Ultrasound Guided Diagnostic Cervical Medial Branch Block

NCT00896688 | Withdrawn

• 1 other identifier: 08-575-D
• Study Type: observational
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

The diagnostic cervical branch block for neck pain due to cervical facet joint pain has been traditionally done under fluoroscopic guidance. Its diagnostic value and technique have been well established. However, recently some studies have shown that the diagnostic cervical and lumbar medial branch block can be done under ultrasound guidance.

Conditions

Facet Joint Pain; Neck Pain

Keywords

cervical branch block; fluoroscopic guidance; ultrasound guidance

Outcome Measures

Primary Outcomes (1)

• To determine the efficacy of the use of ultrasound for diagnostic cervical medial branch block on pain patients who have developed neck pain, cervicogenic headache, or shoulder pain.

  At time of procedure

Secondary Outcomes (1)

• Interventional pain procedure studies on chronic pain patients

  At time of procedure

Study Arms (2)

Healthy Volunteers

It will involve 5 volunteers and they will undergo C arm fluoroscopic guided cervical medial branch blocks (C2-C7) on unilateral position and then followed by the 3D ultrasound machine for visualization of needle position.

Procedure: cervical medial branch blocks using the Quincke spinal needle

Candidates for upper and lower cervial medical branch blocks

This will involve 25 patients and they will follow the same procedures as the healthy volunteers.

Procedure: cervical medial branch blocks using the Quincke spinal needle

Interventions

cervical medial branch blocks using the Quincke spinal needle PROCEDURE

#25 gauge 1 and 1/2 inch long needle and #25 gauge 10cm long Quincke spinal needle will be used for placement.

Candidates for upper and lower cervial medical branch blocks; Healthy Volunteers

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Primary care clinic

You may qualify if:

• healthy volunteers
• patients who have headache, neck pain, and shoulder pain due to possible facet joint disease

You may not qualify if:

• patients/volunteers with BMI \> 35
• patients/volunteers with short thick neck
• coagulopathy
• allergy to local anesthetic, ultrasound gel
• patient unable to fill out post procedure pain diary

Sponsors & Collaborators

• Hamilton Health Sciences Corporation: lead
• McMaster University: collaborator

Study Sites (1)

Hamilton Health Sciences

Hamilton, Ontario, L8N 3Z5, Canada

Location

Related Publications (2)

• Fishman SM, Smith H, Meleger A, Seibert JA. Radiation safety in pain medicine. Reg Anesth Pain Med. 2002 May-Jun;27(3):296-305. doi: 10.1053/rapm.2002.32578. No abstract available.

  PMID: 12016604 BACKGROUND

• Greher M, Scharbert G, Kamolz LP, Beck H, Gustorff B, Kirchmair L, Kapral S. Ultrasound-guided lumbar facet nerve block: a sonoanatomic study of a new methodologic approach. Anesthesiology. 2004 May;100(5):1242-8. doi: 10.1097/00000542-200405000-00028.

  PMID: 15114223 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Joseph Park, MD

  Hamilton Health Sciences Corporation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 30, 2009
• First Posted: May 12, 2009
• Study Start: January 1, 2017
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2017
• Last Updated: December 14, 2018

Record last verified: 2018-12

Locations

CA (1)