Effect of High Power Pain Threshold Ultrasound on Postnatal Sacroiliac Joint Pain

Cairo University (CU)

Status: Not yet enrolling

Conditions: Sacroiliac Joint Dysfunction

Treatments: Other: Myofascial release; Device: High-power pain threshold ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT06820827

P.T.REC/012/005376

Details and patient eligibility

About

This study will be conducted to investigate the effect of high-power pain threshold ultrasound on postnatal sacroiliac joint pain.

Full description

Sacroiliac joint pain (SIJ) in the pregnant and postpartum females is susceptible to dysfunction due to multiple biomechanical changes that happen over the course of gestation. This includes an increased angle of lordosis, weight gain, and structural trauma due to the physiologic process of childbirth, biomechanical changes, along with hormonal fluctuations through each trimester, particularly with increased levels of estrogen and relaxin, have been found to decrease the stability of the joint leading to sustained postpartum back pain that may necessitate surgical intervention if conservative treatment fails.

PGP can result in significant physical disability and has important psychosocial implications, including extended leave from work during pregnancy and postnatal, poorer quality of life (as a result of being unable to carry out normal roles, affecting their ability to care for their children and the new baby) and predisposition to chronic pain.

There are side effects to using medical treatment for PGP, such as bruising, bleeding, stomach upset (including bleeding in the stomach), peptic (stomach) ulcers, blurred vision, constipation, dry mouth, fatigue, headaches, insomnia, mood changes, nausea, urination problems, and weight gain. So, using other treatment methods, such as ultrasound therapy to treat PGP is beneficial.

Ultrasound therapy is a non-invasive treatment in which sound waves penetrate soft tissues, increasing blood flow; this can help relieve pain, improve circulation, and promote tissue healing. As such, ultrasound therapy is often used to treat injuries, muscle spasms, and chronic issues like neck or back pain.

No previous study has investigated the effect of high-power pain ultrasound on sacroiliac pain in postpartum women. So, this study aims to investigate the effect of high-power ultrasound on postnatal sacroiliac joint pain.

Enrollment: 28 estimated patients

Sex: Female

Ages: 20 to 30 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Postpartum women diagnosed with sacroiliac joint pain and referred by an orthopedist.
• Their ages will range from 20 to 30 years old.
• Their body mass index (BMI) will range from 25 to 29.9 kg/m2.
• All of them should have symptoms for at least two weeks postnatal

Exclusion criteria

• Kidney diseases like stones or renal failure
• History of ischemic heart diseases or Myocardial infarction
• Severe vitamin D3 deficiency
• Severe liver diseases or hepatitis
• Psychological distress

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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28 participants in 2 patient groups

Myofascial release group

Active Comparator group

Description:

The participants will receive myofascial release three times/week for eight weeks.

Treatment:

Other: Myofascial release

Myofascial release and high-power pain threshold ultrasound group

Experimental group

Description:

The participants will receive myofascial release in addition to a high-power pain threshold ultrasound on the sacroiliac joint for 20 minutes three times a week for eight weeks.

Treatment:

Device: High-power pain threshold ultrasound

Other: Myofascial release