Technical Description of Cooled Radiofrequency Ablation of Lumbar Medial Branches for the Treatment of Lumbar Facet Pain
1 other identifier
observational
10
1 country
1
Brief Summary
This study aims to develop a technical description of lumbar medial branch ablation using the LumbarCool system. The procedure uses cooled radiofrequency (cooled-RF) technology in treating patients with diagnosed lumbar facet joint pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 30, 2012
CompletedFirst Posted
Study publicly available on registry
May 2, 2012
CompletedStudy Start
First participant enrolled
August 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2016
CompletedMay 19, 2015
May 1, 2015
3.6 years
April 30, 2012
May 18, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Confirm acute safety of the procedure
The primary outcome is to confirm acute safety of the procedure utilizing the neurological exam. The following outcome measures will also be used to confirm there are no safety concerns at one month and 3 months follow-up visits: * Pain intensity using the Numerical Rating Scale (NRS) * Change in medication usage * Assessment of adverse device effects, including neurological exam (light touch/pin prick, strength, straight leg test, gait, heel to toe/straight-line walking, heel to shin) (immediately post procedure, 1 month and 3 months).
Baseline to 3 months post procedure.
Eligibility Criteria
Patients of Medical Advanced Pain Specialists, PA (MAPS)
You may qualify if:
- Literate
- Aged between 18 and 75 years
- Chronic lumbar pain for \> 6 months
- day average NRS score at least 4 and not greater than 8
- Clinical features consistent with possible lumbar z-joint pain (such as pain and tenderness over not more than three segments unilaterally)
- No adequate relief with conservative management, including physical therapy, chiropractic manipulation, exercises, and drug therapy
- Understand and tolerate lumbar medial branch diagnostic blocks
- Positive for lumbar zygapophyseal joint pain after comparative diagnostic blocks (≥ 80% pain relief) per standard of care.
- Understands study protocol and provides voluntary written consent to participate in study and outcome measurements
- Normal neurological exam
- Understands and agrees to use an acceptable form of birth control
You may not qualify if:
- Current pregnancy, currently breast feeding or the intent of becoming pregnant during the study period
- Prior posterior lumbar fusion
- Prior low back surgery
- Concurrent cervical or thoracic pain or pain in these regions lasting longer than 2 weeks during the last 6 months
- Compensable disability or work injury or ongoing litigation
- Prior treatment with radiofrequency neurotomy in the lumbar region within 3 months
- Discogenic pain verified by controlled discography
- Sources of pain not in the lumbar spine
- Leg pain greater than back pain
- Obvious inappropriate pain behavior during physical exam
- Neurologic deficits
- Positive straight leg raising result
- Any features of upper motor neuron lesion
- Gait abnormality not attributable to spinal pain
- Severe Central Spinal Canal Stenosis (\> 50%) evident on prior computed tomogram or magnetic resonance image
- +13 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mehul Desailead
- Halyard Healthcollaborator
Study Sites (1)
MAPS Applied Research Center, Inc.
Edina, Minnesota, 55435, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Mehul J Desai, MD
MAPS Applied Research Center
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
April 30, 2012
First Posted
May 2, 2012
Study Start
August 1, 2012
Primary Completion
March 1, 2016
Last Updated
May 19, 2015
Record last verified: 2015-05