The Sacroiliac Rhizotomy Procedure
The Sacroiliac Rhizotomy Procedure The Sacroiliac (SI) joint, located where the sacrum meets the ilium in the pelvis, plays a vital role in stabilizing the pelvis and transmitting forces from the upper body to the legs. Despite its importance, the SI joint can be a source of chronic pain, often resulting from inflammation, degeneration, injury, or arthritis. When conservative treatments like physical therapy, medications, or injections fail to provide relief, a surgical option known as sacroiliac rhizotomy may be considered.
The Sacroiliac Rhizotomy Procedure Sacroiliac rhizotomy is a minimally invasive procedure designed to disrupt the nerves transmitting pain signals from the SI joint to the brain. By selectively targeting and ablating these nerves, the procedure aims to reduce or eliminate SI joint pain, offering a significant improvement in quality of life for patients suffering from persistent discomfort. The procedure is typically recommended after thorough diagnostic testing confirms that the SI joint is the primary source of pain.
Before the procedure, a comprehensive evaluation is conducted, including physical examinations, imaging studies like MRI or CT scans, and diagnostic injections. These injections help confirm that the SI joint is indeed the pain generator. Once confirmed, the patient is prepared for the rhizotomy, which is performed under local anesthesia and conscious sedation to ensure comfort and safety. The Sacroiliac Rhizotomy Procedure
During sacroiliac rhizotomy, a small incision is made near the pelvis, and a specialized needle or probe is inserted under fluoroscopic (X-ray) guidance. This imaging technology allows precise placement of the device adjacent to the targeted nerves. Once in position, the surgeon uses radiofrequency energy to heat and ablate the nerve tissue, effectively disrupting the nerve’s ability to transmit pain signals. The procedure typically lasts about an hour, and patients often experience minimal discomfort during and after the process.
The Sacroiliac Rhizotomy Procedure Post-procedure, patients are monitored briefly before being discharged the same day. Recovery generally involves rest for a few days, with most individuals able to resume light activities within a week. It’s common to experience some soreness at the treatment site, but this often subsides quickly. Physicians may recommend physical therapy or specific exercises to strengthen the surrounding muscles and support the pelvis, helping maintain pain relief and prevent future issues.
The Sacroiliac Rhizotomy Procedure The benefits of sacroiliac rhizotomy include significant pain reduction, decreased reliance on pain medications, improved mobility, and enhanced ability to perform daily activities. However, it is worth noting that nerve regeneration can sometimes occur, which may lead to a recurrence of pain, potentially necessitating additional treatments. Risks are generally low but can include infection, bleeding, nerve damage, or unintended numbness.
In summary, sacroiliac rhizotomy offers a promising solution for patients with chronic SI joint pain who have not responded to conservative approaches. It combines precision, minimally invasive technique, and the potential for lasting relief, making it an important option in the spectrum of pelvic pain management. The Sacroiliac Rhizotomy Procedure
