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Urogenital Pain pp 57–75Cite as

Sacroiliac Joint Complex Pain

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Abstract

Sacroiliac joint complex (SIJC) pain is well recognized as a potential source of pelvic pain. Its precise prevalence is unknown. However, studies suggest it affects 15–30 % of patients with chronic, nonradicular back pain. The causes of SIJC pain are numerous, yet the exact mechanisms are not completely understood. History and physical findings and radiological imaging are insufficient to diagnose SIJC pain. Nevertheless, evidence supports a combination of three or more provocative tests can predict response to diagnostic blocks. Both intra- and extra-articular injections can elucidate the possible sources of SIJ pain. For patients who experience only short-term relief from SIJC steroid injections, radiofrequency denervation may prolong the pain relief up to 1 year. This chapter covers all aspects of SIJC pain including functional anatomy, innervation, epidemiology, diagnosis, evaluation, and treatment.

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References

  1. Bernard TN, Cassidy JD. The sacroiliac syndrome: pathophysiology, diagnosis and management. In: Frymoyer JW, editor. The adult spine: principles and practice. New York: Raven; 1991. p. 2107–30.

    Google Scholar 

  2. Vleeming A, van Wingerden JP, Snijders CJ, et al. Load application to the sacrotuberous ligament: influence on sacroiliac joint mechanics. Clin Biomech. 1989;4:204–9.

    Article  Google Scholar 

  3. Bowen V, Cassidy JD. Macroscopic and microscopic anatomy of the sacroiliac joint from embryonic life until the eighth decade. Spine. 1981;6:620–8.

    Article  CAS  PubMed  Google Scholar 

  4. Bellamy N, Park W, Rooney PJ. What do we know about the sacroiliac joint? Semin Arthritis Rheum. 1983;12:282–313.

    Article  CAS  PubMed  Google Scholar 

  5. McLauchlan GJ, Gardner DL. Sacral and iliac articular cartilage thickness and cellularity: relationship to subchondral bone end-plate thickness and cancellous bone density. Rheumatology. 2002;41:375–80.

    Article  CAS  PubMed  Google Scholar 

  6. Harrison DE, Harrison DD, Troyanovich SJ. The sacroiliac joint: a review of anatomy and biomechanics with clinical implications. J Manipulative Physiol Ther. 1997;20(9):607–17.

    CAS  PubMed  Google Scholar 

  7. Williams PL, editor. Gray’s anatomy. 38th ed. Edinburgh: Churchill Livingstone; 1995.

    Google Scholar 

  8. Forst SL, Wheeler MT, Fortin JD, Vilensky JA. The sacroiliac joint: anatomy, physiology and clinical significance. Pain Physician. 2006;9(1):61–7.

    PubMed  Google Scholar 

  9. Bogduk N. Clinical and radiological anatomy of the lumbar spine. 5th ed. Edinburgh: Churchill Livingstone; 2012.

    Google Scholar 

  10. Sturesson B, Selvik G, Udén A. Movements of the sacroiliac joints. A roentgen stereophotogrammetric analysis. Spine. 1989;14(2):162–5.

    Article  CAS  PubMed  Google Scholar 

  11. Pitkin HC, Pheasant HC. Sacrarthogenetic telalgia I. a study of referred pain. J Bone Joint Surg. 1936;18:111–33.

    Google Scholar 

  12. Solonen KA. The sacroiliac joint in the light of anatomical, roentgenological and clinical studies. Acta Orthop Scand Suppl. 1957;27:1–127.

    CAS  PubMed  Google Scholar 

  13. Grob KR, Neuhuber WL, Kissling RO. Innervation of the human sacroiliac joint. Z Rheumatol. 1995;54:117–22.

    CAS  PubMed  Google Scholar 

  14. Ikeda R. Innervation of the sacroiliac joint: macroscopical and histological studies. Nippon Ika Daigaku Zasshe. 1991;58:587–96.

    Article  CAS  Google Scholar 

  15. Cohen SP. Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg. 2005;101(5):1440–53.

    Article  PubMed  Google Scholar 

  16. McGrath MC, Zhang M. Lateral branches of dorsal sacral nerve plexus and the long posterior sacroiliac ligament. Surg Radiol Anat. 2005;27(4):327–30.

    Article  CAS  PubMed  Google Scholar 

  17. Zondervan KT, Yudkin PL, Vessey MP, et al. The community prevalence of chronic pelvic pain in women and associated illness behaviour. Br J Gen Pract. 2001;51:541–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Blasco A, Berzosa M, Iranzo V, et al. Update in cancer pain. Cancer Chemother Rev. 2009;4:95–109.

    Google Scholar 

  19. Stovall TG, Ling FW, Crawford DA. Hysterectomy for chronic pelvic pain of presumed uterine etiology. Obstet Gynecol. 1990;75:676–9.

    CAS  PubMed  Google Scholar 

  20. Stout AL, Steege JF, Dodson WC, et al. Relationship of laparoscopic findings to self-report of pelvic pain. Am J Obstet Gynecol. 1991;164:73–9.

    Article  CAS  PubMed  Google Scholar 

  21. Soysal ME, Soysal S, Gurses E, et al. Laparoscopic presacral neurolysis for endometriosis-related pelvic pain. Hum Reprod. 2003;18:588–92.

    Article  PubMed  Google Scholar 

  22. Peters AA, Trimbos-Kemper GC, Admiraal C, et al. A randomized clinical trial on the benefit of adhesiolysis in patients with intraperitoneal adhesions and chronic pelvic pain. Br J Obstet Gynaecol. 1992;99:59–62.

    Article  CAS  PubMed  Google Scholar 

  23. Williams R, Hartmann K, Sandler R, et al. Prevalence and characteristics of irritable bowel syndrome among women with chronic pelvic pain. Obstet Gynecol. 2004;104:452–8.

    Article  PubMed  Google Scholar 

  24. Goldthwaite GE, Osgood RB. A consideration of the pelvic articulations from an anatomical, pathological, and clinical standpoint. Boston Med Surg J. 1905;152:593–601.

    Article  Google Scholar 

  25. Fortin JD, Dwyer AP, West S, Pier J. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part I: asymptomatic volunteers. Spine. 1994;19:1475–82.

    Article  CAS  PubMed  Google Scholar 

  26. Fortin JD, Aprill CN, Ponthieux B, Pier J, Derby Jr R. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part II: Clinical evaluation. Spine. 1994;19:1483–9.

    Article  CAS  PubMed  Google Scholar 

  27. Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine. 1995;20(1):31–7.

    Article  CAS  PubMed  Google Scholar 

  28. Maigne JY, Aivaliklis A, Pfefer F. Results of sacroiliac joint double block and value of sacroiliac pain provocation tests in 54 patients with low back pain. Spine. 1996;21(16):1889–92.

    Article  CAS  PubMed  Google Scholar 

  29. Irwin RW, Watson T, Minick RP, Ambrosius WT. Age, body mass index, and gender differences in sacroiliac joint pathology. Am J Phys Med Rehabil. 2007;86(1):37–44.

    Article  PubMed  Google Scholar 

  30. Manchikanti L, Singh V, Pampati V, et al. Evaluation of the relative contributions of various structures in chronic low back pain. Pain Physician. 2001;4(4):308–16.

    CAS  PubMed  Google Scholar 

  31. Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005;10(3):207–18.

    Article  PubMed  Google Scholar 

  32. van der Wurff P, Buijs EJ, Groen GJ. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures. Arch Phys Med Rehabil. 2006;87(1):10–4.

    Article  PubMed  Google Scholar 

  33. Liliang PC, Lu K, Liang CL, Tsai YD, Wang KW, Chen HJ. Sacroiliac joint pain after lumbar and lumbosacral fusion: findings using dual sacroiliac joint blocks. Pain Med. 2011;91(4):1283–5.

    Google Scholar 

  34. Depalma MJ, Ketchum JM, Trussell BS, Saullo TR, Slipman CW. Does the location of low back pain predict its source? PMR. 2011;3(1):33–9.

    Article  Google Scholar 

  35. Laplante BL, Ketchum JM, Saullo TR, DePalma MJ. Multivariable analysis of the relationship between pain referral patterns and the source of chronic low back pain. Pain Physician. 2012;15(2):171–8.

    PubMed  Google Scholar 

  36. Dreyfuss P, Cole AJ, Pauza K. Sacroiliac joint injection techniques. Phys Med Rehabil Clin North Am. 1995;6:785–813.

    Google Scholar 

  37. Szadek KM, Hoogland PV, Zuurmond WW, de Lange JJ, Perez RS. Nociceptive nerve fibers in the sacroiliac joint in humans. Reg Anesth Pain Med. 2008;33(1):36–43.

    Article  PubMed  Google Scholar 

  38. Szadek KM, Hoogland PV, Zuurmond WW, De Lange JJ, Perez RS. Possible nociceptive structures in the sacroiliac joint cartilage: an immunohistochemical study. Clin Anat. 2010;23(2):192–8.

    PubMed  Google Scholar 

  39. Dreyfuss P, Snyder BD, Park K, Willard F, Carreiro J, Bogduk N. The ability of single site, single depth sacral lateral branch blocks to anesthetize the sacroiliac joint complex. Pain Med. 2008;9(7):844–50.

    Article  PubMed  Google Scholar 

  40. Luukkainen R, Nissilä M, Asikainen E, et al. Periarticular corticosteroid treatment of the sacroiliac joint in patients with seronegative spondyloarthropathy. Clin Exp Rheumatol. 1999;17(1):88–90.

    CAS  PubMed  Google Scholar 

  41. Luukkainen RK, Wennerstrand PV, Kautiainen HH, Sanila MT, Asikainen EL. Efficacy of periarticular corticosteroid treatment of the sacroiliac joint in non-spondylarthropathic patient’s with chronic low back pain in the region of the sacroiliac joint. Clin Exp Rheumatol. 2002;20(1):52–4.

    CAS  PubMed  Google Scholar 

  42. Dreyfuss P, Henning T, Malladi N, Goldstein B, Bogduk N. The ability of multi-site, multi-depth sacral lateral branch blocks to anesthetize the sacroiliac joint complex. Pain Med. 2009;10(4):679–88.

    Article  PubMed  Google Scholar 

  43. Chou LH, Slipman CW, Bhagia SM, et al. Inciting events initiating injection-proven sacroiliac joint syndrome. Pain Med. 2004;5(1):26–32.

    Article  PubMed  Google Scholar 

  44. Cohen SP, Strassels SA, Kurihara C, et al. Outcome predictors for sacroiliac joint (lateral branch) radiofrequency denervation. Reg Anesth Pain Med. 2009;34(3):206–14.

    Article  PubMed  Google Scholar 

  45. Baquie P, Brukner P. Injuries presenting to an Australian sports medicine center: a 12-month study. Clin J Sport Med. 1997;7:28–31.

    Article  CAS  PubMed  Google Scholar 

  46. LeBlanc KE. Sacroiliac sprain: an overlooked cause of back pain. Am Fam Physician. 1992;46:1459–63.

    CAS  PubMed  Google Scholar 

  47. Dunn EJ, Bryan DM, Nugent JT, Robinson RA. Pyogenic infections of the sacro-iliac joint. Clin Orthop. 1976;118:113–7.

    Google Scholar 

  48. Humphrey SM, Inman RD. Metastatic adenocarcinoma mimicking unilateral sacroiliitis. J Rheumatol. 1995;22:970–2.

    CAS  PubMed  Google Scholar 

  49. Schuit D, McPoil TG, Mulesa P. Incidence of sacroiliac joint malalignment in leg length discrepancies. J Am Podiatr Med Assoc. 1989;79:380–3.

    Article  CAS  PubMed  Google Scholar 

  50. Herzog W, Conway PJ. Gait analysis of sacroiliac joint patients. J Manipulative Physiol Ther. 1994;17:124–7.

    CAS  PubMed  Google Scholar 

  51. Marymont JV, Lynch MA, Henning CE. Exercise-related stress reaction of the sacroiliac joint: an unusual cause of low back pain in athletes. Am J Sports Med. 1986;14:320–3.

    Article  CAS  PubMed  Google Scholar 

  52. Schoenberger M, Hellmich K. Sacroiliac dislocation and scoliosis. Hippokrates. 1964;35:476–9.

    CAS  PubMed  Google Scholar 

  53. Daly JM, Frame PS, Rapoza PA. Sacroiliac subluxation: a common treatable cause of low-back pain in pregnancy. Fam Pract Res J. 1991;11:149–59.

    CAS  PubMed  Google Scholar 

  54. Onsel C, Collier BD, Meting K, et al. Increased sacroiliac joint uptake after lumbar fusion and/or laminectomy. Clin Nucl Med. 1992;17:283–7.

    Article  CAS  PubMed  Google Scholar 

  55. Timgren J, Soinila S. Reversible pelvic asymmetry: an overlooked syndrome manifesting as scoliosis, apparent leg-length difference, and neurologic symptoms. J Manipulative Physiol Ther. 2006;29(7):561–5.

    Article  PubMed  Google Scholar 

  56. Friberg O. Clinical symptoms and biomechanics of lumbar spine and hip joint in leg length inequality. Spine. 1983;8(6):643–51.

    Article  CAS  PubMed  Google Scholar 

  57. Ostgaard HC, Andersson GB, Karlsson K. Prevalence of back pain in pregnancy. Spine. 1991;16(5):549–52.

    Article  CAS  PubMed  Google Scholar 

  58. Gutke A, Ostgaard HC, Oberg B. Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine. 2006;31(5):149–55.

    Article  Google Scholar 

  59. Ivanov AA, Kiapour A, Ebraheim NA, Goel V. Lumbar fusion leads to increases in angular motion and stress across sacroiliac joint: a finite element study. Spine. 2009;34(5):162–9.

    Article  Google Scholar 

  60. Ha KY, Lee JS, Kim KW. Degeneration of sacroiliac joint after instrumented lumbar or lumbosacral fusion: a prospective cohort study over five-year follow-up. Spine. 2008;33(11):1192–8.

    Article  PubMed  Google Scholar 

  61. Maigne JY, Planchon CA. Sacroiliac joint pain after lumbar fusion. A study with anesthetic blocks. Eur Spine J. 2005;14(7):654–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Katz V, Schofferman J, Reynolds J. The sacroiliac joint: a potential cause of pain after lumbar fusion to the sacrum. J Spinal Disord Tech. 2003;16(1):96–9.

    Article  PubMed  Google Scholar 

  63. Murakami E, Aizawa T, Noguchi K, Kanno H, Okuno H, Uozumi H. Diagram specific to sacroiliac joint pain site indicated by one-finger test. J Orthop Sci. 2008;13(6):492–7.

    Article  PubMed  Google Scholar 

  64. Slipman CW, Jackson HB, Lipetz JS, Chan KT, Lenrow D, Vresilovic EJ. Sacroiliac joint pain referral zones. Arch Phys Med Rehabil. 2000;81(3):334–8.

    Article  CAS  PubMed  Google Scholar 

  65. Laslett M. Evidence-based diagnosis and treatment of the painful sacroiliac joint. J Man Manip Ther. 2008;16(3):142–52.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Young S, Aprill C, Laslett M. Correlation of clinical examination characteristics with three sources of chronic low back pain. Spine J. 2003;3(6):460–5.

    Article  PubMed  Google Scholar 

  67. Dreyfuss P, Michaelsen M, Pauza K, McLarty J, Bogduk N. The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spine. 1996;21(22):2594–602.

    Article  CAS  PubMed  Google Scholar 

  68. Slipman CW, Sterenfeld EB, Chou LH, Herzog R, Vresilovic E. The predictive value of provocative sacroiliac joint stress maneuvers in the diagnosis of sacroiliac joint syndrome. Arch Phys Med Rehabil. 1998;79(3):288–92.

    Article  CAS  PubMed  Google Scholar 

  69. Broadhurst NA, Bond MJ. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J Spinal Disord. 1998;11(4):341–5.

    Article  CAS  PubMed  Google Scholar 

  70. Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RS. Diagnostic validity of criteria for sacroiliac joint pain: a systematic review. J Pain. 2009;10(4):354–68.

    Article  PubMed  Google Scholar 

  71. Laslett M, Williams M. The reliability of selected pain provocation tests for sacroiliac joint pathology. Spine. 1994;19(11):1243–9.

    Article  CAS  PubMed  Google Scholar 

  72. Van der Wurff P, Hagmeijer RH, Meyne W. Clinical tests of the sacroiliac joint. A systematic methodological review. Part 1: reliability. Man Ther. 2000;5(1):30–6.

    Article  PubMed  Google Scholar 

  73. Elgafy H, Semaan HB, Ebraheim NA, Coombs RJ. Computed tomography findings in patients with sacroiliac pain. Clin Orthop Relat Res. 2001;382:112–8.

    Article  Google Scholar 

  74. Puhakka KB, Jurik AG, Schiøttz-Christensen B, et al. MRI abnormalities of sacroiliac joints in early spondylarthropathy: a 1-year follow-up study. Scand J Rheumatol. 2004;33(5):332–8.

    Article  CAS  PubMed  Google Scholar 

  75. Prather H, Hunt D. Conservative management of low back pain, part I. Sacroiliac joint pain. Dis Mon. 2004;50(12):670–83.

    Article  PubMed  Google Scholar 

  76. Mens JM, Snijders CJ, Stam HJ. Diagonal trunk muscle exercises in peripartum pelvic pain: a randomized clinical trial. Phys Ther. 2000;80(12):1164–73.

    CAS  PubMed  Google Scholar 

  77. Nilsson-Wikmar L, Holm K, Oijerstedt R, Harms-Ringdahl K. Effect of three different physical therapy treatments on pain and activity in pregnant women with pelvic girdle pain: a randomized clinical trial with 3, 6, and 12 months follow-up postpartum. Spine. 2005;30(8):850–6.

    Article  PubMed  Google Scholar 

  78. Flynn T, Fritz J, Whitman J, et al. A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with spinal manipulation. Spine. 2002;27(24):2835–43.

    Article  PubMed  Google Scholar 

  79. Tullberg T, Blomberg S, Branth B, Johnsson R. Manipulation does not alter the position of the sacroiliac joint. A roentgen stereophotogrammetric analysis. Spine. 1998;23(10):1124–8; discussion 1129.

    Article  CAS  PubMed  Google Scholar 

  80. Delitto A, Cibulka MT, Erhard RE, Bowling RW, Tenhula JA. Evidence for use of an extension-mobilization category in acute low back syndrome: a prescriptive validation pilot study. Phys Ther. 1993;73(4):216–22; discussion 223.

    Article  CAS  PubMed  Google Scholar 

  81. Dontigny RL. Dysfunction of the sacroiliac joint and its treatment*. J Orthop Sports Phys Ther. 1979;1(1):23–35.

    Article  CAS  PubMed  Google Scholar 

  82. Wreje U, Nordgren B, Aberg H. Treatment of pelvic joint dysfunction in primary care – a controlled study. Scand J Prim Health Care. 1992;10(4):310–5.

    Article  CAS  PubMed  Google Scholar 

  83. Cibulka MT, Delitto A, Koldehoff RM. Changes in innominate tilt after manipulation of the sacroiliac joint in patients with low back pain. An experimental study. Phys Ther. 1988;68(9):1359–63.

    Article  CAS  PubMed  Google Scholar 

  84. Suter E, McMorland G, Herzog W, Bray R. Decrease in quadriceps inhibition after sacroiliac joint manipulation in patients with anterior knee pain. J Manipulative Physiol Ther. 1999;22(3):149–53.

    Article  CAS  PubMed  Google Scholar 

  85. Marshall P, Murphy B. The effect of sacroiliac joint manipulation on feedforward activation times of the deep abdominal musculature. J Manipulative Physiol Ther. 2006;29(3):196–202.

    Article  PubMed  Google Scholar 

  86. Cibulka MT, Rose SJ, Delitto A, Sinacore DR. Hamstring muscle strain treated by mobilizing the sacroiliac joint. Phys Ther. 1986;66(8):1220–3.

    Article  CAS  PubMed  Google Scholar 

  87. Kim WM, Lee HG, Jeong CW, Kim CM, Yoon MH. A randomized controlled trial of intra-articular prolotherapy versus steroid injection for sacroiliac joint pain. J Altern Complement Med. 2010;16(12):1285–90.

    Article  PubMed  Google Scholar 

  88. Murakami E, Tanaka Y, Aizawa T, Ishizuka M, Kokubun S. Effect of periarticular and intraarticular lidocaine injections for sacroiliac joint pain: prospective comparative study. J Orthop Sci. 2007;12(3):274–80.

    Article  CAS  PubMed  Google Scholar 

  89. Borowsky CD, Fagen G. Sources of sacroiliac region pain: insights gained from a study comparing standard intra-articular injection with a technique combining intra- and peri-articular injection. Arch Phys Med Rehabil. 2008;89(11):2048–56.

    Article  PubMed  Google Scholar 

  90. Fischer T, Biedermann T, Hermann KG, et al. [Sacroiliitis in children with spondyloarthropathy: therapeutic effect of CT-Guided intra-articular corticosteroid injection]. Rofo. 2003;175(6):814–21.

    Article  CAS  PubMed  Google Scholar 

  91. Hanly JG, Mitchell M, MacMillan L, Mosher D, Sutton E. Efficacy of sacroiliac corticosteroid injections in patients with inflammatory spondyloarthropathy: results of a 6 month controlled study. J. Rheumatol. 2000;27(3):719–22

    Google Scholar 

  92. Maugars Y, Mathis C, Berthelot JM, Charlier C, Prost A. Assessment of the efficacy of sacroiliac corticosteroid injections in spondyloarthropathies: a double-blind study. Br J Rheumatol. 1996;35(8):767–70.

    Article  CAS  PubMed  Google Scholar 

  93. Ward S, Jenson M, Royal MA, Movva V, Bhakta B, Gunyea I. Fluoroscopy-guided sacroiliac joint injections with phenol ablation for persistent sacroiliitis: a case series. Pain Pract. 2002;2(4):332–5.

    Article  PubMed  Google Scholar 

  94. Rosenberg JM, Quint TJ, de Rosayro AM. Computerized tomographic localization of clinically-guided sacroiliac joint injections. Clin J Pain. 2000;16(1):18–21.

    Article  CAS  PubMed  Google Scholar 

  95. Srejic U, Calvillo O, Kabakibou K. Viscosupplementation: a new concept in the treatment of sacroiliac joint syndrome: a preliminary report of four cases. Reg Anesth Pain Med. 1999;24(1):84–8.

    CAS  PubMed  Google Scholar 

  96. Aydin SM, Gharibo CG, Mehnert M, Stitik TP. The role of radiofrequency ablation for sacroiliac joint pain: a meta-analysis. PM R. 2010;2(9):842–51.

    Article  PubMed  Google Scholar 

  97. Yin W, Willard F, Carreiro J, Dreyfuss P. Sensory stimulation-guided sacroiliac joint radiofrequency neurotomy: technique based on neuroanatomy of the dorsal sacral plexus. Spine. 2003;28(20):2419–25.

    Article  PubMed  Google Scholar 

  98. Buijs E, Kamphuis E, Groen G. Radiofrequency treatment of sacroiliac joint-related pain aimed at the first three sacral dorsal rami: a minimal approach. Pain Clinic. 2004;16(2):139–46.

    Article  Google Scholar 

  99. Cheng J, Pope JE, Dalton JE, Cheng O, Bensitel A. Comparative outcomes of cooled versus traditional radiofrequency ablation of the lateral branches for sacroiliac joint pain. Clin J Pain. 2013;29:132–7.

    Article  PubMed  Google Scholar 

  100. Solbiati L, Goldberg SN, Ierace T, et al. Hepatic metastases: percutaneous radio-frequency ablation with cooled-tip electrodes. Radiology. 1997;205(2):367–73.

    Article  CAS  PubMed  Google Scholar 

  101. Goldberg SN, Gazelle GS, Solbiati L, Rittman WJ, Mueller PR. Radiofrequency tissue ablation: increased lesion diameter with a perfusion electrode. Acad Radiol. 1996;3(8):636–44.

    Article  CAS  PubMed  Google Scholar 

  102. Delacretaz E, Stevenson WG, Winters GL, et al. Ablation of ventricular tachycardia with a saline-cooled radiofrequency catheter: anatomic and histologic characteristics of the lesions in Humans. J Cardiovasc Electrophysiol. 1999;10(6):860–5.

    Article  CAS  PubMed  Google Scholar 

  103. Patel N, Gross A, Brown L, Gekht G. A randomized, placebo-controlled study to assess the efficacy of lateral branch neurotomy for chronic sacroiliac joint pain. Pain Med. 2012;13(3):383–98.

    Article  PubMed  Google Scholar 

  104. Cohen SP, Hurley RW, Buckenmaier 3rd CC, Kurihara C, Morlando B, Dragovich A. Randomized placebo-controlled study evaluating lateral branch radiofrequency denervation for sacroiliac joint pain. Anesthesiology. 2008;109(2):279–88.

    Article  PubMed  PubMed Central  Google Scholar 

  105. Burnham RS, Yasui Y. An alternate method of radiofrequency neurotomy of the sacroiliac joint: a pilot study of the effect on pain, function, and satisfaction. Reg Anesth Pain Med. 2007;32(1):12–9.

    PubMed  Google Scholar 

  106. Chua NH, Vissers KC, Sluijter ME. Pulsed radiofrequency treatment in interventional pain management: mechanisms and potential indications-a review. Acta Neurochir (Wien). 2011;153(4):763–71. yes.

    Article  Google Scholar 

  107. Hagiwara S, Iwasaka H, Takeshima N, Noguchi T. Mechanisms of analgesic action of pulsed radiofrequency on adjuvant-induced pain in the rat: roles of descending adrenergic and serotonergic systems. Eur J Pain. 2009;13(3):249–52.

    Article  CAS  PubMed  Google Scholar 

  108. Vallejo R, Benyamin RM, Kramer J, Stanton G, Joseph NJ. Pulsed radiofrequency denervation for the treatment of sacroiliac joint syndrome. Pain Med. 2006;7(5):429–34.

    Article  PubMed  Google Scholar 

  109. Gevargez A, Groenemeyer D, Schirp S, Braun M. CT-guided percutaneous radiofrequency denervation of the sacroiliac joint. Eur Radiol. 2002;12(6):1360–5.

    Article  CAS  PubMed  Google Scholar 

  110. Kim YH, Moon DE. Sacral nerve stimulation for the treatment of sacroiliac joint dysfunction: a case report. Neuromodulation. 2010;13(4):306–10.

    Article  PubMed  Google Scholar 

  111. Calvillo O, Esses SI, Ponder C, D’Agostino C, Tanhui E. Neuroaugmentation in the management of sacroiliac joint pain: report of two cases. Spine. 1998;23(9):1069–72.

    Article  CAS  PubMed  Google Scholar 

  112. Zaidi HA, Montoure AJ, Dickman CA. J Neurosurg Spine. 2015;23(1):59–66. doi:10.3171/2014.10.SPINE14516. Epub 2015 Apr 3.

    Article  PubMed  Google Scholar 

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  1. Wilmington VA Medical Center, Department of Medicine, Wilmington, DE, USA

    Hieu Hoang MD

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  1. Hieu Hoang MD
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Editors and Affiliations

  1. Department of Anesthesiology, Cooper Medical School of Rowan University , Camden, New Jersey, USA

    Michael Sabia

  2. Department of Anesthesiology, Cooper Medical School of Rowan University, Camden, New Jersey, USA

    Jasjit Sehdev

  3. Center for Advanced Pain Management, Hunterdon Medical Center Center for Advanced Pain Management, Flemington, New Jersey, USA

    William Bentley

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Hoang, H. (2017). Sacroiliac Joint Complex Pain. In: Sabia, M., Sehdev, J., Bentley, W. (eds) Urogenital Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-45794-9_4

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