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Chronic sacroiliac joint (SI) pain can cause disability in an aging society. Effective treatment of low back pain (LBP) originating from sacroiliac joints is difficult to achieve. We report the successful treatment of pulsed radiofrequency (PRF) ablation in a patient with chronic SI joint pain. There were no post-interventional complications. Clinical improvement reported after 12 months.


ablation chronic pain radiofrequency sacroiliac joint

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How to Cite
Yudoyono, F., Pratiwi, D., Gunawan, H., & Herminawaty, D. (2020). Chronic sacroiliac joint pain treated with pulsed radiofrequency ablation. Neurologico Spinale Medico Chirurgico, 3(1), 9-11.


  1. Cosman ER, Gonzalez CD. Bipolar radiofrequency lesion geometry: implications for palisade treatment of sacroiliac joint pain. Pain Practice. 2011;11(1):3–22. DOI: 10.1111/j.1533-2500.2010.00400.x
  2. Romero FR, Vital RB, Zanini MA, et al. Long-term follow-up in sacroiliac joint pain patients treated with radiofrequency ablative therapy. Arq Neuropsiquiatr. 2015;73(6):476-79. DOI: 10.1590/0004-282X20150049
  3. Cox RC, Fortin JD. The anatomy of the lateral branches of the sacral dorsal rami: implications for radiofrequency ablation. Pain Physician. 2014;17:459-64.
  4. Cheng J, Chen SL, Zimmerman N, et al. A new radiofrequency ablation procedure to treat sacroiliac joint pain. Pain Physician. 2016;19:603-15.
  5. Biswas BK, Dey S, Biswas S, et al. Water-cooled radiofrequency neuroablation for sacroiliac joint dysfunctional pain. Journal of Anaesthesiology Clinical Pharmacology. 2016;32(4):525-27. DOI: 10.4103/0970-9185.168261
  6. Choi WS, Kim JS, Ryu KS, et al. Endoscopic Radiofrequency ablation of the sacroiliac joint complex in the treatment of chronic low back pain: A preliminary study of feasibility and efficacy of a novel technique. BioMed Research International. 2016;2016:2834259. DOI: 10.1155/2016/2834259
  7. Rupert MP, Lee M, Manchikanti L, et al. Evaluation of sacroiliac joint interventions: A systematic appraisal of the literature. Pain Physician. 2009;12:399-418.
  8. Zacchino M, Almolla J, Canepari E, et al. Use of ultrasound–magnetic resonance image fusion to guide sacroiliac joint injections: a preliminary assessment. J Ultrasound. 2013;16:111–18. DOI: 10.1007/s40477-013-0028-7
  9. Hansen H, Manchikanti L, Simopoulos TT, et al. A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions. Pain Physician. 2012;15:E247-78.
  10. Ho KY, Hadi MA, Pasutharnchat K, et al. Cooled radiofrequency denervation for treatment of sacroiliac joint pain: two-year results from 20 cases. Journal of Pain Research. 2013;6:505–11. DOI: 10.2147/JPR.S46827
  11. Cheng J, Chen SL, Zimmerman N, et al. A new radiofrequency ablation procedure to treat sacroiliac joint pain. Pain Physician. 2016;19:603-15.
  12. Schmidt PC, Pino CA, Vorenkamp KE. Sacroiliac joint radiofrequency ablation with a multilesion probe: A case series of 60 patients. Anesthesia & Analgesia. 2014;119(2):460–62. DOI: 10.1213/ANE.0000000000000282
  13. Byrd D, Mackey S. Pulsed radiofrequency for chronic pain. Curr Pain Headache Rep. 2008;12(1):37–41. DOI: 10.1007/s11916-008-0008-3
  14. Dutta K, Dey S, Bhattacharyya P, et al. Comparison of efficacy of lateral branch pulsed radiofrequency denervation and intraarticular depot methylprednisolone injection for sacroiliac joint pain. Pain Physician. 2018;21(5):489-96.
  15. Salman OH, Gad GS, Mohamed AA, et al. Randomized, controlled blind study comparing sacroiliac intra-articular steroid injection to radiofrequency denervation for sacroiliac joint pain. Egyptian Journal of Anaesthesia. 2016;32:219–25. DOI: 10.1016/j.egja.2015.07.005
  16. Hegarty D. Clinical outcome following radiofrequency denervation for refractory sacroiliac joint dysfunction using the simplicity iii probe: A 12-month retrospective evaluation. Pain Physician. 2016;19:E129-35.