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).