Medical Journal Articles

The existence of connective tissue disorder and hypermobile joints syndrome plays a significant role in sacroiliac (SI) joint dysfunction. Extra-articular elements, such as ligamentous injuries and enthesopathy, likely the most frequent sources of joint dysfunction and potential hypermobility (1,2).  Prolotherapy is not a new treatment in medicine. However, the results of prolotherapy and the e‑ect … Read more

Introduction Chronic pain is the leading cause of disability worldwide and is associated with the highest economic cost among all psychiatric and neurologic disorders (1). The impact of pain has many negative consequences in previously healthy adults including loss of work productivity, lost wages, fewer work hours, and increased associated cost of care in the … Read more

Back pain conditions with non-radicular pain are a result of sacroiliac (SI) joint pain in 15% to 30% of patients. Many patients fail conservative treatment and proceed to intra or extraarticular steroid injection and radiofrequency ablation. Prevalence rates represent a bimodal distribution with higher rates in younger athletes and the elderly.  However, the etiology of … Read more

Sacroiliac joint (SIJ) dysfunction is one of the most common causes of lower back pain. Diagnosis of the SIJ pain is challenging due to the anatomy. There are di­erent factors that pertain to the etiologic cause of pain in this joint. These factors include leg length discrepancy, biomechanical abnormalities, trauma, scoliosis, surgery, and pregnancy (1-3).  … Read more

The greater occipital nerves and lesser occipital nerves are primarily derived from C2 (variable origins from C1, C3, and C4). An anesthetic blockade is considered to have its clinical e­ect by reducing pain a­erents to the cervical trigeminal nucleus caudalis (1).  The exact mechanism of pulsed radiofrequency ablation is yet to be elucidated. Inan, N … Read more