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SI joint RFA

Discussion in 'Pain Medicine' started by member, Mar 3, 2007.

  1. member

    member Junior Member
    10+ Year Member

    Aug 9, 2005
    Likes Received:
    What technique are you guys using for SI Joint RFA? what are your success rates.?? any literature on it.
  2. ParaVert

    ParaVert Interventional Pain
    10+ Year Member

    Apr 23, 2006
    Likes Received:
    Attending Physician
    At Anderson, every faculty seems to have a different technique. Some do a single burn lateral to the foramina at S1,2,3, some do a strip lesion with bipolar just medial to the joint line. ASRA published a technique doing three bipolar lesions around each of the three foramina which seems to make a lot of sense. I'm planning on trying this technique on my next SI RF.

    Reg Anesth Pain Med. 2007 Jan-Feb;32(1):12-9.
    PMID: 17196487 [PubMed - indexed for MEDLINE]

    Given the variability of innervation of the SI joint as well as the significant contribution of nerves running along the anterior sacrum, SI RF seems not likely to have the same kind of reliability as facet RF.

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