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The effectiveness of a PRF-DRG treatment on radicular neuropathic pai

Completed
Conditions
neuralgia
Radicular neuropathic pain
10034606
Registration Number
NL-OMON40047
Lead Sponsor
Medisch Spectrum Twente
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
46
Inclusion Criteria

-Subjects should have lumbar of sacral radicular neuropathic pain in dermatome L4, L5 or S1 where the pain is limited for 1 dermatome for at least 3 months. The subjects should have a pain reduction of minimum 50% with a VAS score from 0 to 10 after a diagnostic block.
- Subject is between 18 and 75 year
- Subject has a pain score of 4 or above (visual analog scale, VAS: 0-10 from no pain to worst pain).
- Subject has no new pain medication 2 weeks before the treatment.
- Informed consent.

Exclusion Criteria

- Subject has sensory deficits at the QST site resulting from such medical conditions such as diabetes, alcoholic neuropathy, AIDS neuropathy, severe thyroid, liver or kidney diseases.
- Former PRF and RF treatment of the same nerve root.
- Subject has scar tissue, infection, or acute injury at the QST site.
- Language barriers and other problems impairing the reliable completion of questionnaires.
- Subject is pregnant.
- Subject has a pacemaker.
- Subject has a major psychiatric disease or dementia.
- History of back surgery.
- Other chronic pain (such as fibromyalgia).
- Anticoagulation in form of vitamin K antagonists which should not be stopped.
- Skin diseases (such as herpes zoster, burns etc.)
- Allergy for contrast or lidocaine

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Electrical sensation thresholds before and after PRF treatment </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>VAS score, symptoms of pain (pain detect), medication use, HADS and RAND-36<br /><br>questionnaire</p><br>
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