Treatment for Sacroiliac Joint Pain Using Platelet-rich Plasma (PRP) Versus Steroid/Anesthetic

  • STATUS
    Recruiting
  • days left to enroll
    40
  • participants needed
    50
  • sponsor
    University of Utah
Updated on 21 November 2021
radiculopathy

Summary

The purpose of this study is to determine if platelet-rich plasma is superior to steroid/anesthetic for the treatment of sacroiliac joint pain.

Description

All patients with sacroiliac joint pain diagnosed by a back pain specialist will undergo physical examination maneuvers and a test lidocaine injection of the joint. Patients who meet eligibility requirements will be randomized in a single-blind randomized controlled manner with a 50% chance of receiving platelet-rich plasma versus steroid/anesthetic injection of the sacroiliac joint(s).

Details
Condition lumbago, Sacroiliac Joint Synovitis, Low Back Pain, Back Pain, Chronic Back Pain, Lower Back Pain
Treatment Sacroiliac intra-articular injection
Clinical Study IdentifierNCT05121961
SponsorUniversity of Utah
Last Modified on21 November 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Adult (>18 y/o) males and females referred for therapeutic injection to the investigators spine interventional service by a physiatrist or pain anesthesiologist with a clinical diagnosis of SIJ pain confirmed by history
% or greater reduction in pain by a diagnostic anesthetic block using no more than 1.5 cc 2% lidocaine performed under imaging guidance by a pain interventionalist (PM&R, Pain Anesthesia, or Neuroradiology Spine Intervention)
Baseline pain must be >/=4 by numeric rating scale (NRS), at least 6 weeks in chronicity, and must not be multi-factorial (related to radiculopathy or axial pain localizing elsewhere) by physical examination or confounding medical history (infection, inflammatory spondyloarthropathy, or osseous metastatic disease)

Exclusion Criteria

SIJ steroid treatment within the prior 6 months
Patients with a history of infection currently on antibiotic therapy
Usage of systemic immunosuppressants
Pregnancy
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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