Effectiveness of Ultrasound Versus Fluoroscopy Guided S1 Injections and Radiofrequency for the Management of Radicular Pain
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Pain scores
Study Overview
Brief Summary
The investigators aim to compare the effect of ultrasound versus floroscopy guided pulsed radiofrequency treatment of the lumbar dorsal root ganglion (DRG) of S1 in patients with a chronic lumbosacral radicular pain.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Persistent pain score ≥ 4 on VAS, not responding to traditional treatments
- •Radicular pain in lumbar region for 3 months or more,
- •Pattern of radiation suggestive for S1 pathology
Exclusion Criteria
- •Patient refusal
- •Coagulopathy
- •Uncooperative patients
- •Malignant disorder or currently under treatment for a malignant disorder
- •Pregnancy
- •Leg pain due to localized hip or knee pathology
Arms & Interventions
Fluoroscopic-guided S1 Radiofrequency stimulation
Intervention: Fluoroscopic-guided S1 Radiofrequency stimulation (Procedure)
Ultrasound-guided S1 Radiofrequency stimulation
Intervention: Ultrasound-guided S1 Radiofrequency stimulation (Procedure)
Outcomes
Primary Outcomes
Pain scores
Time Frame: baseline to 6 months post-procedure
Visual analog scale (VAS) for pain at the follow-up time periods. The visual analog scale is a numerical scale from 0 to 10; with 0 representing no pain and 10 representing the worst pain imaginable.
Secondary Outcomes
- Oswestry Disability Index (ODI)(baseline to 6 months post-procedure)
- Patient satisfaction Questionnaire(baseline to 6 months post-procedure)
Investigators
Selin Guven Kose
Medical Doctor
Diskapi Teaching and Research Hospital
