title: Pulsed Radiofrequency Application for the Treatment of Pain Secondary to Sacroiliac Joint Metastases.
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.
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Yu Ri
authors.initials: YR
authors.lastname: Yi
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Na Rea
authors.initials: NR
authors.lastname: Lee
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Young Suk
authors.initials: YS
authors.lastname: Kwon
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Ji Su
authors.initials: JS
authors.lastname: Jang
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: So Young
authors.initials: SY
authors.lastname: Lim
keywords: Cancer; Metastases; Neuromodulation; Pain; Pulsed radiofrequency; Sacroiliac joint
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