Radiofrequency Treatments for Lumbar Facet Joint Pain Management

NCT06695481 | Completed

• 1 other identifier: 2023/13-08
• Study Type: observational
• Target: 133
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, investigators compared the effectiveness of medial branch conventional radiofrequency application and combined radiofrequency application in patients with lumbar facet joint disease , focusing on pain scores. The combined radiofrequency application, a sequence of pulsed radiofrequency and conventional radiofrequency , has been shown to be successful in treating neck pain and headache. These findings are of significant importance in the field of pain management and spinal disorders.

Conditions

Low Back Pain; Zygapophyseal Joint Arthritis

Keywords

Pulsed Radiofrequency Treatment; Radiofrequency Ablation

Outcome Measures

Primary Outcomes (2)

• Neuropathic Pain Scale

  Neuropathic Pain 4 Questions (DN4)

  Scores of the patients ; before the procedure and 6 and 12 months after the procedure are shownThe 7 symptoms items are scored by interviewing the patient.The scores are added and a score of 4 or more out of ,10 point (severe pain ) .

• Pain Rating Scale

  Numeric Rating Scale

  The NRS scores of the patients before the procedure and 6 and 12 months after the procedure .NRS in which individuals rate their pain on an ten-point numerical scale. Zero:''no pain at all' ten-point ''severe pain''

Study Arms (2)

Conventional

In this group, only patients who had facet joint medial branch conventional RF applied to the patients who benefited after diagnostic injection into the facet joint were selected.

Procedure: Conventional RF

Combined

This group was selected retrospectively from patients who benefited from diagnostic injection into the facet joint and who underwent pulsed rf in addition to facet joint medial branch conventional rf.

Procedure: Combined RF

Interventions

Conventional RF PROCEDURE

The conventional RF group consists of patients who received medial branch RF with a duration of 2 minutes, at 80̊ C temperature, and 7 Volts.

Conventional

Combined RF PROCEDURE

In the combined RF group, treatment was initiated first with a conventional RF duration of 2 minutes at a temperature of 80̊ C at 7 Volts. Then, pulsed RF duration was applied for 6 minutes at a temperature of 42 C at 45 Volts, with a pulse frequency of 2 Hz and a width of 20 ms.

Combined

Eligibility Criteria

• Age: 40 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who are clinically diagnosed with lumbar facet joint pain after getting a pain reduction of over 50% following a selective diagnostic block (0.5 ml 2% lidocaine) performed on the facet joint medial branch block and after then RF (cobined or conventional) application under fluoroscopy.

You may qualify if:

• years of age
• Patients with low back pain for more than three months and did not respond to conservative treatment

You may not qualify if:

• Patients who underwent facet joint medial branch RF treatment previously
• Patients had additional interventional pain treatment or lumbar surgery within one year of the procedure
• Patients had radicular and significant disc pathology, psychiatric diseases or mental problems, malignancies
• Patients of one year follow-up could not be assessed entirely in the system

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University

Ankara, Çankaya, 06230, Turkey (Türkiye)

Location

Related Publications (2)

• Malaithong W, Munjupong S. Combined Continuous Radiofrequency Ablation and Pulsed Neuromodulation to Treat Cervical Facet Joint Pain and Alleviate Postcervical Radiofrequency Side Effects. Anesth Pain Med. 2022 Dec 14;12(6):e129747. doi: 10.5812/aapm-129747. eCollection 2022 Dec.

  PMID: 36938106 BACKGROUND

• Ding Y, Li H, Hong T, Zhu Y, Yao P, Zhou G. Combination of Pulsed Radiofrequency with Continuous Radiofrequency Thermocoagulation at Low Temperature Improves Efficacy and Safety in V2/V3 Primary Trigeminal Neuralgia. Pain Physician. 2018 Sep;21(5):E545-E553.

  PMID: 30282402 BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Nalan Celebi, Professor

  Hacettepe University

  STUDY DIRECTOR

• Tuğçe Yavuz, M.D

  Hacettepe University

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Doctor

Study Record Dates

• First Submitted: July 22, 2024
• First Posted: November 19, 2024
• Study Start: August 1, 2023
• Primary Completion: September 1, 2023
• Study Completion: October 1, 2023
• Last Updated: November 19, 2024

Record last verified: 2024-07

Locations

TU (1)