Sacroiliac joint infiltration

The sacroiliac joint connects the pelvis to the spine; it is considered to be the cause of back pain in patients with chronic low back pain in between 14% and 22% of cases.

Treatment is primarily conservative, based on physiotherapy and pain relieving/anti-inflammatory drugs. In resistant cases, intra-articular infiltrations, under ultrasound or fluoroscopic guidance, of slow-release cortisone, are an effective approach. In case of mechanical instability, the benefit may be temporary, in these cases it is possible to resort to sensory denervation of the sacroiliac joint with radiofrequency (RF) which can provide a long-lasting pain relief.

CASE STUDY OF ECO-GUIDED SPINE INFILTRATION

Francesca, age 40, has been suffering from back pain for a few months, recently aggravated as it radiates to the right buttock. Francesca underwent physiotheraphy sessions, treatments with opioid and anti-inflammatory analgesic drugs with side effects and little benefit. After an online research, Francesca learns about Dr. Lo Bianco and decides to contact him.
Having seen the x-ray scan of the lumbosacral spine and hips, and having subjected the patient to a thorough clinical examination, Dr. Lo Bianco identifies the cause of the problem as arthrosis of the lumbar facet joints and the right sacroiliac synchondrosis. Therefore, Dr. Lo Bianco suggests a treatment with periarticular ultrasound guided infiltrations of the zygophyseal joints (L4/L5) and of the right sacroiliac.
After a session of infiltrations with local anesthetic and periarticular cortisone, the patient returned to a normal life.

“After many unsuccessful treatments, I found the solution in Dr. Lo Bianco, he showed me the benefits of infiltrations and I decided to proceed. I am happy about my choice and I would do it again, thanks to Dr. Lo Bianco.” Francesca

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