Peripheral Nerve Stimulation for Treatment of Chronic Therapy-refractory Sacroiliac Joint Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Sacroiliac Joint Pain
- Sponsor
- PD Dr. med. Simon Bayerl
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Change of chronic sacroiliac joint pain
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
Prospective randomized controlled study, primary objective: Pain reduction in patients with chronic Sacroiliac joint pain after therapy either with Peripheral Nerve Stimulation or with best medical treatment.
Randomization 4:3 to operative (PNS=Peripheral Nerve Stimulation) arm or conservative (BMT= Best Medical Treatment) arm with crossover possibility for the BMT group after 6 months.
Investigators
PD Dr. med. Simon Bayerl
PD Dr. med.
Charite University, Berlin, Germany
Eligibility Criteria
Inclusion Criteria
- •Subject is at least 18 years old
- •Subject with chronic sacroiliac joint pain refractory to conservative treatment
- •Subject with NRS of at least 60/100
- •Subject with temporary pain reduction of at least 50% (NRS) after fluoroscopy guided SIJ infiltration
- •Subject received conservative treatment for at least three months including physiotherapy and pain medication
- •Subject is able to understand the study and Impulse generator programming
Exclusion Criteria
- •Pregnancy
- •Subject is under age
- •Acute traumatic injury of the ISG
- •Active inflammation or neoplastic infiltration of the SIJ
- •Neoplastic diseases of the spine
- •Spinal surgery within the last three months
- •The SIJ pain is not the leading symptom
- •Contraindication for Neuromodulation Device (severe psychiatric disease, severe coagulation disorder, acute infection, active autoimmune disease with immunosupression)
Outcomes
Primary Outcomes
Change of chronic sacroiliac joint pain
Time Frame: 6 months
Change of pain measured with a numeric rating scale ranking from minimum 0 to maximum 100 where higher numbers mean a worse outcome