| Radiofrequency Rhizotomy of the Sacroiliac Joint with S2 Ganglionotomy. |
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Wan Soo Oh, Ho Jeong Kang, Kwang Min Kim, Hyun Soo Kim, Sang Chul Lee |
1Pain Management Center, Department of Anesthesiology, College of Medicine, Hallym University, Seoul, Korea.
2Department of Anesthesiology, College of Medicine, SungKyunKwan University, Seoul, Korea.
3Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea. |
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| Abstract |
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The sacroiliac joint possesses all the characteristics of a true joint and can produce symptoms quite similar to facet joint abnormalities. Pain originating from the sacroiliac joint usually causes buttock and referral pain: hip, groin, anterior thigh and calf. The second sacral nerve level contributes heavily to the innervation of the sacroiliac joint and a second sacral nerve ganglionotomy can be an important adjunct to sacroiliac joint rhizotomy.
The fact that capsule and ligaments contain nociceptors suggests that the sacroiliac joint is a possible source of low back pain and also plays a role in somatic referred pain. The patient usually experiences buttock discomfort and referred posterior thigh pain following a sacroiliac joint rhizotomy. We can lessen the residual symptoms after a sacroiliac joint rhizotomy by applying a second sacral nerve ganglionotomy. We experienced a patient with the sacroiliac joint originated pain who was successfully treated with sacroiliac joint rhizotomy and second sacral ganglionotomy without any residual sequelae and tolerates well after 4 months. |
| Key Words:
Nerve block: ganglionotomy; rhizotomy; Pain: sacroiliac joint |
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