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Sacroiliac joint injections with corticosteroids for treatment of chronic low back pain |
HAYES, Inc |
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Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Sacroiliac joint injections with corticosteroids for treatment of chronic low back pain. Lansdale: HAYES, Inc. Healthcare Technology Brief Publication. 2016 Authors' objectives The sacroiliac joint (SIJ) has been implicated as the primary source of pain in 10% to 30% of patients with chronic low back pain.
Description of Technology: This health technology assessment focuses on therapeutic injections of corticosteroid and local anesthetic into the SIJ to treat SIJ pain that is refractory to noninvasive therapies. These injections are usually performed using imaging guidance such as fluoroscopy, computed tomography, or ultrasonography. Although the half-lives of local anesthetics and corticosteroids are short, it is hypothesized that injection of these agents into the SIJ interrupts input from pain fibers, disrupting discharges from injured nerves and possibly decreasing sensitization in the central nervous system. Corticosteroids may provide an additional anti-inflammatory effect.
Patient Population: SIJ injections with local anesthetic plus a corticosteroid are intended for treatment of chronic low back pain in patients whose symptoms appear to be related to SIJ dysfunction or pathology.
Clinical Alternatives: Noninvasive methods for treating chronic low back pain related to SIJ dysfunction include rest, ice, muscle relaxants, nonsteroidal anti-inflammatory drugs, physical therapy, manual therapy, exercise or activity modification, bracing (sacroiliac belt), chiropractic adjustments, or combinations of these modalities.
Moderately invasive treatment methods include prolotherapy (injection of irritants into or near tendons or ligaments), radiofrequency neurotomy, and neuromodulation. If conservative or other less-invasive therapies are not effective, surgical treatments such as sacroiliac fusion may be indicated. Indexing Status Subject indexing assigned by CRD MeSH Adrenal Cortex Hormones; Humans; Injections, Intra-Articular; Low Back Pain; Sacroiliac Joint Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32017000079 Date abstract record published 06/01/2017 |
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