Health Condition 1: M45-M49- Spondylopathies
Conditions
Interventions
Intervention1: Ultrasound guided injection in Sacroiliac joint
: Ultrasound guided Lignocaine and Corticosteroid injection in Sacroiliac joint
Control Intervention1: Fluoroscopy guided injection in S
Sponsors
R G Kar Medical College and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosed case of seronegative Spondyloarthropathy by ASAS criteria. 2. Pain primarily experienced between the upper level of the iliac crests and the gluteal fold. 3. Active sacroilitis clinically (positive finding of at least 3 of 6 following tests for SIJ pain) i. Distraction or â??Gappingâ?? ii. FABER/Patrickâ??s Test iii. Thigh Thrust or Posterior Pelvic Pain Provocational Test iv. Gaenslenâ??s Test v. Sacroiliac Joint Compression Test vi. Sacral Thrust or Yeomanâ??s Test. 4. Poorly controlled by conservative treatment for 1 month by means of both pharmacological and non-pharmacological therapy. 5. Age between 18-45 years. 6. Oswestry disability index > 40% 7. NRS (0-10) > 5. 8. Reduction of pain intensity by > 75% following a diagnostic injection. 9. Unilateral sacroilitis.
Exclusion criteria
Exclusion criteria: 1. Severe peripheral arthritis with hip involvement. 2. Clinical findings and imaging studies suggest other obvious cause of the pain (e.g., central spinal stenosis with neurogenic claudication/myelopathy, foraminal stenosis or disc herniation with concordant radicular pain/radiculopathy, pyriformis syndrome, infection, tumour, fracture, pain related to spinal instrumentation). 3. Degenerative sacroiliac joint or complete ankylosis of sacroiliac joint (Grade IV). 4. Patient assume prone lying position to be difficult. 5. Allergy to lignocaine, contrast dye. 6. Presence of coagulation disorder or receiving anti-coagulant therapy. 7. With other systemic disorders or active infection or other contraindications for corticosteroid injection. 8. Unwilling patient. 9. Patient unable to come to hospital for subsequent visits for follow-up. 10. Has current skin disease over the injection site. 11. Has psychiatric disorder. 12. H/o prior injection in SIJ within 2 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Severity of sacroiliac joint pain - measured by NRS (Numeric Rating Scale) [0-10]Timepoint: Baseline 1 Week 4 Weeks 12 Weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Disability due to low back pain - measured by Oswestry disability indexTimepoint: Baseline 1 Week 4 Weeks 12 Weeks | — |
Countries
India
Contacts
Public ContactProf DR Pankaj Kumar Mandal
R. G. Kar Medical College and Hospital
Outcome results
None listed