Comparative evaluation of ultrasound and fluoroscope guided intra-articular sacroiliac joint injection in patients with sacroiliac joint pain

Authors

  • Kanika Associate Professor, Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India https://orcid.org/0000-0002-9079-0768
  • Amit Kumar Former Senior Resident, Department of Cardiac Anaesthesia and Pain Management Centre, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India https://orcid.org/0000-0001-6421-0152
  • Naveen Malhotra Former Senior Professor and Head, Department of Cardiac Anaesthesia and Pain Management Centre, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India https://orcid.org/0000-0002-5427-2170
  • Anshul Associate Professor, Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India https://orcid.org/0000-0001-8362-3243
  • Jyotsna Ex Resident, Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India https://orcid.org/0009-0004-8427-7775
  • Navya Malhotra MBBS Student, Department of Anaesthesiology, Hamdard Institute of Medical Sciences and Research, New Delhi, India https://orcid.org/0009-0007-0214-260X

DOI:

https://doi.org/10.3126/ajms.v15i12.70694

Keywords:

Low back pain; Sacroiliac joint injection; Ultrasound

Abstract

Background: Tissues which transmit pain in the lower back include disc, nerve root, dura, muscles, ligaments, facet joints, and sacroiliac joint (SIJ). The SIJ contributes around 13–30% in patients with chronic low back pain. The SIJ is difficult to enter with a needle because of its complex configuration. Ultrasound and fluoroscopy are the two tools which guide in performing SIJ injections.

Aims and Objectives: The SIJ is susceptible to arthritis, trauma, and degeneration which lead to pain and dysfunction. Intra-articular SIJ injections (IASIJIs) have diagnostic and therapeutic value and have been administered for the treatment of SIJ pain.

Materials and Methods: Sixty patients (aged 20–60 years) with pain patterns consistent with SIJ pain who did not respond to conservative treatment were included in the study. The patients were randomly divided into two groups of 30 each: Group U (n=30): Ultrasound-guided IASIJI and Group F (n=30): Fluoroscope-guided IASIJI. A total of 3 mL drug solution comprising 1 mL of 0.25% bupivacaine plus 2 mL of methylprednisolone (80 mg) was injected in both groups.

Results: There was a statistically significant improvement in pain scores after IASIJI in both groups. The change in pain score was significantly more in Group F as compared to Group U at 3 and 6 months after IASIJI. Two weeks after IASIJI, the mean pain score in both groups remained < 2 at all time intervals throughout the study period. The variation in the Oswestry Disability Index (ODI) at different time intervals when compared to ODI before injection in both the groups was clinically and statistically significant (P<0.001). The change in ODI was more in Group F as compared to Group U at all time intervals. Excellent patient satisfaction was reported by the majority of the patients at different time intervals in both groups.

Conclusion: Both techniques were effective and provided good pain relief to the patients with SIJ pain. Fluoroscope-guided SIJ injection is better than ultrasound-guided SIJ injection in terms of improvement in pain score and functional disability.

Downloads

Download data is not yet available.
Abstract
39
PDF
23

Downloads

Published

2024-12-04

How to Cite

Kanika, Amit Kumar, Naveen Malhotra, Anshul, Jyotsna, & Navya Malhotra. (2024). Comparative evaluation of ultrasound and fluoroscope guided intra-articular sacroiliac joint injection in patients with sacroiliac joint pain. Asian Journal of Medical Sciences, 15(12), 171–175. https://doi.org/10.3126/ajms.v15i12.70694

Issue

Vol. 15 No. 12 (2024)

Section

Original Articles

License

Copyright (c) 2024 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).