Comparative Functional Outcome Study for Ultrasound Guided Sacroiliac Joint Injection Methylprednisolone versus Prolotherapy for Sacroiliac Joint Pain Relief | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 2, February 2025, Page 183-187 PDF (405.56 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aimj.2025.446437 | ||||
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| Authors | ||||
| Shady Magdy Ali; Mohamed Ahmed El-Badawy; Wafik Abd El Naeem Amin | ||||
| Anesthesia, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Prolotherapy is a novel and economical therapeutic approach for chronic musculoskeletal pain disorders, including osteoarthritis of the knee. Corticosteroids have been fundamental in the management of sacroiliac joint (SIJ) arthropathy due to their anti-inflammatory and immunosuppressive properties. Aim of this work: To assess the efficiency and long-term effectiveness of periarticular prolotherapy in alleviating SIJ pain, contrasted with periarticular steroid injections. Patients and Methods: This prospective, randomised, single blind and controlled work was conducted on 80 patients aged > 21 years old, both sexes, with SIJ pain. Subjects had been assigned into two groups equally: group S received ultrasound-guided periarticular steroid injection (40 mg methyl prednisolone added to 6 ml Bupivacaine 0.5% and 9 ml isotonic saline 0.9 %), group P received ultrasound-guided periarticular dextrose 15% in 15 ml (6 ml Bupivacaine 0.5% and 9 ml dextrose 25%). Results: Numerical rating scale and Kurosawa scoring system were insignificantly different between pretreatments and weeks after treatment between the two groups and were significantly reduced at 3weeks and 5weeks after treatment in group P than group S (P<0.05). Heart rate and mean arterial blood pressure were insignificantly different between the two groups. Patient satisfaction was insignificantly different between the two groups. Conclusions: Sacroiliac joint pain is responsible for more than 50 % of low back pain, found mainly in females with high BMI. In patients with SIJ pain, periarticular injection of prolotherapy was more effective in pain relief than periarticular steroid injection, especially in long-term effectiveness, financial cost and fewer side effects. | ||||
| Keywords | ||||
| Ultrasound; Sacroiliac Joint; Methylprednisolone; Prolotherapy | ||||
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