Virtual Didactic - Interventions for the Sacroiliac Joint Complex presented by Aaron Yang, MD-Virtual Didactic- Interventions for the Sacroiliac Joint Complex Led by- Aaron Yang, MD

Virtual Didactic- Interventions for the Sacroiliac Joint Complex Led by- Aaron Yang, MD

Video Transcription

Video Summary

Dr. Aaron Yang presented a lecture on the diagnosis and treatment of SI joint-mediated pain. He discussed the limitations of history, physical exam, and imaging in diagnosing SI joint pain, noting that not all pain is from the joint itself. He emphasized the importance of differentiating between pain from the joint and pain from the posterior complex of ligaments and muscles. Dr. Yang discussed intraarticular injections and sacroilateral branch blocks as diagnostic tools. He highlighted the challenges and limitations of these procedures, including variability in anatomy and inaccurate needle placement. The lack of a reference standard for diagnosing SI joint pain was also noted. Dr. Yang discussed radiofrequency ablation as a treatment option, explaining the procedure and its variable success rates. He mentioned that success rates may be influenced by poor selection criteria and lack of lesioning of all the sacroilateral branches. Dr. Yang also addressed the use of cooled radiofrequency ablation and its mixed evidence of effectiveness. He concluded the lecture by highlighting the need for further research and more accurate diagnostic procedures for SI joint pain. This summary is based on a transcription of Dr. Aaron Yang's lecture.

Keywords

SI joint-mediated pain

diagnosis

treatment

limitations

pain differentiation

intraarticular injections

sacroilateral branch blocks

radiofrequency ablation

success rates

research