Pain of small joint origin in the spine
Conditions
Interventions
Radiofrequency ablation postoperative single assessment group:NA
Sponsors
Changzhi People's Hospital
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Symptoms: Unilateral or bilateral acute and chronic low back pain, aggravated by exertion and stretching, may be accompanied by pain in the buttocks and posterior thighs, but the pain does not exceed the knee joints, with no abnormalities in sensation, reflexes and muscle strength of the lower limbs; spinal pain, difficulty in turning sideways, and intercostal neuralgia and tightness in chest, shortness of breath, palpitation, chest pain, etc; bilateral or unilateral pain in the neck and shoulders; 2. Physical signs: Deep tenderness around the facet joint process; 3. Imaging: CT scan confirms the presence of narrowing of the joint space, hyperplasia, bone redundancy, or vacuum phenomenon or calcification of the joint capsule; 4. Duration of the disease > 3 months, ineffective conservative treatment, and pain relief after diagnostic treatment with intra-articular injection of local anesthetics, but the pain recurs after the effect of the drug wears off; 5. Excluding pain caused by other lumbar spine diseases, such as osteoporosis, tumor, trauma, infection, deformity or serious herniation of intervertebral disc. 6. Suitability for radiofrequency ablation: The patient has an indication for radiofrequency ablation, which may involve an assessment of the patient's overall health, history of drug allergies, and risks of the procedure. 7. Patient cooperation: patients are conscious, have the ability to communicate verbally and have no cognitive impairment, and are willing to cooperate with long-term follow-up. 8. Signed informed consent: patients must be willing to participate in the study and sign an informed consent form.
Exclusion criteria
Exclusion criteria: 1. Unclear diagnosis: Patients may be excluded if the diagnosis of their condition is unclear or if there are other underlying causes of nerve pain. 2. Active infection: Patients who have an active infection or fever are usually excluded because surgery may increase the risk of infection. 3. Bleeding tendency: Patients may be excluded if they have a tendency to bleed or are taking medications that affect clotting. 4. Severe cardiovascular disease: Patients may be excluded if they have severe cardiovascular disease or other chronic conditions that make surgery inappropriate. 5. Pregnancy: Women are usually excluded if they are pregnant, as radiofrequency ablation may be potentially dangerous to the fetus. 6. Diabetics: Diabetes or hypoglycemic treatment affects study results. 7. Mental health problems: Patients with serious mental health problems may be excluded because this may affect the effectiveness of the treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS pain score;Oswestry Dysfunction Index;JOA Rating; | — |
Countries
China
Contacts
Public ContactJie Wu
Changzhi People's Hospital
Outcome results
None listed