Analgesia boost from adding a sacral submultifidus block to SIJ injection

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Participants with chronic sacroiliac joint pain receive either the standard image-guided SIJ injection or the SIJ injection plus a sacral submultifidus block. The study compares analgesia and functional outcomes between the two approaches. The SIJ pain mechanism and innervation are reviewed, and eligibility requires persistent pain, positive provocative tests, and a diagnostic SIJ block response. Exclusion criteria include allergy to anesthetics, coagulation disorders, opioid abuse, and pregnancy. The study is conducted at Fayoum University Hospital in Egypt and aims to determine if the added block yields superior relief beyond SIJ injection alone.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1-patients aged above 21 years, both genders diagnosed with chronic sacroiliac joint pain with a rating on the numeric pain rating scale (NPRS) of at least 5, without radiculopathy lasting 3 months or longer, and Positive SI provocative tests: usually \> 3 positive tests ... 2-Failure of conservative therapy .3-Radiological exclusion of lumbar pathology. 4- Diagnostic SIJ block producing ≥75% pain relief.

Exclusion Criteria:

* 1\. refusal to participate. 2. Allergy or contraindication to local anesthetics. 3. Coagulation disorders or ongoing anticoagulant therapy. 4. Infection at the block injection site. 5. Chronic opioid use or substance abuse. 6. Neurological or psychiatric disorders affecting pain assessment. 7. Pregnancy.

Where it's running

• Fayoum university Hospitl
  Al Fayyum, Egypt Recruiting

Study contacts

• Study coordinator: Amira Emad Amin, MBBCH
• Email: aee14@fayoum.edu.eg
• Phone: +201002070389

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.