Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Intra-articular pulsed radiofrequency of SIJ: 2 radiofrequency needles will be placed intra-articular in the SIJ under fluoroscopic guidance. Pulsed radiofrequency will be performed for
Sponsors
All India Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1. Low back ache for more than 3 months with or without radiation to leg 2. Numerical rating scale (NRS) for pain greater than 4 on 11 point scale 3. 3 out of 6 provocative tests for SIJ pain must be positive. These include: FABER, Ganslenâ??s test, sacral thrust, SIJ compression, distraction and thigh thrust test 4. A positive response to diagnostic intra articular SIJ injection with local anesthetic. Patient must report pain relief more than 75% on NRS scale
Exclusion criteria
Exclusion criteria: Patient refusal Focal neurological signs or neuropathic pain Other cause of low back ache â?? radiculopathy, facet joint pain Allergy to contrast or local anesthetics Previous history of intervention for SIJ pain Pregnant patients Patients with inflammatory arthritis â?? ankylosing spondylitis, rheumatoid arthritis Bleeding or coagulation disorders Opioid addiction of psychiatric disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Numerical Rating Scale for painTimepoint: Pre Procedure at 7 days,15 days 1, 3 and 6 months post procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Oswestry disability index score, global perceived effect (GPE) and decrease in analgesic medication use.Timepoint: Pre Procedure at 7 days,15 days 1, 3 and 6 months post procedure | — |
Countries
India
Contacts
Public ContactVirender Kumar Mohan
AIIMS, New Delhi
Outcome results
None listed