Pulsed Radiofrequency Application for the Treatment of Pain Secondary to Sacroiliac Joint Metastases.
- Author:
Yu Ri YI
1
;
Na Rea LEE
;
Young Suk KWON
;
Ji Su JANG
;
So Young LIM
Author Information
- Publication Type:Brief Communication
- Keywords: Cancer; Metastases; Neuromodulation; Pain; Pulsed radiofrequency; Sacroiliac joint
- MeSH: Arthralgia; Breast Neoplasms; Buttocks; Female; Humans; Joints; Middle Aged; Needles; Neoplasm Metastasis*; Sacroiliac Joint*
- From:The Korean Journal of Pain 2016;29(1):53-56
- CountryRepublic of Korea
- Language:English
- Abstract: Sacroiliac (SI) joint pain can result from degeneration, infection, malignancy, and trauma. Patients with metastatic bone pain who do not respond to conventional treatment may need more aggressive neuroinvasive approaches. Recently, pulsed radiofrequency (PRF) neuromodulation has emerged as a promising treatment alternative for refractory cases of SI joint pain. Nevertheless, there is no report on the treatment of pain arising from SI joint metastases with PRF. We are reporting about a 63-year-old woman suffering from buttock pain due to breast cancer metastases in the SI joint. We treated this patient with PRF neuromodulation of the L4-S3 primary dorsal rami and lateral branches using a rotating curved needle technique. The patient tolerated the procedures well, without any complications. She experienced about 70% reduction in pain, and pain relief was sustained for 10 months. This result suggests that PRF neuromodulation is a safe, effective treatment for pain from SI joint metastases.
