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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2020; 30(04): 448-452
DOI: 10.4103/ijri.IJRI_382_19
Interventional Radiology

Recovering from nonspecific low back pain despair: Ultrasound-guided intervention in iliolumbar syndrome

Bibhu K Nayak
Department of Sports Medicine, Sports Injury Centre, New Delhi, India
,
Dharmendra K Singh
Departments of Radiodiagnosis, VMMC and Safdarjung Hospital, New Delhi, India
,
Nishith Kumar
Departments of Radiodiagnosis, VMMC and Safdarjung Hospital, New Delhi, India
,
Binita Jaiswal
Departments of Anesthesia, VMMC and Safdarjung Hospital, New Delhi, India
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Abstract

Background: Iliolumbar syndrome is a frequent cause of chronic nonspecific low back pain. The cornerstone of its treatment lies upon the specific diagnosis of the iliolumbar syndrome. The ultrasound guided interventions have the potential for the specific diagnosis and treatment of the iliolumbar syndrome. Objective: To assess the role of ultrasound-guided intervention for the diagnosis and treatment of the iliolumbar syndrome. Materials and Methods: The study comprised of fifty-seven patients of nonspecific low back pain with the clinically suspected iliolumbar syndrome. Two-staged ultrasound-guided interventions were performed: Primary diagnostic and secondary therapeutic interventions. Favorable response after the injection of local anesthetic agent in iliolumbar ligament (defined as VAS score to ≥3) was classified as confirmed Ilio-lumbar syndrome. Clinico radiological efficacy after platelet-rich plasma (PRP) injection in confirmed iliolumbar syndrome patients was done. Results: Out of 57 patients, 45 (78.95’) were diagnosed with confirmed Iliolumbar syndrome after primary diagnostic intervention. The mean value of VAS at presentation was 8.02 ± 0.72 which was decreased to 3.16 ± 1.63; P < 0.0001. All 45 patients underwent PRP injection in iliolumbar ligament and 42 patients (93.33’) showed reduction in mean VAS score from 8 ± 0.67 (at presentation) to 0.89 ± 1.23 after 6 weeks follow up; P < 0.0001. Iliolumbar ligament thickness was decreased from the day of presentation (2.66 ± 0.22) to 6 weeks after therapeutic intervention (0.91 ± 0.42); P < 0.0001. Conclusion: The ultrasound guided diagnostic and therapeutic intervention were found to result in a specific diagnosis and remarkable recovery in the iliolumbar syndrome group of nonspecific low back pain patients.

Keywords

Iliolumbar syndrome - nonspecific low back pain - ultrasound-guided local anesthetic injection - ultrasound-guided intervention - ultrasound-guided platelet-rich plasma injection


Publication History

Received: 16 September 2019

Accepted: 10 September 2020

Article published online:
14 July 2021

© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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