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AB0874 Outcomes of Fluoroscopic Sacroiliac Joint Injections (Patients Views)
  1. R. Al-Rubae1,
  2. C. Chattopadhyay2
  1. 1Wrightington Hospital, Wrightington Wigan and Leigh NHS trust
  2. 2Wrightington hospital, Wrightington Wigan and Leigh, Warrington, United Kingdom

Abstract

Background The sacroiliac joint has been shown to be a source of pain in 10% to 27% of suspected cases with chronic low back pain utilizing controlled comparative local anesthetic blocks.

Sacroiliac joint steroid injection is a well-known treatment option, yet it is not that widely used.

We are trying to show its benefits from patients' perspective and emphasize its importance as a treatment option.

Methods We audited one hundred patients who had Sacroiliac joint injections under X-RAY guidance between 2007 and 2012 in Wrightington hospital by sending patient questionnaire with reply envelope. We have received thirty-nine replies.

Results Results showed that 26 out of 39 patients (66.6%) found the injection very useful. Among those 26 patients (12.8%) reported that the pain completely resolved while (46.1%) reported more than 50% of pain improvement post injection,(10.2%) reported 25% of improvement while (15.3%) reported no improvement and 6 patients didn't comment.

Among the 39 patients audited 32.5% reported pain improvement lasted for more than 6 months and 41% experienced pain improvement between 1-3 months, only one patient reported no improvement and the rest didn't comment.

Finally 23 out of 39 patients (58.9%) reported reduction in long-term usage of painkillers after having the injection.

Conclusions The study shows encouraging results that the fluoroscopic sacroiliac injection should be considered more often and be available to a wider range of patients. It is hoped that this procedure will be considered as an adjunct management of back pain.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.1243

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