Health Condition 1: M538- Other specified dorsopathies
Conditions
Interventions
Intervention1: Intra articular Steroid injection: 0.5 ml of Intra-articular depot preparation of methylprednisolone will be injected at each facet joint
Intervention2: Platelet Rich Plasma: For autolo
Sponsors
All India Institute of Medical Sciences Rishikesh
Eligibility
Inclusion criteria
Inclusion criteria: 1.Suspicion of facet joint mediated low back pain 2.Pain rating of =4/10 on a NRS scale 3.Have diagnosis of lumbar facet syndrome after MRI, X-ray, or CT imaging of any severity and a medial branch block with local anesthetic that confirms lumbar facet pathology. 4.Symptom duration of 3 or more months
Exclusion criteria
Exclusion criteria: 1.Pain for less than 3 months 2.Neurological deficits 3.Pregnancy and lactating mother 4.Prior low back surgery with or without hardware 5.Concurrent cervical or thoracic pain or pain in these regions lasting longer than 2 weeks during the previous 6 months 6.Primary or metastatic spine tumour or spinal cord injury. 7.Allergy to medications used in procedure, blood coagulation disorder 8.Corticosteroid shot within last 3 months into affected lumbar facet joint because of concern of damage to cartilage in the joint in that time period. 9.Patients with rheumatic cause of lumbar facet arthritis. 10.Local or systemic infection or spinal infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in pain NRS with back flexion and at rest from baseline after intervention over time. 2.Pain as assessed from 0-10. Where 10 is severe pain and 0 is no pain. Improvement of pain by 50% after intervention is defined as treatment success Timepoint: Baseline, immediately after intervention, 1 week, 1 month, and 3 months post intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| PROMIS Survey for Low Back Pain Function (PROMIS-29) NIH validated PROMIS score for physical function, anxiety, depression, fatigue, sleep disturbance, ability to participate in social activities, pain interference, and pain intensity (PROMIS- 29 Profile v2.0). A higher PROMIS T-score represents more of the concept being measured.For negatively-worded concepts like Anxiety,a T-score of 60 is one SD worse than average.By comparison,an Anxiety T-score of 40 is one SD better than average.However,for positively-worded concepts like Physical Function-Mobility,a T-score of 60 is one SD better than average while a T-score of 40 is one SD worse than average. Timepoint: [ Time Frame: Baseline, immediately after intervention, 1 week, 1 month, and 3 months post intervention | — |
Countries
India
Contacts
Public ContactBaibhav Bhandari
All India Institute of Medical Sciences, Rishikesh
Outcome results
None listed