Conventional Sacroiliac Joint Injection Versus Pulsed Radiofrequency in SIJ Pain

N/ANot Yet RecruitingNCT07709689

National Cancer Institute, Egypt80 enrolled

Overview

Therapeutic options for SIJ pain include intra-articular corticosteroid injections, which provide symptomatic relief but typically require repeated administration due to variable and short-lived efficacy. More recently, pulsed radiofrequency (PRF) has been investigated for joint pain management through intra-articular electrode placement and stimulation. However, its effectiveness in treating SIJ pain remains insufficiently studied and warrants further exploration.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Chronic Pain Sacroiliitis

Interventions

Conventional injectionPROCEDURE

Sacroiliac joint (SIJ) steroid injection

Pulsed radiofrequency (PRF)PROCEDURE

PRF of Sacroiliac Joint (SIJ)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion criteria * Sacroiliac Joint (SIJ) Pain * Diagnostic Block Response: Demonstrated a pain reduction of at least 50% following a diagnostic intra- articular SIJ block. * Failure of Medical Management * Chronic Pain Duration: Presence of chronic pain for a minimum duration of 6 months. * Pain Intensity: A pain intensity score greater than 5 on a 10-point Numeric Rating Scale (NRS), where 0 represents no pain and 10 represents the worst imaginable pain. * Age: Aged between 18 and 65 years. * Body Mass Index (BMI): A BMI within the range of 20 kg/m² to 35 kg/m². Exclusion Criteria: * Patient refusal. * Local infection at the puncture site. * Coagulopathies with platelets count below 50,000 or an INR\>1.6. * Unstable cardiovascular disease and Poor general condition and severe respiratory distress. * History of psychiatric and cognitive disorders or opioid addiction. * Patients are allergic to medication used. * Previous surgery to the affected site. * Rheumatological disease such as rheumatoid arthtritis or ankylsoing spondyolitis.

Outcomes

Primary Outcomes

Numeric rating score (NRs) reduction

Numeric rating score (NRs) reduction of pain scores after 1 month

Time frame: 1 month

Central Contacts

Walaa Y Elsabeeny, MD

CONTACT

01007798466 walaa.elsabeeny@nci.cu.edu.eg

Mohamed Magdy, MD

CONTACT

01005562356 Mohammed.magdy@nci.cu.edu.eg

Data from ClinicalTrials.gov

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