From the Department of Anesthesiology and Pain management, Kalinga Institute of Medical Sciences, Bhubaneswar, India.
Department of Pain Medicine, Daradia Pain Hospital, Kolkata, India.
A A Pract. 2021 Mar 30;15(4):e01427. doi: 10.1213/XAA.0000000000001427.
The sacroiliac joint (SIJ) is a common source of pain in patients with low back pain. Untreated pain from the SIJ can lead to prolonged discomfort and financial burden. Interventional treatments for SIJ-related pain include intraarticular steroid injection and radiofrequency ablation but both procedures provide pain relief for a limited duration. Cryoneurolysis is another neuroablative technique that is effective in various chronic pain conditions. However, there is no clear description of SIJ cryoneurolysis in the published literature. In this report, we present 5 patients with SIJ-related pain and we describe the ultrasound-guided SIJ cryoneurolysis technique and its analgesic efficacy.
骶髂关节(SIJ)是腰痛患者常见的疼痛源。未经治疗的 SIJ 疼痛可导致长期不适和经济负担。SIJ 相关疼痛的介入治疗包括关节内皮质类固醇注射和射频消融,但这两种方法都只能提供有限时间的疼痛缓解。冷冻神经松解术是另一种有效的神经消融技术,适用于各种慢性疼痛病症。然而,在已发表的文献中,没有对 SIJ 冷冻神经松解术的明确描述。在本报告中,我们介绍了 5 例 SIJ 相关疼痛患者,并描述了超声引导下 SIJ 冷冻神经松解术技术及其镇痛效果。