Radiofrequency for Chronic Radicular Lumbar Pain: Geriatric vs. Young Patients

NCT06903949 | Not Yet Recruiting

• 1 other identifier: Geriatric vs Young DRG
• Study Type: observational
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the treatment response and lumbar magnetic resonance imaging (MRI) findings of patients who have undergone pulsed radiofrequency therapy for chronic radicular lumbar pain at the dorsal root ganglia. By comparing young (18-64 years) and geriatric (≥65 years) patient groups, the study seeks to assess the impact of age on treatment response and opioid consumption. Additionally, it aims to analyze the potential relationship between paraspinal muscle fat infiltration and treatment outcomes.

Conditions

Radiculopathy Lumbar; Radiculopathy, Lumbosacral Region; Chronic Pain

Keywords

Radiculopathy Lumbar; Radiculopathy, Lumbosacral Region; Chronic Pain

Outcome Measures

Primary Outcomes (1)

• Numeric Rating Scale

  Numeric Rating Scale is a scale that can be used measuring pain. Scores range from 0 (no pain) to 10 (the worst pain)

  Change from baseline to third month after treatment

Secondary Outcomes (1)

• Goutallier Classification

  Pre-procedure grade

Study Arms (2)

Young

Young group (18-64 years): These patients undergo Pulsed Radiofrequency therapy at the lumbar dorsal root ganglia, with treatment response and opioid consumption assessed post-procedure.

Procedure: Lumbar Dorsal Root Ganglia Pulsed Radiofrequency

Geriatric

Geriatric group (≥65 years): These patients undergo Pulsed Radiofrequency therapy at the lumbar dorsal root ganglia, with treatment response and opioid consumption assessed post-procedure.

Procedure: Lumbar Dorsal Root Ganglia Pulsed Radiofrequency

Interventions

Lumbar Dorsal Root Ganglia Pulsed Radiofrequency PROCEDURE

It is an interventional pain management technique used to treat chronic radicular pain, often associated with conditions like lumbar disc herniation or degenerative disc disease. It involves the application of pulsed radiofrequency energy to the dorsal root ganglia (DRG), which are clusters of nerve cell bodies located just outside the spinal cord. DRG is involved in transmitting sensory signals from the periphery (e.g., the limbs) to the central nervous system.

Geriatric; Young

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The study population includes patients who underwent pulsed radiofrequency (PRF) therapy at the lumbar dorsal root ganglia for chronic radicular lumbar pain. Participants are divided into two age groups: young group (18-64 years) and geriatric group (65 years and older). Only patients who have not responded well to medical and conservative treatments for their chronic radicular lumbar pain and have not undergone prior surgery will be included.

You may qualify if:

• years of age or older patients
• Patients that diagnosed with chronic radicular lumbar pain
• Have not received adequate response despite conservative treatments
• Have complete medical data available in the hospital data system

You may not qualify if:

• Missing data in the patient's follow-up records
• The patient has previously undergone interventional pain management
• The patient has previously had lumbar surgery

Sponsors & Collaborators

• Ankara Etlik City Hospital: lead

Study Sites (1)

Ankara Etlik City Hospital

Ankara, Etlik, 06000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Radiculopathy; Chronic Pain

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Ufuk Turan

CONTACT

+905395594772; drufukturan@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 24, 2025
• First Posted: April 1, 2025
• Study Start: May 15, 2025
• Primary Completion: October 15, 2025
• Study Completion: December 15, 2025
• Last Updated: April 1, 2025

Record last verified: 2025-03

Locations

TU (1)