The sacroiliac joints (SI joints), also called sacral joints, forms the link between the sacrum and pelvis and thus the link between the back and legs. SI joints can be overloaded or inflamed. The pain is located in the lower back and can radiate to the buttock and thigh. A Simplicity treatment is a form of pain treatment for complaints in the sacroiliac joint. This treatment interrupts the pain conduction in the nerve branches from the sacroiliac joint by means of very high-frequency current, which generates localized heat. In many cases, the treatment results in a reduction in pain.
A Simplicity treatment is a form of pain treatment in the lower back, between the sacrum and pelvis (sacroiliac joint). This treatment interrupts the pain conduction in the nerve branches from the sacroiliac joint, by means of very high-frequency current, which generates localized heat. In many cases, the treatment results in a reduction in pain.
Preparing for the treatment The treatment is performed during a short stay at the OCP Medical Center and is performed by an anesthesiologist/pain specialist. The treatment is performed in the operating room and you will be sedated (no anesthetic) in combination with a local sedation. The day of the treatment you should fast for at least 6 hours leading up to the treatment. This means that up to six hours before arriving you can have a cracker or biscuit without butter, and with just a little bit of sweet top-pings for breakfast, and up to four hours before arriving you can only drink clear liquid drinks (water, tea, apple juice, or clear lemonade). Coffee is not allowed. You may take prescription medication with a sip of water. You’ll arrive at the clinic about an hour before the treatment. You will be escorted to your private room, where you can change into a gown. Before the procedure starts, a nurse and/or doctor will bring you to the treatment room. The treatment After placing an IV and connecting the necessary monitors (heart rate, blood pressure) you’ll lie on your stomach. The procedure is performed with local anesthesia with an additional light sedation to make you feel calm and relaxed. The skin of the back at the height of the buttock is disinfected, and then locally sedated (5-10 ml lidcaine 2%). After the anesthesia starts to take effect, the Simplicity electrode will be placed by the doctor. With the aid of X-ray, the spot where the pain sensation in the sacroiliac joint is coming from will be located. If the needle is in the correct position, the treatment is started. The actual treatment takes about 15 minutes.
After the treatment After the treatment you will be taken back to your room where you can recover. The department nurse will further help here and answer any questions you might have. After about an hour you can go home. The treatment and anesthesia affects your ability to react, therefore, you are not allowed to operate a vehicle on the day of the treatment and should have someone with you to take you home. When the local anesthetic wears off (about one to several hours after the treatment) post-operative pain may occur. This usually lasts for one to several days. You can take painkillers to help with the pain. This can be your own pain medication or paracetamol according to the dosage on the package leaflet. During the day of treatment it is advisable to take it easy. You may do what feels okay, but physical labor is strongly discouraged. Possible side effects Possible side effects are: Hematoma: this can occur if a blood vessel is damaged. This causes a bruise and sometimes also after pains. Muscle pain: on the location of the injection. Temporary loss of strength: this can last for several hours and is caused by the anesthesia. Temporary reduction of the sensation in the skin in the vicinity of the treated area, this is a result of the treatment and will return on it’s own in a few weeks. Please note that this information gives an impression of a treatment so you can prepare in advance.
Introducing our Pain Specialist
Introducing our Pain Specialist
Dr, Henk van Driel
Dr. Henk van Driel is operating as an anesthesiologist in the field of chronic pain for more than 25 years. After having initiated the pain management department in the Amphia Hospital in The Netherlands, the largest in the country, he opened Optimal Care Pijnklinieken back in 2008, the first clinic to offer the full range of pain management procedures available in The Netherlands.
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