The procedure is usually combined with radiofrequency ablation of the ipsilateral L5 primary dorsal ramus. Though multiple methods have been endorsed to denervate the SI joint, the Simplicity III procedure is a convenient and effective alternative for achieving maximal disruption of nociceptive input from the SI joint. The Simplicity III is a rigid tripolar probe with a sharp-tip that creates an adequate strip lesion that is technically easy to perform. Its pre-curved shape closely approximates the curvature of the sacrum, and it does not require an introducer.
Correspondence Address : Dr. Sacroiliac joint SIJ pain is one of the common but underdiagnosed source of mechanical low back pain. The signs and symptoms of SIJ pain mimic pain arising from other causes of low back pain. There is no single symptom or physical examination finding that can firmly diagnose SIJ as a source of patient's pain. There is good evidence suggesting that a combination of three or more positive provocative tests strongly suggests SIJ dysfunction. Intra-articular injection with local anesthetic is considered the gold standard for diagnosis of SIJ pain. Many treatment modalities are available for SIJ pain, ranging from conservative management to surgical interventions.
‘Simplicity’ radiofrequency neurotomy of sacroiliac joint: a real life 1-year follow-up UK data
We review here the latest studies on efficacy of and techniques employed in radiofrequency neurotomy of the sacroiliac joint. Radiofrequency neurotomy has been shown to have limited evidence in treating sacroiliac joint syndrome. Variability in results has been attributed to individual nerve patterns, improper diagnosis, and selection of patients, as well as variability in the procedure itself. Future studies will be needed to focus on the type of radiofrequency neurotomy and positioning of electrodes to better evaluate efficacy.
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