Comparison of the effectiveness of topical injection of dextrose and corticosteroids under ultrasound guidance in the treatment of sacroiliac joint inflammation, a Clinical trial

The aim of this study is to compare the effects of ultrasound-guided injections of corticosteroid and Prolotherapy in the treatment of sacroiliac joint inflammation.

A randomized (randomized blocking method), double blinded (patients and analyzers), clinical trial with a parallel group design of 40 patients referred to physical medicine and rehabilitation clinic at Firoozgar hospital, enrolled between 2015 and 2016, and followed for 8 weeks.

patients will be randomly divided to two groups of twenty. For randomization we will use randomized blocking method. The place of execution is physical medicine and rehabilitation clinic at Firoozgar hospital.

Inclusion Criteria: Diagnosis of sacroiliac (Sl) joint pain, failure to respond to medication for one month, having a score of at least 4 in the Visual Analog Scale (VAS) criteria. Exclusion criteria: Malignancy, fractures, inflammatory arthritis, infections, fibromyalgia.

After providing sterile conditions for injection, in one group, 2.5 ml containing 40 mg of triamcinolone and 2 cc of lidocaine and in other group, 2.5 cc of dextrose 20% and 2 cc of lidocaine, ultrasound-guided injected in the SIJ space. In both groups, physical therapy, including ROM exercises, stretching and isometric exercises will be taught to patients.

The severity of symptoms by Visual Analog Scale (VAS); The severity of symptoms and functional limitations in chronic low back pain by Dallas questionnaire.

Vice chancellor for research, Iran University of Medical Sciences

Method of randomization: block, Unit of randomization: individual, Tools used in randomization such as table of random numbers.

This is a double blind study in which patients and outcomes analyzer are blinded. In order to blind the patient, it is said that both materials are effective for treatment, but the type of substance is not mentioned for patients when its injected. In order to blind the analyzer, the persons responsible for injection and data collection are different from the outcome assessors.

All the patient's data can be shared with privacy in regard to patients name

Start accessing 6 months after publishing the results.

For scholars working in academic centers.

It can be analyzed and printed by other people by mentioning the source.

Dr. Naseh Yousefi, 989124261524, www.nasehusefi@gmail.com.

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