Comparing the Effects of Ultrasound Versus Fluoroscopy for Sacroiliac Joint Injections

• Status: Completed
• Trial end date: 2014-03-01
• Target enrollment: 0
• Participant gender: All

Summary

The purpose of this research project is to compare two different techniques for performing an injection of the sacroiliac joint. Although both techniques are safe and accurate, the goal of the study is to determine if one technique is better than the other with respect to improvement in a patient's pain, function, and his or her satisfaction. Additionally, the investigators want to determine if one technique is quicker and more efficient than the other.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: United States Naval Medical Center, San Diego
• Collaborator: United States Naval Medical Center, Portsmouth
• Treatments: Lidocaine; Triamcinolone; Triamcinolone Acetonide; Triamcinolone diacetate; Triamcinolone hexacetonide

Criteria

Inclusion Criteria:

1. Diagnosis of SIJ dysfunction by history and physical exam

• History: Either low back pain or buttock pain

• Exam: Either tenderness to palpation over the SIJ or a positive provocative maneuver (i.e., Patrick's, Gaenslen's, and/or Yeoman's test)

2. Failed a trial of conservative therapy which may included medications, physical therapy, or both

3. Age > 18

4. Patient agrees to participate in study

Exclusion Criteria:

1. Coagulopathy

2. Renal or Hepatic Failure

3. Current Pregnancy or actively pursuing pregnancy

4. Known allergy to local anesthetic or steroids

5. Infection at site of needle placement or SIJ infection

6. Patient unable to consent himself or herself

7. Patient refusal

8. Prior surgical procedures involving the SIJ

9. Body Mass Index > 35 kg/m2