Sacroiliac Pain

2018 ◽  
Author(s):  
Rene Przkora ◽  
Richard Cleveland Sims ◽  
Andrea Trescot
Keyword(s):  
Differential Diagnosis ◽  
Sacroiliac Joint ◽  
Physical Exam ◽  
Evidence Based ◽  
Steroid Injections ◽  
Image Guided ◽  
Radiofrequency Denervation ◽  
Si Joint ◽  
Cause Of Pain

The sacroiliac joint (SIJ) is often overlooked as a cause of pain, partially because it is not well visualized on standard imaging and partially because other structures may refer pain to it. This chapter reviews the anatomy of the SIJ as well as the diagnosis and differential diagnosis of SI joint dysfunction and pain, including a multitude of physical exam maneuvers such as the FABER, Gaenslen, extension, Gillet’s, sacroiliac shear, thigh thrust, compression, and distraction tests. In addition, it discusses the evidence-based approach to treat sacroiliac pain, with a focus on both conservative and nonconservative approaches such as image-guided steroid injections and radiofrequency denervation procedures and outcomes.

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

PM&R ◽  
2019 ◽  
Vol 11 (S1) ◽  
Author(s):  
Patricia Zheng ◽  
Byron J. Schneider ◽  
Aaron Yang ◽  
Zachary L. McCormick
Keyword(s):  
Best Practices ◽  
Clinical Outcomes ◽  
Sacroiliac Joint ◽  
Evidence Based ◽  
Image Guided ◽  
Joint Injections

scholarly journals Cooled Sacroiliac Radiofrequency Denervation for the Treatment of Pain Secondary to Tumor Infiltration: A Case-Based Focused Literature Review

2013 ◽  
Vol 1;16 (1;1) ◽  
pp. 1-8
Author(s):  
Steven P. Cohen
Keyword(s):  
Literature Review ◽  
Sacroiliac Joint ◽  
Functional Improvement ◽  
Tumor Infiltration ◽  
Rf Ablation ◽  
Patient Reported ◽  
Radiofrequency Denervation ◽  
Lateral Branches ◽  
Si Joint ◽  
Case Based

Background: The sacroiliac (SI) joint is a common cause of low back pain, for which radiofrequency (RF) denervation has been shown to provide long-term relief. However, controversy exists surrounding the innervation, which treatment paradigm to utilize, and how best to select patients who might benefit. Objective: To describe a patient with terminal breast cancer and tumor infiltration of the sacroiliac joint who was treated with cooled RF of the sacral lateral branches as an end-oflife palliative measure. The objectives of this review are to provide insight into the innervation of the SI joint; address controversial issues surrounding the targeted nerves in a patient with transitional anatomy; outline risk-mitigation strategies; and highlight the need for individually tailored treatment plans. Methods: Case-based focused literature review in a patient treated with cooled RF ablation of the L4-S3 primary dorsal rami and lateral branches. Results: Treatment was tailored to facilitate the rapid treatment of this terminal patient by performing the prognostic blocks and RF ablation at the same visit. Until her death 5 days post-procedure, the patient reported significant pain relief and began to ambulate and use the bathroom on her own, activities she could not do before treatment. In addition to functional improvement, she was also able to significantly reduce her opioid intake. Conclusion: This is the first report of cooled SI joint RF ablation to treat cancer pain. Our patient’s positive response to the procedure suggests the possibility that the lateral branches innervate not only the posterior ligaments, but also the bony articulation. The decision to proceed with RF ablation on the same day as a prognostic lateral branch block was based on our patient’s terminal condition, and the fact that cooled RF does not require sensory stimulation to ensure proximity to the target nerves. Because of her transitional anatomy, we elected to target L4. Key words: Cancer, denervation, innervation, radiofrequency, sacroiliac joint, transitional anatomy

The Preschool Stuttering Screen for Health Care Professionals

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Differential Diagnosis ◽  
Preschool Children ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Evidence Based ◽  
Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

Outcome Predictors for Sacroiliac Joint (Lateral Branch) Radiofrequency Denervation

2009 ◽  
Vol 34 (3) ◽  
pp. 206-214 ◽  
Author(s):  
Steven P. Cohen ◽  
Scott A. Strassels ◽  
Connie Kurihara ◽  
Matthew T. Crooks ◽  
Michael A. Erdek ◽  
...  
Keyword(s):  
Sacroiliac Joint ◽  
Lateral Branch ◽  
Outcome Predictors ◽  
Radiofrequency Denervation

scholarly journals Polarization-Singular Approach to Imaging Mueller-Matrix Polarimetry in the Differential Diagnosis of Histological Sections of Biopsy of Tumors of the Uterus and Prostate

2021 ◽  
Vol 9 ◽  
Author(s):  
A. Dubolazov ◽  
V. Ushenko ◽  
L. Trifonyuk ◽  
A. Stashkevich ◽  
I. Soltys ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Mueller Matrix ◽  
Evidence Based ◽  
Malignant Tumours ◽  
Diagnostic Use ◽  
Matrix Mapping ◽  
Adenocarcinoma Of The Prostate ◽  
Characteristic Values ◽  
Sensitivity Specificity ◽  
Based Medicine

The possibilities of the diagnostic use of the singular approach of the distributions of the number of characteristic values of the MMI is effective for differentiating the polarization properties of histological biopsy sections of benign and malignant tumours of the uterus and prostate. Within the framework of evidence-based medicine, the sensitivity, specificity and accuracy of the azimuthal-invariant express (∼15 min) method of Mueller-matrix mapping of polarization-singular states in the differential diagnosis of uterine myoma and adenocarcinoma, as well as adenocarcinoma of the prostate with varying degrees of differentiation have been determined.

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