Comparison decrease of the pain in transforaminal epidural steroid injections and pulsed radiofrequency in patients with low back pai

Phase 2

• Conditions: ow back pain.; Low back pain

• Registration Number: IRCT201411037984N22
• Lead Sponsor: Vice chancellor for research, Tehran University of Medical Sciences and Health Services

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 22 February 2018

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

Main inclusion criteria:
Persistent low back pain with or without pain radiating to the upper leg; Age > 18 years old; ASA Class I- II; Lasek test =>50 degrees; Confirming the involvement of nerve roots , vertebral disc protrusion is based on clinical examination and CT scan and MRI findings; Symptoms of chronic low back pain for more than six months; Absence of neurological defects; Absence of epidural injection; Absence of radicular syndrome; No respond to traditional treatments; Positive diagnostic block; Hyperextension pain; No history of lumbar surgery; Contraindication of lumbar surgery; Signing consent to participate in the study.

Main exclusion criteria:
Patients previously treated with radiofrequency; Coagulation disorders; Contrast sensitivity radio- opaque or local anesthetic solution; Malignancy; Psychiatric problems and poor patient cooperation; Speech problems; Pregnancy; Surgery indication; Local skin infection at the operative site; Spinal deformities; Spinal stenosis; Discogenic axial pain; Degenerative disc herniation; Epidural injection of steroids in the past six months; History of opioid abuse; Use of long -acting opioids recent Radicular pain over a year ago; Patients with a history of sensitivity to corticosteroids or contrast material; Inflammatory spondylopathy; Vertebral fracture , tumor , or infection of the spine; No signing consent to participate in the study.

Exclusion Criteria

Not provided

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain score. Timepoint: Before the treatment, 24 hours, 1 week, 1 month, 3 months after the treatment. Method of measurement: Visual analog scale.;Disability measurement. Timepoint: Before the treatment, 24 hours, 1 week, 1 month, 3 months after the treatment. Method of measurement: Oswestry disability index score.;Successful treatment rate. Timepoint: 3 months after the treatment. Method of measurement: Pain relief more than 50%.;Patient request for analgesia. Timepoint: Before the treatment, 24 hours, 1 week, 1 month, 3 months after the treatment. Method of measurement: Based on the patient's request.