Inclusion Criteria:  Age between 50 - 70 years of both gender, sacroiliac pain with at least 3 of the 5 provocative tests are positive, pain did not relieved by the conservative therapy (rest, ice/heat, topical menthol, lidocaine patch, pelvic belt, physical therapy and NSIAD) for 4 weeks, positive diagnostic test 2 ml lidocaine 2% intra-articular SIJ injection one day before the procedure are included in this study.  Exclusion Criteria:  The exclusion criteria are patient refusal, history of immunosuppression diseases, bleeding or coagulation disorders, sacroiliac pain of multiple sources, local skin infection, septic joint, osteomyelitis, renal patients (Serum Creatinine >1.8 ), decompensated liver diseases, local malignancy, psychiatric disorders affecting co-operation, previous history of chronic opioid use, intra articular sacroiliac injection within previous three months, negative diagnostic test, allergy or hypersensitivity to any of the study medications diabetes mellitus, type II with history of poor glycemic control morbid obesity ( BMI> 40 ).