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Sacroiliac joint injections

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https://www.readbyqxmd.com/read/27914184/the-potential-use-of-ultrasound-magnetic-resonance-imaging-fusion-applications-in-musculoskeletal-intervention
#1
Christopher J Burke, Jenny Bencardino, Ronald Adler
We sought to assess the potential use of an application allowing real-time ultrasound spatial registration with previously acquired magnetic resonance imaging in musculoskeletal procedures. The ultrasound fusion application was used to perform a range of outpatient procedures including piriformis, sacroiliac joint, pudendal and intercostal nerve perineurial injections, hamstring-origin calcific tendonopathy barbotage, and 2 soft tissue biopsies at our institution in 2015. The application was used in a total of 7 procedures in 7 patients, all of which were technically successful...
December 3, 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27906943/fluoroscopic-sacroiliac-joint-injection-is-oblique-angulation-really-necessary
#2
Sandeep Khuba, Anil Agarwal, Sujeet Gautam, Sanjay Kumar
BACKGROUND: The conventional technique for sacroiliac (SI) joint injection involves aligning the anterior and posterior aspects of the SI joint under fluoroscopic guidance and then entering the SI joint in the most caudal aspect. OBJECTIVE: We wish to highlight that there is no added advantage to aligning both the anterior and posterior joint lines of the SI joint as it is time consuming, associated with additional radiation exposure, and may make the entry into the posterior SI joint technically more difficult...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27866812/a-case-report-of-infectious-sacroiliitis-in-an-adult-presenting-to-the-emergency-department-with-inability-to-walk
#3
Douglas Brtalik, Manoj Pariyadath
BACKGROUND: Infectious sacroiliitis (ISI) is an uncommon cause of back and hip pain in which the sacroiliac joint, either unilateral or bilateral, is inflamed from an infectious source. Historically, this has been an easily missed diagnosis due to nonspecific presenting symptoms along with subtle nondistinguishable laboratory abnormalities. CASE REPORT: We describe an injection drug user presenting with right-sided ISI who presented with hip and back pain and inability to walk...
November 17, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27770148/-technique-and-efficiency-of-ultrasound-guided-injections-in-the-sacroiliac-joint-for-pediatric-treatment-of-sacroiliitis
#4
M-A Weber
No abstract text is available yet for this article.
October 21, 2016: Der Radiologe
https://www.readbyqxmd.com/read/27738191/a-new-sacroiliac-joint-injection-technique-and-its-short-term-effect-on-chronic-sacroiliac-region-pain
#5
Kyung Hee Do, Sang Ho Ahn, Rodney Jones, Sung Ho Jang, Su Min Son, Dong Gyu Lee, Hee Kyung Cho, Gyu Sik Choi, Yun-Woo Cho
OBJECTIVES: Sacroiliac joint (SIJ) injections have been used to provide short-term relief of SIJ pain. In this study, the authors investigated a new technique using a superior approach. METHODS: Twenty four patients with chronic SI joint paint were recruited. Each patient was treated with a single SIJ intra-articular injection plus a periarticular injection of local anesthetic and corticosteroid in one procedure. Technical accuracy of the intra-articular procedure was determined by having 2 independent observers review and rate the quality of arthrograms obtained...
October 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27677100/steroid-vs-platelet-rich-plasma-in-ultrasound-guided-sacroiliac-joint-injection-for-chronic-low-back-pain
#6
Varun Singla, Yatindra K Batra, Neerja Bharti, Vijay G Goni, Neelam Marwaha
BACKGROUND: Despite widespread use of steroids to treat sacroiliac joint (SIJ) pain, their duration of pain reduction is short. Platelet-rich plasma (PRP) can potentially enhance tissue healing and may have a longer-lasting effect on pain. OBJECTIVES: To assess the efficacy and safety of PRP compared with methylprednisolone in ultrasound-guided SIJ injection for low back pain. STUDY DESIGN: Prospective randomized open blinded end point (PROBE) study...
September 27, 2016: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27673202/poster-453-correlation-of-sacroiliac-joint-injection-response-to-outcomes-after-minimally-invasive-sacroiliac-joint-fusion
#7
Raghavendra R Nayak
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27673132/poster-380-immediate-relief-after-sacroiliac-joint-injection-as-a-predictor-of-subsequent-relief-to-steroid-at-2-4-weeks
#8
Byron J Schneider, David J Kennedy, Josh Levin, Lisa Huynh, Ramin Kordi
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27646014/utilization-of-facet-joint-and-sacroiliac-joint-interventions-in-medicare-population-from-2000-to-2014-explosive-growth-continues
#9
REVIEW
Laxmaiah Manchikanti, Joshua A Hirsch, Vidyasagar Pampati, Mark V Boswell
Increasing utilization of interventional techniques in managing chronic spinal pain, specifically facet joint interventions and sacroiliac joint injections, is a major concern of healthcare policy makers. We analyzed the patterns of utilization of facet and sacroiliac joint interventions in managing chronic spinal pain. The results showed significant increase of facet joint interventions and sacroiliac joint injections from 2000 to 2014 in Medicare FFS service beneficiaries. Overall, the Medicare population increased 35 %, whereas facet joint and sacroiliac joint interventions increased 313...
October 2016: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/27625495/intractable-sacroiliac-joint-pain-treated-with-peripheral-nerve-field-stimulation
#10
Shushovan Chakrabortty, Sanjeev Kumar, Deepak Gupta, Sruthi Rudraraju
As many as 62% low back pain patients can have sacroiliac joint (SIJ) pain. There is limited (to poor) evidence in regards to long-term pain relief with therapeutic intra-articular injections and/or conventional (heat or pulsed) radiofrequency ablations (RFAs) for SIJ pain. We report our pain-clinic experience with peripheral nerve field stimulation (PNFS) for two patients of intractable SIJ pain. They had reported absence of long-term pain relief (pain relief >50% for at least 2 weeks postinjection and at least 3 months post-RFA) with SIJ injections and SIJ RFAs...
July 2016: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/27625236/an-algorithmic-approach-for-clinical-management-of-low-back-pain
#11
V V Ramesh Chandra, B C M Prasad, C Krishna Mohan, T C Kalawat, V Satyanarayana, A Y Lakshmi
BACKGROUND: Low back pain is caused by a variety of conditions. When conventional imaging failed, single-photon emission computed tomography (SPECT) was superior to scintigraphy in identifying the pathology. Injection therapies are often helpful in treating the pathology. AIM: To determine the cause of chronic low backache in individuals with normal conventional imaging (radiographs, computed tomography and magnetic resonance imaging), to determine the specific pathology using scintigraphic studies and diagnostic blocks; and, to treat the individuals with various spinal injection techniques and determine their efficacy...
September 2016: Neurology India
https://www.readbyqxmd.com/read/27574965/fluoroscopically-guided-sacroiliac-joint-injections-comparison-of-the-effects-of-intraarticular-and-periarticular-injections-on-immediate-and-short-term-pain-relief
#12
Nicholas C Nacey, James T Patrie, Michael G Fox
OBJECTIVE: The purpose of this study was to determine whether intraarticular sacroiliac joint injections provide greater immediate and short-term pain relief than periarticular sacroiliac joint injections do. MATERIALS AND METHODS: The records of all fluoroscopically guided sacroiliac joint injections performed over a 4-year period were identified. Patients who received an injection of 0.5 mL of bupivacaine and 0.5 mL (20 mg) of triamcinolone and who had preinjection, immediate, and 1-week postinjection pain scores (0-10 numeric scale) were included...
November 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27468977/comparison-of-two-ultrasound-guided-injection-techniques-targeting-the-sacroiliac-joint-region-in-equine-cadavers
#13
John David Stack, Chiara Bergamino, Ruth Sanders, Ursula Fogarty, Antonella Puggioni, Clodagh Kearney, Florent David
OBJECTIVES: To compare the accuracy and distribution of injectate for cranial (CR) and caudomedial (CM) ultrasound-guided injections of equine sacroiliac joints. METHODS: Both sacroiliac joints from 10 lumbosacropelvic specimens were injected using cranial parasagittal (CR; curved 18 gauge, 25 cm spinal needles) and caudomedial (CM; straight 18 gauge, 15 cm spinal needles) ultrasound-guided approaches. Injectate consisted of 4 ml iodinated contrast and 2 ml methylene blue...
September 20, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/27468672/ultrasound-guided-spinal-procedures-for-pain-a-review
#14
REVIEW
Mark-Friedrich B Hurdle
As the population ages, more patients are developing degenerative changes of the spine and associated pain. Although interventional procedures for axial and radicular spine pain have been available for decades, common imaging modalities have relied on ionizing radiation for guidance. Over the past decade, ultrasound has become increasingly popular to image both peripheral musculoskeletal and axial structures. This article reviews the use of ultrasound in the guidance of spine procedures, including cervical and lumbar facet injections and medial branch blocks, third occipital nerve blocks, thoracic facet and costotransverse joint injections, sacroiliac joint injections, and caudal and interlaminar epidural injections...
August 2016: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/27429562/a-systematic-review-of-dextrose-prolotherapy-for-chronic-musculoskeletal-pain
#15
REVIEW
Ross A Hauser, Johanna B Lackner, Danielle Steilen-Matias, David K Harris
OBJECTIVE: The aim of this study was to systematically review dextrose (d-glucose) prolotherapy efficacy in the treatment of chronic musculoskeletal pain. DATA SOURCES: Electronic databases PubMed, Healthline, OmniMedicalSearch, Medscape, and EMBASE were searched from 1990 to January 2016. STUDY SELECTION: Prospectively designed studies that used dextrose as the sole active prolotherapy constituent were selected. DATA EXTRACTION: Two independent reviewers rated studies for quality of evidence using the Physiotherapy Evidence Database assessment scale for randomized controlled trials (RCTs) and the Downs and Black evaluation tool for non-RCTs, for level of evidence using a modified Sackett scale, and for clinically relevant pain score difference using minimal clinically important change criteria...
2016: Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27392848/case-series-of-ultrasound-guided-platelet-rich-plasma-injections-for-sacroiliac-joint-dysfunction
#16
Gordon D Ko, Sean Mindra, Gordon E Lawson, Scott Whitmore, Leigh Arseneau
BACKGROUND: Two-thirds of adults worldwide will experience low back pain at some point in their life. In the following case series, we present four patients with sacroiliac (SI) joint instability and severe chronic low back pain, which was refractory to other treatment modalities. OBJECTIVE: We investigated the efficacy of platelet-rich plasma (PRP) injections, a novel orthobiologic therapy, for reducing SI joint pain, improving quality of life, and maintaining a clinical effect...
June 30, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27378266/-the-crux-of-the-sacroiliac-joint
#17
J Fleisch, A Dahan
Pain from the sacroiliac (SI) joint is, along with osteoarthritis of the facet joints, one of the main sources of mechanical low back pain. Here we discuss the negative results of two recent randomized controlled trials in the Netherlands on the use of radiofrequency (RF) denervation to treat low back pain arising from the SI joint. Possible causes of treatment failure are discussed. The authors also discuss the use of an intra-articular injection of the combination of a local anaesthetic and a glucocorticoid as an alternative to RF denervation...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27351158/-current-conservative-treatment-and-management-strategies-of-skeletal-muscle-injuries
#18
T Hotfiel, H-D Carl, B Swoboda, M Heinrich, R Heiß, C Grim, M Engelhardt
Muscle injuries frequently occur during sport and are one of the commonest injuries. The diagnosis and treatment of muscle injuries impose high demands on medical treatment, in order to ensure successful regeneration and a rapid return to sport. Most of the injuries can be treated conservatively, as skeletal muscles have a high endogenous capacity for repair and regeneration. Conservative treatment includes initial on-field therapy. This is known as the "RICE" principle and is common and recommended for initial treatment for most sports injuries...
June 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27296054/the-risks-of-continuing-or-discontinuing-anticoagulants-for-patients-undergoing-common-interventional-pain-procedures
#19
Stephen Endres, Allison Shufelt, Nikolai Bogduk
BACKGROUND: Guidelines have been published that recommend discontinuing anticoagulants in patients undergoing interventional pain procedures. The safety and effectiveness of these guidelines have not been tested. OBJECTIVES: The present study was performed to determine if continuing or discontinuing anticoagulants for pain procedures is associated with a detectable risk of complications. METHODS: An observational study was conducted in a private practice in which some partners continued anticoagulants while other partners routinely discontinued anticoagulants...
June 12, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27228521/factors-associated-with-the-outcome-of-ultrasound-guided-trochanteric-bursa-injection-in-greater-trochanteric-pain-syndrome-a-retrospective-cohort-study
#20
Ki Deok Park, Woo Yong Lee, Jihae Lee, Min-Ho Park, Jae Ki Ahn, Yongbum Park
BACKGROUND: Trochanteric bursa injections of corticosteroids and local anesthetics have been shown to provide pain relief for the treatment of greater trochanteric pain syndrome (GTPS). However, symptom recurrence and incomplete symptom relief are common. The reason for the variation in response is unclear but may be related to disease-, treatment-, or patient-related factors. OBJECTIVE: To determine whether there are factors related to patient, treatment, or disease that can predict either the magnitude or duration of response to ultrasound-guided trochanteric bursa injections for GTPS...
May 2016: Pain Physician
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