Trial Assessing Cooled Radiofrequency Denervation as a Treatment for Sacroiliac Joint Pain Using the Sinergy System
Trial Assessing Cooled Radiofrequency Denervation as a Treatment for Sacroiliac Joint Pain Using the Sinergy System
to evaluate the effectiveness of cooled radiotherapy denervation of the sacroiliac region
 using the sinergy system by comparing a treatment group to a placebo group
Inclusion Criteria:

 -  Predominantly axial pain below L5 vertebrae

 -  greater than 75%pain relief from 2 seperate lateral branch blocks done on different
 days

 -  chronic axial pain lasting longer than 6 months, 3 day average VAS between 4 and 8

 -  age greater than 18

 -  failed to acheive adequate improvemnet with comprehensive non-operative treatments,
 includingbut not limited to: activity alteration, non0steriodal anti-iflammatory,
 physical and/or manual therap, and flurpscopically guided steriod injections in and
 around the area of pathology

 -  all other possible sources oflow back pain have been ruled out, including but not
 limited to the intervertebral discs, bone fracture.

 Exclusion Criteria:

 -  Beck Depression greater than 20%

 -  irreversible psychological barriers to recovery

 -  spinal pathology that may impede recovery such as spins bifida occulta,

 -  moderate to severe foraminal or central canal stenosis

 -  systemic infection or localized infection at inducer site

 -  concomitant cervical or thoracic pain greater than 2/10 on VAS

 -  uncontrolled or acute disease

 -  chronic severe condition such as rheumatoid arthritis

 -  preganancy

 -  active radicular pain

 -  immunosuppression

 -  workers compensation

 -  allergy to injectants or medications used in procedure

 -  high narcotis use greater than 30 mg hydrocodone or equivalent

 -  smokers

 -  body mass index greater than 29.9