read More

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http://dx.doi.org/10.1177/2049463719840053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026831PMC
February 2020

miR-21 may Act as a Potential Mediator Between Inflammation and Abnormal Bone Formation in Ankylosing Spondylitis Based on TNF-α Concentration-Dependent Manner Through the JAK2/STAT3 Pathway.

Dose Response 2020 Jan-Mar;18(1):1559325819901239. Epub 2020 Jan 21.

Department Of Rehabilitation Medicine, The Third Affiliated Hospital, Southern Medical University, Guang Zhou, Guangdong Province, China.

Objective: To explore the role of microRNA (miR-21) in new bone formation in ankylosing spondylitis (AS) as mediated by different concentration of tumor necrosis factor-α (TNF-α).

Methods: Fibroblasts isolated from the hips of patients with AS were induced to osteogenesis. These cells were then stimulated with varying concentrations of TNF-α. Read More

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http://dx.doi.org/10.1177/1559325819901239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974759PMC
January 2020

Effectiveness of Ultrasound Guided Platelet-Rich Plasma Injections in Relieving Sacroiliac Joint Dysfunction.

Am J Phys Med Rehabil 2020 Jan 16. Epub 2020 Jan 16.

Star Spine and Sport, Golden, CO, USA.

Objective: Investigate the efficacy of ultrasound guided platelet-rich plasma in reducing sacroiliac joint disability and pain.

Design: Prospective non-randomized interventional study analyzing 50 patients with low back pain secondary to sacroiliac joint dysfunction. Platelet-rich plasma was injected into the sacroiliac joint under ultrasound guidance. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001389DOI Listing
January 2020

Influence of Lumbar Stenosis Surgery on Sacroiliac Joint Pain-Long-Term Results.

World Neurosurg 2020 Apr 10;136:e386-e392. Epub 2020 Jan 10.

Department of Radiology, University of South Florida College of Medicine, Tampa, Florida, USA.

Objective: To investigate whether sacroiliac join (SIJ) pain can be secondary to walking with a flexed posture resulting from stenosis with neurogenic claudication, and resolves spontaneously after lumbar decompression.

Methods: A review of charts from January 1, 2014, through March 3, 2019, was performed to identify consecutive cases of adults 35 years of age or older with surgical spinal stenosis with neurogenic claudication as well as concomitant severe SIJ pain. Posture was considered flexed during walking if self-reported, confirmed by a close companion, or observed directly. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.017DOI Listing

iFuse Implant System for Treating Chronic Sacroiliac Joint Pain: A NICE Medical Technology Guidance.

Appl Health Econ Health Policy 2020 Jun;18(3):363-373

Cedar, Cardiff & Vale University Health Board, Cardiff, UK.

Treatment and management of sacroiliac joint pain is often non-surgical, involving packages of care that can include analgesics, physiotherapy, corticosteroid injections and radiofrequency ablation. Surgical intervention is considered when patients no longer respond to conservative management. The iFuse Implant System is placed across the sacroiliac joint using minimally invasive surgery, stabilising the joint and correcting any misalignment or weakness that can cause chronic pain. Read More

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http://dx.doi.org/10.1007/s40258-019-00539-7DOI Listing

Current Evidence for Diagnosis of Common Conditions Causing Low Back Pain: Systematic Review and Standardized Terminology Recommendations.

J Manipulative Physiol Ther 2019 11 20;42(9):651-664. Epub 2019 Dec 20.

Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, Iowa.

Objective: The purpose of this systematic review is to evaluate and summarize current evidence for diagnosis of common conditions causing low back pain and to propose standardized terminology use.

Methods: A systematic review of the scientific literature was conducted from inception through December 2018. Electronic databases searched included PubMed, MEDLINE, CINAHL, Cochrane, and Index to Chiropractic Literature. Read More

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http://dx.doi.org/10.1016/j.jmpt.2019.08.002DOI Listing
November 2019

Regenerative Medicine for Axial and Radicular Spine-Related Pain: A Narrative Review.

Pain Pract 2020 Apr 28;20(4):437-453. Epub 2020 Jan 28.

Division of Sports and Musculoskeletal Rehabilitation, Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, U.S.A.

Introduction: Regenerative injection-based therapy has established itself as a therapeutic option for the management of a variety of painful musculoskeletal conditions. The aim of this work was to review the current literature regarding regenerative injection therapy for axial/radicular spine pain.

Methods: A comprehensive literature review was conducted on the use of regenerative medicine for axial/radicular spine pain. Read More

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http://dx.doi.org/10.1111/papr.12868DOI Listing

Diagnosis and interventional pain management options for sacroiliac joint pain.

Ci Ji Yi Xue Za Zhi 2019 Oct-Dec;31(4):207-210. Epub 2019 Sep 16.

Department of Anesthesiology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.

The sacroiliac (SI) joint is among the most common sources of chronic low back pain, accounting for 15%-30% of patients presenting chronic low back pain. The complex anatomic structures, nerve innervation, and functional biomechanisms of the SI region make it challenging to diagnose and treat the SI joint as a pain source. In addition to physical therapy and medication for treating SI joint pain, multiple interventional measures including steroid injection, radiofrequency ablation, prolotherapy, and SI joint fusion have been proposed with various efficacies. Read More

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http://dx.doi.org/10.4103/tcmj.tcmj_54_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6905244PMC
September 2019

What do we know about the biomechanics of the sacroiliac joint and of sacropelvic fixation? A literature review.

Med Eng Phys 2020 02 19;76:1-12. Epub 2019 Dec 19.

LABS, Laboratory of Biological Structures Mechanics, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. Electronic address:

The purpose of this review is to summarize the general knowledge about the biomechanics of the sacroiliac joint and sacropelvic fixation techniques. Additionally, this study aims to support biomechanical investigations in defining experimental protocols as well as numerical modeling of the sacropelvic structures. The sacroiliac joint is characterized by a large variability of shape and ranges of motion among individuals. Read More

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http://dx.doi.org/10.1016/j.medengphy.2019.10.009DOI Listing
February 2020

[Pain generator sacroiliac joint : Functional anatomy, symptoms and clinical significance].

Orthopade 2019 Dec 6. Epub 2019 Dec 6.

Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstraße 200a, Heidelberg, Deutschland.

Background: The sacroiliac joint is a common cause of low back pain. Due to variable symptoms, the diagnosis is often very difficult. For diagnosis, systemic disease, as well as pathologies in the hips and lumbar spine must be excluded. Read More

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http://dx.doi.org/10.1007/s00132-019-03843-1DOI Listing
December 2019

Use of Ultrasound-Guided Platelet-Rich Plasma Injection of the Sacroiliac Joint as a Treatment for Chronic Low Back Pain.

Mil Med 2019 Dec 6. Epub 2019 Dec 6.

Star Spine and Sport, 2801 Youngfield St, Suite 150, Golden, CO 80401, USA.

Back pain and its associated complications are of increasing importance among military members. The sacroiliac joint (SIJ) is a common source of chronic low back pain (LBP) and functional disability. Many patients suffering from chronic LBP utilize opioids to help control their symptoms. Read More

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http://dx.doi.org/10.1093/milmed/usz398DOI Listing
December 2019

O-arm-guided sacroiliac joint injection: New techniques with reflux test.

Orthop Traumatol Surg Res 2020 Apr 29;106(2):281-283. Epub 2019 Nov 29.

Service de chirurgie orthopédique - traumatologique et chirurgie vertébrale, CHU de Nice, hôpital Pasteur 2, 30, voie Romaine, 06000 Nice, France.

Diagnosis of degenerative sacroiliac pain syndrome is difficult. Sacroiliac injection confirms diagnosis by relieving pain. The present study aimed to describe a sacroiliac injection technique under O-arm guidance. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.09.031DOI Listing

Update on Reversal and Decline of Growth of Utilization of Interventional Techniques In Managing Chronic Pain in the Medicare Population from 2000 to 2018.

Pain Physician 2019 11;22(6):521-536

Massachusetts General Hospital and Harvard Medical School, Boston, MA.

Background: The cost of US health care continues to increase, with treatments related to low back and neck pain and other musculoskeletal disorders accounting for the third highest amount of various disease categories. Interventional techniques for managing pain apart from conservative modalities and surgical interventions, have generally been thought to be growing rapidly. However, a recent analysis of utilization of interventional techniques from 2000 to 2016 has shown a modest decline from 2009 to 2016, compared to 2000 to 2009. Read More

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November 2019

Successful Thermal Neurotomy of the Painful Sacroiliac Ligament/Joint Complex-A Comparison of Two Techniques.

Pain Med 2020 03;21(3):561-569

Capital Pain and Rehabilitation Clinic, Canberra, Australia.

Background: There are many physical, pharmacological, and interventional therapies aimed at alleviating sacroiliac ligament/joint complex pain, including thermal neurotomy. Sacroiliac joint (SIJ) innervation, as opposed to posterior sacroiliac ligament complex innervation, remains uncertain; thus lateral branch thermal neurotomy to alleviate sacroiliac joint pain remains controversial.

Objective: This study aimed to compare the success rates of two lateral branch neurotomy techniques, large continuous-lesion multi-electrode radiofrequency neurotomy (RFN; Simplicity, Neurotherm Inc. Read More

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http://dx.doi.org/10.1093/pm/pnz282DOI Listing

Conventional Image-Guided Procedures for Painful Spine.

Neuroimaging Clin N Am 2019 Nov 13;29(4):539-551. Epub 2019 Aug 13.

Department of Radiology, University of Utah, 30 North 1900 East, Room #1A71, Salt Lake City, UT 84132, USA. Electronic address:

This article reviews image-guided approaches for the treatment of common spine pain generators. The following treatment targets are discussed: epidural space (interlaminar and transforaminal approaches), facet joint, sacroiliac joint, and synovial cysts. Read More

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http://dx.doi.org/10.1016/j.nic.2019.07.004DOI Listing
November 2019

Low back pain related to a sacral insufficiency fracture: role of paravertebral oxygen-ozone therapy in a paradigmatic case of nociplastic pain.

Funct Neurol 2019 Apr/Jun;34(2):119-122

We describe the case of a 68-year-old woman with an acute episode of severe low back pain (LBP) resistant to opioids, who had experienced a sacral insufficiency fracture (SIF) two years earlier. At clinical examination, patient reported constant, dull, non-localizable pain at lumbar and sacral level, exacerbated by paravertebral palpation, particularly at L4-L5 and the sacroiliac joint, with a concomitant and remittent neuropathic component, difficult to localize at lumbar and sacral level. The latest magnetic resonance imaging study revealed disc herniations at L3-L4, L4-L5, and L5-S1 levels. Read More

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February 2020
9 Reads

Editorial Commentary: Consider the Sacroiliac Joint: Imaging a Source of Pain Can Feel Compelling. Orthopaedists Would Do Well to Remain Skeptical.

Authors:
Patrick M Morgan

Arthroscopy 2019 09;35(9):2606-2607

University of Minnesota.

With regard to the association of sacroiliac (SI) pain and hip arthroscopy outcomes, it is vital to understand that imaging the SI joint may be unreliable. A recent systematic review on diagnostic accuracy for SI joint pain concluded that more reliable criteria are strongly positive responses to diagnostic injection and a physical examination in which 3 or more provocative maneuvers are positive. SI joint degenerative changes can be found in a majority of asymptotic patients and might be considered normal finding until proven otherwise. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.06.003DOI Listing
September 2019
1 Read

Assessing the Accuracy of Ultrasound-Guided Needle Placement in Sacroiliac Joint Injections.

Am J Phys Med Rehabil 2020 Jun;99(6):e80-e81

Department of Rehabilitation Medicine, First Faculty of Medicine, Charles University, Prague, Czech Republic Department of Rehabilitation and Sports Medicine, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic Department of Rehabilitation Medicine, First Faculty of Medicine, Charles University, Prague, Czech Republic.

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http://dx.doi.org/10.1097/PHM.0000000000001309DOI Listing
June 2020
1 Read

Ultrasound Guided Sacroiliac Joint Injections.

Am J Phys Med Rehabil 2019 Sep 4. Epub 2019 Sep 4.

Mayo Clinic Arizona, Mayo Clinic School of Medicine, MedStar National Rehabilitation Hospital, MedStar Georgetown University Hospital, Georgetown University School of Medicine.

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http://dx.doi.org/10.1097/PHM.0000000000001310DOI Listing
September 2019
1 Read

Validity of Physical Exam Maneuvers in the Diagnosis of Sacroiliac Joint Pathology.

Pain Med 2020 02;21(2):255-260

Department of Physical Medicine and Rehabilitation, Vanderbilt University, Nashville, Tennessee.

Background: A combination of physical examination maneuvers is currently considered necessary to help predict who will respond to injections in the sacroiliac joint. However, the literature on this topic currently consists of conflicting studies, with one showing the value of a combination of exam maneuvers and the other showing no real value.

Objective: To determine the diagnostic validity of sacroiliac joint (SIJ) physical exam maneuvers using anesthetic intra-articular injection as a reference standard. Read More

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http://dx.doi.org/10.1093/pm/pnz183DOI Listing
February 2020
2 Reads

Ultrasound-Guided Sacroiliac Joint Injections.

Am J Phys Med Rehabil 2020 Jun;99(6):e79-e80

Mayo Clinic Arizona, Mayo Clinic School of Medicine, Scottsdale, Arizona and MedStar National, Rehabilitation Hospital, MedStar Georgetown University Hospital, Georgetown University School of Medicine, Washington, DC.

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http://dx.doi.org/10.1097/PHM.0000000000001289DOI Listing
June 2020
11 Reads

Assessing the Accuracy of Ultrasound-Guided Needle Placement in Sacroiliac Joint Injections.

Am J Phys Med Rehabil 2019 08;98(8):666-670

From the Mayo Clinic Arizona, Mayo Clinic School of Medicine, MedStar National Rehabilitation Hospital, MedStar Georgetown University Hospital, Georgetown University School of Medicine, Washington, DC (AJDL); MedStar National Rehabilitation Hospital, Phoenix Neurological & Pain Institute, Chandler, Arizona (VS); MedStar National Rehabilitation Network, Washington, DC (RM); Brandon Regional Hospital, Brandon, Florida (AS); and MedStar National Rehabilitation Hospital, Regenerative Orthopedics and Sports Medicine, Washington, DC (NY).

Objective: The aim of the study was to assess the accuracy of ultrasound-guided needle placement for sacroiliac joint injections.

Design: Institutional review board approval was gained for a prospective cohort study of 50 patients (N = 50). Study patients who were referred for sacroiliac joint injections for sacroiliac joint mediate pain and met inclusion/exclusion criteria were enrolled in the study. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001167DOI Listing
August 2019
1 Read

Quadratus Femoris muscle causing deep gluteal syndrome: A rare cause of refractory sciatica of extraspinal origin in the presence of an anatomic variation.

J Back Musculoskelet Rehabil 2019 ;32(4):667-670

Department of Oncologic and Degenerative Spine Surgery, IRCCS Rizzoli Orthopedic Institute, Bologna, Italy.

Background: Sciatica of extraspinal origin represents both a diagnostic and a therapeutic challenge for spine specialists. Among these, quadratus femoris muscle (QF) is often overlooked as a pain-generator.

Reported Case: A 62-year old man was referred from general practitioner for isolated sciatica in the left leg, refractory to conservative treatments. Read More

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http://dx.doi.org/10.3233/BMR-191523DOI Listing
December 2019
10 Reads
1.041 Impact Factor

Platelet-Rich Plasma for the Treatment of Low Back Pain: a Comprehensive Review.

Curr Pain Headache Rep 2019 Jul 3;23(7):52. Epub 2019 Jul 3.

Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA.

Purpose Of Review: Back pain is a growing problem worldwide, incurring enormous economic costs and disability. Current treatment modalities often provide adequate relief but fail to address underlying conditions. Regenerative cellular modalities aim to restore anatomical function in degenerative conditions which may cause low back pain. Read More

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http://link.springer.com/10.1007/s11916-019-0797-6
Publisher Site
http://dx.doi.org/10.1007/s11916-019-0797-6DOI Listing
July 2019
8 Reads

Local sacroiliac injections in the treatment of spondyloarthritis. What is the evidence?

Authors:
Daniel Wendling

Joint Bone Spine 2020 May 16;87(3):209-213. Epub 2019 Jun 16.

Department of Rheumatology, University Teaching Hospital, CHRU de Besançon, boulevard Fleming, 25030 Besançon, France; EA4266, EPILAB, Université Bourgogne Franche-Comté, 25030 Besançon, France. Electronic address:

Local sacroiliac injections represent an available treatment option in spondyloarthritis (SpA). There is no synthetic data about efficacy of this procedure in SpA. The aim of this review is to analyze the available data of the literature of local sacroiliac injections in SpA. Read More

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http://dx.doi.org/10.1016/j.jbspin.2019.06.003DOI Listing
May 2020
7 Reads

Building a Collaborative Model of Sacroiliac Joint Dysfunction and Pelvic Girdle Pain to Understand the Diverse Perspectives of Experts.

PM R 2019 08 23;11 Suppl 1:S11-S23. Epub 2019 Jul 23.

Department of Anatomy, Medical Osteopathic College of the University of New England, Biddeford, ME.

Background: Pelvic girdle pain (PGP) and sacroiliac joint (SIJ) dysfunction/pain are considered frequent contributors to low back pain (LBP). Like other persistent pain conditions, PGP is increasingly recognized as a multifactorial problem involving biological, psychological, and social factors. Perspectives differ between experts and a diversity of treatments (with variable degrees of evidence) have been utilized. Read More

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http://dx.doi.org/10.1002/pmrj.12199DOI Listing
August 2019
46 Reads

Percutaneous restoration of bone continuity with screws and PMMA cement in an extensive destruction of the pelvis.

SICOT J 2019 22;5:15. Epub 2019 May 22.

Department of Radiology, Hôpital Lariboisière, Assistance Publique des Hôpitaux de Paris (APHP), 75010 Paris, France - Université Paris Diderot, Sorbonne Paris Cité, Faculté de Médecine, 75013 Paris, France.

We report a case of combined percutaneous screw placement and cementoplasty guided by CT and fluoroscopy in a 66-year-old man with extensive osteolytic destruction of the right iliac bone and sacral wing due to metastasic infiltrative vesical carcinoma. The medical condition was responsible for very limited and painful walking. Two perpendicular screws were inserted into the iliac bone and sacroiliac joint, and bone cement injection was used to anchor the screws and restore the mechanical continuity of the pelvis ring. Read More

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http://dx.doi.org/10.1051/sicotj/2019011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530373PMC
May 2019
4 Reads

Image-Guided Sacroiliac Joint Injections: an Evidence-based Review of Best Practices and Clinical Outcomes.

PM R 2019 08 22;11 Suppl 1:S98-S104. Epub 2019 May 22.

Department of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT.

Injections into the intraarticular sacroiliac joint (SIJ) are commonly done for both diagnostic and therapeutic reasons. Injection of an anesthetic can aid in the diagnosis of SIJ pain. Corticosteroids can be administered with the goal of providing a therapeutic effect. Read More

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http://dx.doi.org/10.1002/pmrj.12191DOI Listing
August 2019
3 Reads

Pain and Functional Outcomes After Sacroiliac Joint Injection with Anesthetic and Corticosteroid at Six Months, Stratified by Anesthetic Response and Physical Exam Maneuvers.

Pain Med 2020 01;21(1):32-40

Department of Physical Medicine and Rehabilitation, Vanderbilt University, Nashville, Tennessee.

Objective: To evaluate sacroiliac joint (SIJ) injection outcomes with local anesthetic and corticosteroid.

Design: Prospective cohort.

Setting: Single academic medical center. Read More

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http://dx.doi.org/10.1093/pm/pnz111DOI Listing
January 2020
3 Reads

Incidence, diagnosis and management of sacroiliitis after spinal surgery: a systematic review of the literature.

Musculoskelet Surg 2019 May 7. Epub 2019 May 7.

Clinica Ortopedica - IRCCS Ospedale Policlinico San Martino, Università di Genova, Largo Rosanna Benzi, 10, 16132, Genoa, GE, Italy.

The sacroiliac joint (SIJ) is a possible source of persistent or new onset pain after lumbar or lumbosacral fusion. The aim of this paper is to systematically review and analyze the available literature related to the incidence, diagnosis and management of sacroiliitis after spinal arthrodesis. The authors independently screened the titles and abstracts of all articles identified concerning sacroiliac joint pain after lumbar or lumbosacral fusion, to assess their suitability to the research focus. Read More

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http://link.springer.com/10.1007/s12306-019-00607-0
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http://dx.doi.org/10.1007/s12306-019-00607-0DOI Listing
May 2019
9 Reads

Treatment of Idiopathic Posterior Pelvic Girdle Pain Utilizing a Global Movement Assessment.

PM R 2019 08 12;11 Suppl 1:S83-S92. Epub 2019 Jul 12.

Department of Physiatry, Hospital for Special Surgery, New York, New York.

Treatment of posterior pelvic girdle pain, including pain generated from the sacroiliac joint [SIJ], can be challenging because the pain can become chronic. A treatment plan targeting only the painful area with isolated treatments such as injection, medication, modalities, or therapy is limited. Globally assessing the patient's kinetic chain is imperative. Read More

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http://dx.doi.org/10.1002/pmrj.12181DOI Listing
August 2019
7 Reads

Hip Radiograph Findings in Patients Aged 40 Years and Under with Posterior Pelvic Pain.

PM R 2019 08 25;11 Suppl 1:S46-S53. Epub 2019 Jul 25.

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

Background: Several sacroiliac joint (SIJ) provocative tests used to assess posterior pelvic pain involve moving and stressing the hip. It is unknown if there is a subgroup of patients with posterior pelvic pain who have underlying hip deformity that could potentially influence performance and interpretation of these tests.

Objective: To describe the prevalence of radiographic hip deformity and hip osteoarthritis in a group of adults 40 years old and under who met the clinical diagnostic criteria for treatment of posterior pelvic pain with an image guided intra-articular SIJ injection. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/pmrj.12180
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http://dx.doi.org/10.1002/pmrj.12180DOI Listing
August 2019
16 Reads

Challenges in Diagnosing Sacroiliac Joint Pain: A Narrative Review.

PM R 2019 08 3;11 Suppl 1:S40-S45. Epub 2019 Jul 3.

Division of Physical Medicine and Rehabilitation, University of Utah School of Medicine, Salt Lake City, UT.

Accurate diagnosis of sacroiliac joint (SIJ) pain is challenging. Diagnosis can be aided by pain referral patterns, historical features, physical examination maneuvers, and imaging. However, all of these diagnostic tools have limitations. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/pmrj.12175
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http://dx.doi.org/10.1002/pmrj.12175DOI Listing
August 2019
7 Reads

Percutaneous injection of autologous platelet-rich fibrin versus platelet-rich plasma in sacroiliac joint dysfunction: An applied comparative study.

J Back Musculoskelet Rehabil 2019 ;32(3):511-518

Background: Sacroiliac joint dysfunction is a common cause of low back pain. Injection of autologous platelet rich fibrin (PRF) and platelet rich plasma (PRP) in the affected joint is a new option in this disorder management.

Objective: To compare platelet concentrates (PRP and PRF) in injectable form in sacroiliac joint dysfunction. Read More

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http://dx.doi.org/10.3233/BMR-181366DOI Listing
August 2019
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Success Rate of Intra-articular Sacroiliac Joint Injection: Fluoroscopy vs Ultrasound Guidance-A Cadaveric Study.

Pain Med 2019 10;20(10):1890-1897

CHAIR of Macroscopic and Clinical Anatomy, Gottfried Schatz Research Centre, Medical University of Graz, Graz, Austria.

Background: Given the unacceptably high miss rates of non-image-guided injections into the sacroiliac joint, either fluoroscopy or ultrasound is recommended for guidance. The real success rate of both techniques was assessed by cadaver dissection.

Methods: Twenty bodies donated to science (40 joints: 15 female and 5 male) were investigated bilaterally. Read More

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https://academic.oup.com/painmedicine/advance-article/doi/10
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http://dx.doi.org/10.1093/pm/pnz059DOI Listing
October 2019
25 Reads

Radiation Dose Practice Audit of 6,234 Fluoroscopically-Guided Spinal Injections.

Pain Physician 2019 03;22(2):E119-E125

Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY.

Background: Fluoroscopic imaging guidance is frequently used in performing spinal interventional techniques. Reference level standards are a quality improvement tool to help reduce radiation dose and serve as benchmarks for physicians and their technologists to achieve reasonable radiation exposure while performing fluoroscopically-guided spinal procedures. There are limited data describing radiation dose for musculoskeletal injections - in particular, spinal injections without any published reference standards. Read More

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March 2019
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The association between sacroiliac joint-related pain following lumbar spine surgery and spinopelvic parameters: a prospective multicenter study.

Eur Spine J 2019 Jul 18;28(7):1603-1609. Epub 2019 Mar 18.

Department of Orthopaedic Surgery/Low Back Pain and Sacroiliac Joint Center, JCHO Sendai Hospital, Sendai, Miyagi, Japan.

Purpose: To prospectively calculate the incidence of postoperative sacroiliac joint-related pain (SIJP) and investigate the association between spinopelvic parameters and postoperative SIJP after lumbar spine surgery.

Methods: We prospectively enrolled consecutive patients who underwent lumbar spine surgery. We defined postoperative SIJP as unilateral buttock pain according to fulfillment of the following criteria within 3 months of the surgery: a sacroiliac joint (SIJ) score higher than 4/9 postoperatively; positive response to analgesic periarticular SIJ injection with fluoroscopy; no other complications related to the surgery. Read More

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http://dx.doi.org/10.1007/s00586-019-05952-zDOI Listing
July 2019
7 Reads

Magnetic resonance imaging of the sacroiliac joints in SpA: with or without intravenous contrast media? A preliminary report.

Radiol Med 2019 Nov 13;124(11):1142-1150. Epub 2019 Mar 13.

Department of Medical, Surgical and Neuro Sciences, Diagnostic Imaging, University of Siena, Azienda Ospedaliera Universitaria Senese, Viale Bracci 10, 53100, Siena, Italy.

Object: Active sacroiliitis based on magnetic resonance imaging (MRI) without intravenous (I.V.) contrast material injection is considered sufficient for the diagnosis of spondyloarthritis (SpA), according to the Assessment of SpondyloArthritis International Society (ASAS) criteria. Read More

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http://dx.doi.org/10.1007/s11547-019-01016-wDOI Listing
November 2019
8 Reads