CTRI/2025/02/080184尚未招募4 期
COMPARISON EVALUATION OF ULTRASOUND GUIDED Vs FLUOROSCOPIC GUIDED PULSED RADIOFREQUENCY NEUROTOMY OF MEDIAL BRANCH IN LUMBAR FACETOGENIC PAIN: A PROSPECTIVE RANDOMISED STUDY
Dr Manasa Kantha1 个研究点 分布在 1 个国家目标入组 90 人开始时间: 2025年2月25日最近更新:
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- To compare the pre-intervention pain scores NRS to scores 1 month post intervention.
研究概览
简要总结
This study evaluates comparison of ultrasound and fluoroscopic guided medial branch PRF in lumbar facetogenic pain, there is extensive research on medial branch blocks but limited research available for medial branch PRF. By keeping in mind regarding the hazards of radiation and operator learning curve, I want to do research on the above study. USG guided is non-inferior to fluoroscopic guided Medial branch PRF.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 75.00 Year(s)（—）
- 性别
- All
入选标准
- •facet Pain unresponsive to conservative treatment including medical management, physical therapy, and previous interventions Suspicion of facet joint mediated low back pain, exhibit clinical features consistent with possible lumbar zygapophysial joint pain, such as pain and tenderness over not more than two lumbar segments bilaterally or three segments unilaterally patient had to be able to understand and tolerate diagnostic blocks; patient has to be positive for lumbar facet joint pain after controlled diagnostic blocks Pain rating of more than 4 out of 10 on a NRS scale Have diagnosis of lumbar facet syndrome after MRI, X-ray, or CT imaging of any severity and a medial branch block with local anesthetic that confirms lumbar facet pathology.
- •Symptom duration of 3 or more months.
排除标准
- •Pain for less than 3 months Neurological deficits Pregnancy and lactating mother Prior low back surgery with or without hardware Concurrent cervical or thoracic pain or pain in these regions lasting longer than 2 weeks during the previous 6 months Primary or metastatic spine tumour or spinal cord injury.
- •Allergy to medications used in procedure, blood coagulation disorder Corticosteroid shot within last 3 months into affected lumbar facet joint because of concern of damage to cartilage in the joint in that time period.
- •Patients with rheumatic cause of lumbar facet arthritis.
- •Local or systemic infection or spinal infection Compensable disability or work injury, ongoing litigation, Prior treatment with radiofrequency neurotomy, and Discogenic pain verified by controlled discography.
结局指标
主要结局
To compare the pre-intervention pain scores NRS to scores 1 month post intervention.
时间窗: one month post intervention
次要结局
- 1. Change in pain NRS with back flexion and at rest from baseline after intervention from baseline after intervention over time [ Time Frame: Baseline, immediately after intervention, 1 week, 1 month, and 3 months post intervention ](2. To compare change in McNab Scores at 1 week, 1 month and 3 months.)
研究者
Manasa Kantha
All India Institute of medical sciences Rishikesh
研究点 (1)
Loading locations...
相似试验
尚未招募
不适用
The effect of USG guided Continuous Paravertebral block vs Continuous Thoracic epidural anaesthesia for postoperative pain management in renal transplant recepient patient and to compare the post operative pain by NRS grading 48 hours post surgery.CTRI/2025/08/093918Dr Praveen Rijal68
尚未招募
不适用
A study comparing a nerve block versus local injection for pain relief after lower abdominal surgeryCTRI/2025/07/090786Medanta The Medicity80
尚未招募
4 期
EFFICACY OF QUADRATUS LUMBORUM BLOCK VERSUS TRANSVERSUS ABDOMINIS BLOCK FOR PAIN RELIEF AFTER CESAREAN DELIVERY: A RANDOMISED COMPARATIVE STUDYCTRI/2025/02/080310Medical college Baroda60
招募中
不适用
Transdiscal vs Paravertebral Neurolytic Splanchnic Nerve Block for Upper Abdominal Cancer PainNCT07445386Ankara Etlik City Hospital56
已完成
不适用
Ultrasound-Guided vs. Surgeon-Performed (Free-hand) Erector Spinae Plane BlockLumbar Disc HerniationNCT07454304Medipol University102