Comparison of Femoral and Obturatory Nerve Joint Branches Conventional Radiofrequency Thermocoagulation ,Intraarticular Steroid Injection and Pericapsular Nerve Group (PENG) Block in Chronic Hip Pain

Not Applicable

Recruiting

• Conditions: Chronic Hip Pain
• Interventions: Procedure: radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves; Procedure: intraairticular steroid injection; Procedure: pericapsular nerve group (PENG) block

• Registration Number: NCT05822310
• Lead Sponsor: Aydin Adnan Menderes University

Brief Summary

In this study ,the investigators aimed to show the decrease in pain levels and the effect on quality of life of patients who underwent chronic hip painRFT , intraartıcular steroid injection and Peng block.

Detailed Description

Hip pain is a common medical condition with increasing age.The effectiveness of conservative methods used in hip pain is limited.Since the lifespan of prostheses used in hip surgery is limited, new methods are needed in the treatment of pain.The anterior sensory innervation of the hip joint is provided by the articular branches of the femoral and obturatory nerve. Today, the most commonly used techniques for hip pain are corticosteroid administration into the hip joint, pericapsular nerve group (PENG) block application, and radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves. The aim of this study is to compare the effects of these three procedures in hip pain.

Study Timeline

• Study First Submitted: 2023-01-19
• Status Verified: 2023-04
• Study Start: 2023-04-15
• Study First Submitted QC: 2023-04-19
• Last Update Submitted: 2023-04-19
• Study First Posted: 2023-04-20
• Last Update Posted: 2023-04-20
• Primary Completion: 2024-04-01
• Study Completion: 2024-04-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

1. be over 18 years old
2. Written consent has been obtained
3. Those with chronic hip pain for more than 3 weeks

Exclusion Criteria

1. Major psychiatric illness
2. The patient has lumbar compression pain or referred pain
3. Patients using anticoagulant agents
4. Patients with infection in the area to be treated
5. Those who are allergic to local anesthetics
6. Those who are allergic to betamethasone
7. Pregnancy
8. Patients who underwent hip surgery during the 3-month follow-up period during the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves	radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves	radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves applied
intraairticular steroid injection	intraairticular steroid injection	intraairticular steroid injection applied
pericapsular nerve group (PENG) block	pericapsular nerve group (PENG) block	pericapsular nerve group (PENG) block applied

Primary Outcome Measures

Name	Time	Method
NRS(Numerating Rating Scale) for chronic pain	Postoperative third month	İt is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain

Secondary Outcome Measures

Name	Time	Method
WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex )	Postoperative third month	It includes 24 questions under three sub-headings as pain, stiffness and physical function. Each question was scored according to the Likert scale as 0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe.minimum score is 0=good maximum score is 96 = bad functional capacity

Trial Locations

Locations (1)

Adnan Menderes University Faculty of Medicine; 🇹🇷 Aydın, Turkey