Management of chronic lumbar pain with ultrasound-guided for block of lumbar facet joints

Phase 2

Conditions: Chronic low back pain.
Diagnosis Low back pain

Registration Number: IRCT201306168435N6

Lead Sponsor: Vice chancellor for research, Shahid Beheshti University of Medical Sciences and Health Services

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 60

Inclusion Criteria

Main inclusion criteria: Age > 18 years old; Symptoms of chronic low back pain for more than three months; Persistent low back pain with or without pain radiating to the upper leg; Focal tenderness over the lumbar spine joint; Hyperextension pain; Absence of neurological defects; Contraindication of lumbar surgery; Absence of radicular syndrome; No respond to traditional treatments; Signing consent to participate in the study.
Main exclusion criteria: Lumbar radicular pain; Disc with radicular symptoms of pain associated with radiological or neurological tests; Coagulation disorders; Allergy to local anesthetic solution; Malignancy; Psychiatric problems and poor patient cooperation; Speech problems; Pregnancy; Surgery indication; Local skin infection at the operative site; Spinal deformities; Body mass index > 29 kh/m2

Exclusion Criteria

Not provided

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time of needle placement. Timepoint: During procedure. Method of measurement: The time from insertion into skin until fluoroscopic confirmation.;Patient request for analgesia. Timepoint: Before, immediately after, and one week, 4 and 6 weeks after the procedure. Method of measurement: Based on the patient's request.;Disability measurement. Timepoint: Before, immediately after, and one week, 4 and 6 weeks after the procedure. Method of measurement: Oswestry disability index score.;Success rate. Timepoint: Immediately after the procedure. Method of measurement: Pain relief more than 50%.;Pain score. Timepoint: Before, immediately after, and one week, 4 and 6 weeks after the procedure. Method of measurement: Visual analog scale.

Secondary Outcome Measures