Article ID Journal Published Year Pages File Type
5584079 Techniques in Regional Anesthesia and Pain Management 2015 7 Pages PDF
Abstract
The objective of this article is to recommend an approach to radiofrequency ablation (RFA) of the sacral lateral branches that is safe, effective, and simple to perform. To do so, one must identify the proper patient, perform a diagnostic block to confirm the sacroiliac joint as the pain generator, and then, after 2 successful blocks, move to RFA of the sacral lateral branches as the next step in treatment. The choice of an RFA technique is controversial. Here, an argument is made for moving to bipolar RFA of the lateral branches of S1-S3. If pain is refractory, then cooled RFA may be an appropriate next step in care.
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Health Sciences Medicine and Dentistry Anesthesiology and Pain Medicine
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