Intra-articular Pulsed Radiofrequency With Steroids Injection Versus Intra-articular Steroids Injection in Chronic Sacroiliac Joint Arthritis

Study Overview
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Brief Summary
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The sacroiliac joint is Located between the pelvis and base of the spine, the sacroiliac joints are strong, stable joints that allow for little movement. While these joints do not bend like a knuckle or knee, they are susceptible to degenerative arthritis. Sacroiliac joint pain is one of the most common causes of chronic low back pain, accounting for 10% to 27% of patients with chronic lower back pain. It is known to be caused by abnormal motion in this joint, namely, too much motion or too little motion. Patients with pain experience various degrees of pain in the low back, groin, buttock, or posterior thigh.

Detailed Description
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The pain starts when the Sacroiliac joint gets inflamed. There are several reasons it could happen. It could be hurt when playing sports or if fall down. Sometimes start hurting when the ligaments that hold the SI joint together are damaged, which may make the joint move abnormally. The pain associated with sacroiliitis most commonly occurs in the buttocks and lower back. It can also affect the legs, groin and even the feet.

Official Title
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Comparison Between Intra-articular Pulsed Radiofrequency With Steroids Injection Versus Intra-articular Steroids Injection in Chronic Sacroiliac Joint Arthritis

Conditions
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Pain Management

Intervention / Treatment
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* Drug: intraarticular radiofrequency + intraarticular methylprednisolone
* Drug: intraarticular methylprednisolone


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients must have chronic pain more than 6 months and have failed medical treatment. Exclusion Criteria: Infection at the site of injection Opioids addiction Coagulopathy or another bleeding diathesis Those who refuse to participate in the study Ankylosing Spondylitis patients

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: group A<br>receive intraarticular radiofrequency + methylprednisolone (30 mg) | Drug: intraarticular radiofrequency + intraarticular methylprednisolone<br>* intraarticular radiofrequency + intraarticular methylprednisolone (30 mg)<br>|
| Experimental: group C<br>receive intraarticular methylprednisolone (30 mg) | Drug: intraarticular methylprednisolone<br>* intraarticular methylprednisolone (30 mg)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain intensity | Numeric Rating Scale (NRS) | up to 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Impression | Patient Global Impression of Change Scale (PGIC) | up to 6 months | 
| Pain Disability | Pain Disability Index ( PDI) | up to 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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chronic sacroilitis,radiofrequancy,intraarticular steroids injection