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- Title
Sacroiliac joint disease a major differential diagnosis for chronic low back pain: How to diagnose and it's prevalence.
- Authors
Bansal, Akhil; Sheth, Bhavya; C., Vinod Kumar; Rawat, Sudhir Kumar; Doshi, Shripal
- Abstract
Introduction: 15% to 25% of patients with low back pain suffer from Sacroiliac joint pain yet there is no standard long-term treatment. Current studies have demonstrated that clinical history, examination and radiology are insufficient to diagnose SIJ pain. To diagnose the SIJ disease it is possible with small-volume local anaesthetics blocks. Material and Methods: This is a prospective interventional study conducted in the Dept. of Orthopaedics, Dhiraj Hospital, Vadodara between Sept. 2020 to june2022. Study was conducted on 55 patients. Then a diagnostic intra-articular SI joint injection was used to confirm the suspected diagnosis of SIJ dysfunction. Result: Prevalence was found to be 13.3%. Patient presented with visual analogue score (VAS) of 2 in 33.3%, 3 in 20%, 4 in 16.7%, 5 in 3.3%, 1 in 3.3%. One hour after injection VAS score was reduced in 40% patients. After one week VAS score was reduced in 23.3% of patients, TIFD after one hour was reduced in 23.3% patients and after one week TIFD was 13.3%. Conclusion: The SIJ disease must be considered as a differential diagnosis of low back pain. Failure to do so will yield unsatisfactory out comes in patients with chronic idiopathic low back pain. Intra-articular injection provides the best method for obtaining diagnosis when performed under fluoroscopic guidance.
- Subjects
VADODARA (India); CHRONIC pain; SACROILIAC joint; JOINT diseases; LUMBAR pain; DIFFERENTIAL diagnosis
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2022, Vol 13`, Issue 8, p2523
- ISSN
0975-3583
- Publication type
Article