Ultrasound Versus Fluoroscopic Guided Sacroiliac Joint Injection In Patients With Chronic Sacroiliac Joint Pain

Ultrasound Versus Fluoroscopic Guided Sacroiliac Joint Injection In Patients With Chronic Sacroiliac Joint Pain

Sacroiliac joint injection in sacroiliitis

Comparison of ultrasound guided and fluoroscopic guided sacroiliac joint injection

Inclusion Criteria:

• Clinical diagnosis of sacroiliitis.
• At least 3 positive physical examination maneuvers [FABER (flexion, abduction, and external rotation), POSH (posterior shear), REAB (resisted abduction), Fortin's finger test],
• Moderate to severe pain (NRS pain score ≥ 3/10) refractory to oral anti-inflammatory.
• Age from 18ys to 60ys.

Exclusion Criteria:

• Ages less than 18 or more than 85 years.
• Body Mass Index (BMI) above 35 kg/m2.
• A diagnosis of severe anxiety or depression and other psychological disorders.
• Allergy to local anesthetics or steroids and pregnancy.
• Multiple comorbidities (renal , hepatic, cardiac).
• Coagulation disorder as bleeding tendency and platelet dysfunction.
• Contraindication for prone position or radiological exposure.
• Patient refuse .
• Pain suggestive of bilateral sacroiliac joint involvement (it would have been difficult to assess pain and disability secondary to each SIJ).