A Randomized Controlled Trial of Intra-Articular Prolotherapy Versus Steroid Injection for Sacroiliac Joint Pain

2010 ◽  
Vol 16 (12) ◽  
pp. 1285-1290 ◽  
Author(s):  
Woong Mo Kim ◽  
Hyung Gon Lee ◽  
Cheol Won Jeong ◽  
Chang Mo Kim ◽  
Myung Ha Yoon
Keyword(s):  
Randomized Controlled Trial ◽  
Sacroiliac Joint ◽  
Joint Pain ◽  
Steroid Injection ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Sacroiliac Joint Pain

scholarly journals The Effects of Radiofrequency Neurotomy Using a Strip-Lesioning Device on Patients with Sacroiliac Joint Pain: Results from a Single-Center, Randomized, Sham-Controlled Trial

2018 ◽  
Vol 1 (21;1) ◽  
pp. 607-618 ◽  
Author(s):  
Vivek Mehta
Keyword(s):  
Back Pain ◽  
Sacroiliac Joint ◽  
Joint Pain ◽  
Controlled Trial ◽  
Active Group ◽  
Sham Treatment ◽  
Randomized Controlled ◽  
Sacroiliac Joint Pain ◽  
Radiofrequency Neurotomy

Background: Radiofrequency neurotomy (RFN) is a therapy aimed at providing lasting back pain relief for sacroiliac joint (SIJ) pain. A recent advancement in RFN is a strip lesioning technique that involves placement of a single curved electrode and a 3-pole design that facilitates the creation of 5 overlapping lesions. These lesions form one long strip lesion accessible through a single entry point, without the need for multiple punctures. Although the early case series data looks promising, there is lack of long-term, randomized, controlled study evaluating the strip-lesioning system for SIJ pain. Objectives: The purpose of this study was to examine the safety and effectiveness of RFN using a strip lesioning device for reduction of SIJ pain. Study Design: Prospective, double-blind, randomized, sham-controlled trial with 6-month follow-up Setting: A tertiary care interventional pain management center in the UK Methods: Patients with SIJ pain with positive diagnostic local anesthetic blocks were randomly assigned (2:1) to either the sham (no RF lesions performed) or the active group (RF lesions performed). The primary endpoint was improvement of pain using the Numeric Rating Scale (NRS-11) at 3 months. Results were analyzed using nonparametric tests. Safety, secondary, and long-term outcome data were also collected. Results: Seventeen of 30 enrolled patients were randomly assigned to active treatment (n = 11) or sham treatment (n = 6). At 3 months, the mean NRS-11 score for the active group had decreased significantly, from 8.1 (± 0.8) at baseline to 3.4 (± 2.0) (P < 0.001). The sham group did not experience a statistically or clinically meaningful decrease in mean NRS-11 score from baseline (7.3 ± 0.8) to 3 months (7.0 ± 1.7). On average, patients in the active group moved from borderline anxiety at baseline (9.4 ± 5.9) to no anxiety (6.6 ± 6.3) at 3 months. Results were similar at 6 months. Limitations: Recruitment was stopped at 30 enrolled patients, only 17 of whom were randomly assigned to active or sham treatment, after the interim analysis indicated a statistically significant (P < 0.001) difference in the pain outcome between the treatment and the sham groups. Conclusions: This study demonstrated that radiofrequency neurotomy using a strip lesioning device is an appropriate therapy to treat SIJ pain. Key words: Radiofrequency, sacroiliac joint pain, low back pain, neurotomy, randomized controlled trial, simplicity

scholarly journals Different doses of steroid injection in elderly patients with carpal tunnel syndrome: a triple-blind, randomized, controlled trial

2018 ◽  
Vol Volume 13 ◽  
pp. 117-124 ◽  
Author(s):  
Reza Salman Roghani ◽  
Mohammad Taghi Holisaz ◽  
Masoud Tarkashvand ◽  
Ahmad Delbari ◽  
Faeze Gohari ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Carpal Tunnel Syndrome ◽  
Elderly Patients ◽  
Carpal Tunnel ◽  
Steroid Injection ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Tunnel Syndrome ◽  
Different Doses

Peri-articular Steroid Injection in Total Knee Arthroplasty: A Prospective, Double Blinded, Randomized Controlled Trial

2013 ◽  
Vol 28 (4) ◽  
pp. 620-623 ◽  
Author(s):  
Samuel K. Chia ◽  
Gregory C. Wernecke ◽  
Ian A. Harris ◽  
Martin T. Bohm ◽  
Darren B. Chen ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Randomized Controlled Trial ◽  
Knee Arthroplasty ◽  
Steroid Injection ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Total Knee ◽  
Double Blinded
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