الفهرس 
Anatomy of sacroiliac jointOnly 14 pages are availabe for public view
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Abstract
Abstract
Background: Despite widespread use of steroids to treat sacroiliac joint (SIJ) pain, their duration of pain reduction is short. prolotherapy can potentially enhance tissue healing and may have a longer-lasting effect on pain.
Objectives: The purpose of this study was to evaluate the efficacy and long-term effectiveness of intra-articular prolotherapy in relieving sacroiliac joint pain, compared with intra-articular steroid injection.
Design: This was a prospective, randomized, controlled trial.
Settings/location: The study was conducted at the Department Physical medicine, Rheumatology and Rehabilitation clinic of Ain Shams University Hospitals.
Subjects: The study included patients with sacroiliac joint pain, confirmed by magnetic resonance imaging (MRI), lasting 3 months or longer, and who failed medical treatment.
Interventions: The treatment involved intra-articular dextrose water prolotherapy or triamcinolone acetonide injection using ultrasound guidance, with a biweekly schedule and maximum of three injections.
Outcome measures: Pain score by numerical rating scale (NRS) and disability scores by Oswestry Disability index (ODI) scores were assessed at baseline, 3weeks, and 3 months after completion of treatment. Magnetic resonance imaging index of inflammation of the sacroiliac joints (SPARCC) was done before and 3 month after receiving intra articular injection.
Results: This study was included 70 sacroiliac joints of 54 patients and randomly classified into two groups and each group received various treatments. group I included 35 joints received intra-articular prolotherapy injection, group II included 35 patients received intra-articular steroid injection. The pain, disability and SPARCC scores were significantly improved from baseline in both groups at the 3-week and 3 months follow-up, with highly significant improvement in group I than in group II.
Conclusions: Intra-articular prolotherapy provided significant relief of sacroiliac joint pain, and its effects lasted longer than those of steroid injections. Further studies are needed to confirm the safety of the procedure and to validate an appropriate injection protocol.
Key Words: methylprednisolone, prolotherapy, sacroiliac joint injection, ultrasound-guided.