An interventional study of Ultrasound-guided intra-articular steroid injection in Sacroiliitis, sponsored by Allied Hospital Faisalabad. Not yet recruiting at 1 site in Pakistan. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-22.
Sponsored by Allied Hospital Faisalabad · Not applicable, Interventional, and Treatment
Sacroiliitis is a common cause of low back and buttock pain. Intra-articular steroid injection of the sacroiliac joint can provide pain relief and functional improvement. This randomized controlled trial aims to compare the outcomes of ultrasound-guided versus fluoroscopic-guided sacroiliac joint steroid injections in patients with sacroiliitis. The study will evaluate procedural success, pain reduction, and functional improvement using the Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) at follow-up intervals.
The sacroiliac joint (SIJ) is increasingly recognized as a contributor to low back pain (LBP), with epidemiological estimates attributing approximately 10-30 % of mechanical low back pain cases to SIJ pathology1. Anatomically, the SIJ is a synovial-type (inferior portion) or syndesmosis-type (superior portion) joint between the sacrum and the ilium, supported by substantial interosseous, posterior and anterior ligaments and innervated by dorsal sacral rami and lower lumbar dorsal rami2. Inflammatory involvement of the SIJ occurs in conditions such as axial spondyloarthritis and may also arise post-traumatically or degeneratively3.
NSAIDs and physical therapies are used to treat sacroiliitis. However, intraarticular corticosteroid injections administered locally to the SI joint might result in rapid and significant clinical improvements in extremely painful instances4,5. Fluoroscope guided (FL) is usually employed to increase the precision of this treatment, however CT and MRI have also been used in recent years. These imaging techniques have a number of drawbacks, such as radiation exposure, expense, and the need for suitable infrastructure6. A new alternative technique for guiding SIJ injection is ultrasound (US) guidance. The advantages of US-guided injection over FL include that it eliminates radiation exposure, is more accessible, and is less expensive when used alone. Additionally, the US permits "real-time" visualisation of the injectate distribution and needle tip during injection.7,8.
Exclusion Criteria:
Prior SI joint injection in the past 12 months
Participants will receive sacroiliac joint steroid injection under ultrasound guidance using 40 mg triamcinolone acetonide mixed with 1 mL 0.25% bupivacaine.
Procedure: Ultrasound-guided intra-articular steroid injection
Participants will receive sacroiliac joint steroid injection under fluoroscopic guidance with contrast confirmation followed by the same steroid-bupivacaine injection.
Procedure: Ultrasound-guided intra-articular steroid injection
Participants will receive intra-articular sacroiliac joint steroid injection under ultrasound guidance. A needle will be advanced under real-time ultrasound guidance to the sacroiliac joint, and 40 mg triamcinolone acetonide mixed with 1 mL 0.25% bupivacaine will be injected.
Also known as: Ultrasound-guided SI Joint Injection
Procedural success rate of sacroiliac joint injection
Successful intra-articular deposition of steroid in the sacroiliac joint confirmed by the respective imaging guidance modality (ultrasound or fluoroscopy).
Time frame: During the procedure
Oswestry Disability Index (ODI) Score
The Oswestry Disability Index (ODI) is a validated patient-reported outcome measure used to assess disability related to low back pain. Scores range from 0 to 100, with higher scores indicating greater disability and worse functional status.
Time frame: Baseline, 2 weeks, 1 month, and 3 months after the procedure
Plan to share: No
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This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.
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Allied Hospital Faisalabad