An Updated Review of Utilization Patterns of Sacroiliac Joint Interventions in the Fee-for-service (ffs) Medicare Population from 2000 to 2022

Lucas JW, Sohi I, U.S. adults. Chronic pain and high-impact chronic pain in, 2023. NCHS Data Brief, No. 518. Hyattsville, MD: National Center for Health Statistics. November 2024. Accessed 12/4/2024. https://www.cdc.gov/nchs/data/databriefs/db518.pdf

GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1204–22. https://doi.org/10.1016/S0140-6736(20)32226-1.

Article  Google Scholar 

Dieleman JL, Cao J, Chapin A, et al. US health care spending by payer and health condition, 1996–2016. JAMA. 2020;323:863–84. https://doi.org/10.1001/jama.2020.0734.

Article  PubMed  PubMed Central  Google Scholar 

Fiore JA, Madison AJ, Poisal JA, et al. National health expenditure projections, 2023-32: payer trends diverge as pandemic-related policies fade. Health Aff (Millwood). 2024;43:910–21. https://doi.org/10.1377/hlthaff.2024.00469.

Article  PubMed  Google Scholar 

Hartman M, Martin AB, Whittle L, Catlin A. National health care spending in 2022: growth similar to prepandemic rates. Health Aff (Millwood). 2024;43:6–17. https://doi.org/10.1377/hlthaff.2023.01360.

Article  PubMed  Google Scholar 

Manchikanti L, Kaye AM, Knezevic NN, et al. Comprehensive, evidence-based, consensus guidelines for prescription of opioids for chronic non-cancer pain from the American Society of Interventional Pain Physicians (ASIPP). Pain Physician. 2023;26:S7–126. PMID: 38117465.

Article  PubMed  Google Scholar 

Manchikanti L, Sanapati MR, Soin A, et al. Comprehensive evidence-based guidelines for implantable peripheral nerve stimulation (PNS) in the management of chronic pain: From the American Society of Interventional Pain Physicians (ASIPP). Pain Physician. 2024;27:S115–91. PMID: 39565237.

Article  PubMed  Google Scholar 

Manchikanti L, Sanapati MR, Nampiaparampil D, et al. Perioperative management of antiplatelet and anticoagulant therapy in patients undergoing interventional techniques: 2024 updated guidelines from the American Society of Interventional Pain Physicians (ASIPP). Pain Physician. 2024;27:S1–94. PMID: 39133736.

Article  PubMed  Google Scholar 

Manchikanti L, Sanapati MR, Pampati V, Hirsch JA. Compliance and documentation for evaluation and management services in interventional pain management practice. Pain Physician. 2023;26:503–25. PMID: 37976475.

Article  PubMed  Google Scholar 

Hill-Oliva M, Ampen-Darko KK, Shekane P, et al. The use of telemedicine in outpatient pain management: A scoping review. Pain Physician. 2023;26:535–48. PMID: 37976479.

Article  PubMed  Google Scholar 

Heuch I, Heuch I, Hagen K, Zwart JA. Overweight and obesity as risk factors for chronic low back pain: a new follow-up in the HUNT Study. BMC Public Health. 2024;24:2618. https://doi.org/10.1186/s12889-024-20011-z.

Article  PubMed  PubMed Central  Google Scholar 

Haner J. Almost 3 in 4 US adults overweight or obese: Research. The Hill, November 15, 2024. Accessed 11/18/2024. https://thehill.com/blogs/blog-briefing-room/news/4992839-obesity-epidemic-adults-adolescents/

Manchikanti L, Pasupuleti R, Pampati V, Sanapati MR, Hirsch JA. Assessment of radiation exposure with mandatory two fluoroscopic views for epidural procedures. Pain Physician. 2023;26:557–67. PMID: 37976484.

Article  PubMed  Google Scholar 

Lown Institute Hospital Index. Unnecessary Back Surgery: Older Americans put at Risk While Billions in Medicare Funds Wasted. November 14, 2024. Accessed 11/25/2024. https://lownhospitalsindex.org/unnecessary-back-surgery/

Kaye AD, Okereke JS, Howe CA, et al. Posterior Sacroiliac Fusion Surgery: A Retrospective Single Center Study. Pain Physician. 2024;27:321–31. PMID: 39087970.

Article  PubMed  Google Scholar 

Umer IM, Gharibo C, Diwan S, Aydin SM. Evaluation and treatment of sacroiliac joint pain in patients with history of vertebral compression fractures: A retrospective case series. Pain Physician. 2024;27:E337–43. PMID: 38506686.

Article  PubMed  Google Scholar 

Lee JH, Chen KT, Chen YC, Chen CM. L5-S3 Compared to L5-S2 full-endoscopic rhizotomy and ablation under a navigation system for sacroiliac joint pain: A comparative study. Pain Physician. 2024;27:E943–51. PMID: 39621995.

Article  PubMed  Google Scholar 

Charliyan G, Enayati JP. PRP therapy for the treatment of sacral fracture and coccydynia: a case report. Pain Med Case Rep. 2023;7:285–92.

Article  PubMed  Google Scholar 

Norris J, Esplin N, Bharthi R, Altman D, Tomycz ND. A unique case of sacral radiculopathy after minimally invasive sacroiliac joint fusion: a case report. Pain Med Case Rep. 2023;7:53–8.

Article  PubMed  Google Scholar 

Manchikanti L, Pampati V, Sanapati MR, et al. Exponential decline of 28.9% in utilization of interventional pain management techniques among Medicare beneficiaries from 2019 to 2022: Updated analysis on the ongoing effects of COVID-19, economic decline, the Affordable Care Act (ACA), and medical policies. Pain Physician. 2024;27:455–67. PMID: 39621971.

Article  PubMed  Google Scholar 

Manchikanti L, Sanapati MR, Pampati V, et al. A 24% decline in the utilization of epidural procedure visits for chronic spinal pain management in the Medicare population from 2019 to 2022: Updated analysis of the effect of multiple factors. Pain Physician. 2024;27:E983–94. PMID: 39133736.

PubMed  Google Scholar 

Manchikanti L, Abd-Elsayed A, Kaye AD, et al. Escalating growth to rapid decline of utilization patterns of facet joint interventions in managing spinal pain in the Medicare population: Updated analysis of the effect of multiple factors from 2000 to 2022. Pain Physician. 2024;27:E979–82. PMID: 39688820.

PubMed  Google Scholar 

Manchikanti L, Kaye AD, Latchaw RE, et al. Impact of COVID-19 pandemic on utilization patterns of facet joint interventions in managing spinal pain in Medicare population. Pain Ther. 2023;12:505–27. PMID: 36723804.

Article  PubMed  PubMed Central  Google Scholar 

Manchikanti L, Pampati V, Knezevic NN, et al. The influence of COVID-19 on utilization of epidural procedures in managing chronic spinal pain in the Medicare population. Spine (Phila Pa 1976). 2023;48:950–61. https://doi.org/10.1097/BRS.0000000000004574.

Article  PubMed  Google Scholar 

Manchikanti L, Simopoulos TT, Pampati V, et al. Impact of COVID-19 pandemic and updated utilization patterns of sacroiliac joint injections from 2000 to 2020 in the fee-for-service (FFS) Medicare population. Pain Physician. 2022;25:239–50. PMID: 35652764.

PubMed  Google Scholar 

Manchikanti L, Helm S 2nd, Benyamin RM, Hirsch JA. A critical analysis of Obamacare: Affordable care or insurance for many and coverage for few? Pain Physician. 2017;20:111–38. PMID: 28339427.

Article  PubMed  Google Scholar 

Bauchner H, Fontanarosa PB. The future of US health care policy. JAMA. 2016;315:1339–40. https://doi.org/10.1001/jama.2016.2447.

Article  CAS  PubMed  Google Scholar 

Neiman PU, Tsai TC, Bergmark RW, Ibrahim A, Nathan H, Scott JW. The Affordable Care Act at 10 years: Evaluating the evidence and navigating an uncertain future. J Surg Res. 2021;263:102-9. doi: 10.1016/j.jss.2020.12.056. 

Janapala RN, Knezevic E, Knezevic NN, et al. Systematic review and meta-analysis of effectiveness of therapeutic sacroiliac joint injections. Pain Physician. 2023;26:E413-35. PMID: 37774179

Janapala RN, Knezevic E, Knezevic NN, et al. Systematic review and meta-analysis of the effectiveness of radiofrequency ablation of the sacroiliac joint. Curr Pain Headache Rep. 2024;28:335-72. doi: 10.1007/s11916-024-01226-6.

Manchikanti L, Knezevic E, Knezevic NN, et al. Effectiveness of facet joint nerve blocks in managing chronic axial spinal pain of facet joint origin: A systematic review and meta-analysis. Pain Physician. 2024;27:E169–206. PMID: 38324785.

Article  PubMed  Google Scholar 

Manchikanti L, Singh V, Pampati V, et al. Evaluation of the relative contributions of various structures in chronic low back pain. Pain Physician. 2001;4:308–16. PMID: 16902676.

Article  CAS  PubMed  Google Scholar 

Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine (Phila Pa 1976). 1995;20:31–7. https://doi.org/10.1097/00007632-199501000-00007.

Article  CAS  PubMed  Google Scholar 

Hancock MJ, Maher CG, Latimer J, et al. Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain. Eur Spine J. 2007;16:1539–50. https://doi.org/10.1007/s00586-007-0391-1.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Xu B, Zhao X, Zhang L, Feng S, Li J, Xu Y. Radiofrequency vs steroid injections for spinal facet and sacroiliac joint pain: a systematic review and meta-analysis. J Pain Res. 2024;17:2903–16. https://doi.org/10.2147/JPR.S469615.

Article  PubMed  PubMed Central  Google Scholar 

Cerasoli T, Filardo G, Favero A, et al. Injective therapies for managing sacroiliac joint pain in spondyloarthropathy: a systematic review and meta-analysis. J Clin Med. 2025;14:1294. https://doi.org/10.3390/jcm14041294.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Manchikanti L, Abd-Elsayed A, Kaye AD, et al. A systematic review of regenerative medicine therapies for axial spine pain of facet joint origin. Curr Pain Headache Rep. 2025;29:61. https://doi.org/10.1007/s11916-025-01376-1.

Article  PubMed 

Comments (0)

No login
gif