CTRI/2020/07/026854
Not yet recruiting
Phase 1
A comparative study between the clinical effect of Ultrasound versus Fluoroscopy guided Sacroiliac Joint injection in Spondyloarthropathy.
R G Kar Medical College and Hospital0 sites0 target enrollmentTBD
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- R G Kar Medical College and Hospital
- Status
- Not yet recruiting
- Last Updated
- 4 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Diagnosed case of seronegative Spondyloarthropathy by ASAS criteria.
- •2\. Pain primarily experienced between the upper level of the iliac crests and the gluteal fold.
- •3\. Active sacroilitis clinically (positive finding of at least 3 of 6 following tests for SIJ pain)
- •i. Distraction or â??Gappingâ??
- •ii. FABER/Patrickâ??s Test
- •iii. Thigh Thrust or Posterior Pelvic Pain Provocational Test
- •iv. Gaenslenâ??s Test
- •v. Sacroiliac Joint Compression Test
- •vi. Sacral Thrust or Yeomanâ??s Test.
- •4\. Poorly controlled by conservative treatment for 1 month by means of both pharmacological and non\-pharmacological therapy.
Exclusion Criteria
- •1\. Severe peripheral arthritis with hip involvement.
- •2\. Clinical findings and imaging studies suggest other obvious cause of the pain (e.g., central spinal stenosis with neurogenic claudication/myelopathy, foraminal stenosis or disc herniation with concordant radicular pain/radiculopathy, pyriformis syndrome, infection, tumour, fracture, pain related to spinal instrumentation).
- •3\. Degenerative sacroiliac joint or complete ankylosis of sacroiliac joint (Grade IV).
- •4\. Patient assume prone lying position to be difficult.
- •5\. Allergy to lignocaine, contrast dye.
- •6\. Presence of coagulation disorder or receiving anti\-coagulant therapy.
- •7\. With other systemic disorders or active infection or other contraindications for corticosteroid injection.
- •8\. Unwilling patient.
- •9\. Patient unable to come to hospital for subsequent visits for follow\-up.
- •10\. Has current skin disease over the injection site.
Outcomes
Primary Outcomes
Not specified
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