Sacroiliac joint injections with corticosteroids for treatment of chronic low back pain
HAYES, Inc
Record ID 32017000079
English
Authors' objectives:
The sacroiliac joint (SIJ) has been implicated as the primary source of pain in 10% to 30% of patients with chronic low back pain.
Description of Technology: This health technology assessment focuses on therapeutic injections of corticosteroid and local anesthetic into the SIJ to treat SIJ pain that is refractory to noninvasive therapies. These injections are usually performed using imaging guidance such as fluoroscopy, computed tomography, or ultrasonography. Although the half-lives of local anesthetics and corticosteroids are short, it is hypothesized that injection of these agents into the SIJ interrupts input from pain fibers, disrupting discharges from injured nerves and possibly decreasing sensitization in the central nervous system. Corticosteroids may provide an additional anti-inflammatory effect.
Patient Population: SIJ injections with local anesthetic plus a corticosteroid are intended for treatment of chronic low back pain in patients whose symptoms appear to be related to SIJ dysfunction or pathology.
Clinical Alternatives: Noninvasive methods for treating chronic low back pain related to SIJ dysfunction include rest, ice, muscle relaxants, nonsteroidal anti-inflammatory drugs, physical therapy, manual therapy, exercise or activity modification, bracing (sacroiliac belt), chiropractic adjustments, or combinations of these modalities.
Moderately invasive treatment methods include prolotherapy (injection of irritants into or near tendons or ligaments), radiofrequency neurotomy, and neuromodulation. If conservative or other less-invasive therapies are not effective, surgical treatments such as sacroiliac fusion may be indicated.
Details
Project Status:
Completed
Year Published:
2016
URL for published report:
The report may be purchased from:
http://www.hayesinc.com/hayes/crd/?crd=7856
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
United States
MeSH Terms
- Humans
- Adrenal Cortex Hormones
- Injections, Intra-Articular
- Low Back Pain
- Sacroiliac Joint
Contact
Organisation Name:
HAYES, Inc.
Contact Address:
157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218
Contact Name:
saleinfo@hayesinc.com
Contact Email:
saleinfo@hayesinc.com
Copyright:
Winifred S. Hayes, Inc
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.