Chronic Non-Specific Low Back
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18~65 years old, gender is not limited. 2. Meet the diagnostic criteria of CNLBP; 3. Stable symptoms without acute exacerbation; 4. Pain visual analogue score (VAS) >=4; 5. No interventional therapy (e.g., closed injection, radiofrequency ablation) in the last 3 months; 6. Voluntarily sign the informed consent and cooperate with the follow-up.
Exclusion criteria
Exclusion criteria: 1. Specific low back pain with a clear diagnosis (e.g. lumbar disc herniation, infection, tumour, etc.). 2. Patients with acute and sub-acute stages of pain, i.e. the duration of low back pain is less than 12 weeks. 3. Combined with serious cardiovascular and cerebrovascular diseases, liver and renal insufficiency or malignant tumours. 4. History of lumbar spine surgery, ankylosing spondylitis. 5. Patients in lactation or pregnancy. 6. Allergy to local anaesthetics (ropivacaine) or glucocorticoids (triamcinolone acetonide). 7. Presence of severe coagulation disorders or infections. 8. Presence of mental illness or inability to complete scale assessments (e.g., severe cognitive impairment). 9. Patients who are unable to co-operate with treatment and complete the four-week follow-up. 10. Lower limb injuries. 11. Severe osteoporosis. 12. Underlying systemic and specific diseases. 13. Systemic rheumatic diseases. 14. Specific psychological problems.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale, VAS;Oswestry Disability Index, ODI;Area Under the Receiver Operating Characteristic Curve; | — |
Secondary
| Measure | Time frame |
|---|---|
| Short Form 36 Health Survey,SF-36;Self-Rating Depressive Scale, SDS;Self- Rating Anxiety Scale, SAS;the mean thickness of the painful-side erector spinae at the L3-L5 spinal levels; the mean thickness of the painful-side multifidus muscles at the L3-L5 spinal levels;Calibration curves;Decision curve analysis; | — |
Countries
China
Contacts
The First Affiliated Hospital of Guangxi Medical University