Low back pain. Low back pain
Conditions
Interventions
Intervention 1: In the study group, Pulsed radiofrequency. Intervention 2: In the control group, Transforaminal epidural steroid injection.
Rehabilitation
Treatment - Drugs
In the study group, Pulsed radiofrequency
In the control group, Transforaminal epidural steroid injection
Sponsors
Vice chancellor for research, Tehran University of Medical Sciences and Health Services
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Main inclusion criteria: Persistent low back pain with or without pain radiating to the upper leg; Age > 18 years old; ASA Class I- II; Lasek test =>50 degrees; Confirming the involvement of nerve roots , vertebral disc protrusion is based on clinical examination and CT scan and MRI findings; Symptoms of chronic low back pain for more than six months; Absence of neurological defects; Absence of epidural injection; Absence of radicular syndrome; No respond to traditional treatments; Positive diagnostic block; Hyperextension pain; No history of lumbar surgery; Contraindication of lumbar surgery; Signing consent to participate in the study. Main exclusion criteria: Patients previously treated with radiofrequency; Coagulation disorders; Contrast sensitivity radio- opaque or local anesthetic solution; Malignancy; Psychiatric problems and poor patient cooperation; Speech problems; Pregnancy; Surgery indication; Local skin infection at the operative site; Spinal deformities; Spinal stenosis; Discogenic axial pain; Degenerative disc herniation; Epidural injection of steroids in the past six months; History of opioid abuse; Use of long -acting opioids recent Radicular pain over a year ago; Patients with a history of sensitivity to corticosteroids or contrast material; Inflammatory spondylopathy; Vertebral fracture , tumor , or infection of the spine; No signing consent to participate in the study.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score. Timepoint: Before the treatment, 24 hours, 1 week, 1 month, 3 months after the treatment. Method of measurement: Visual analog scale.;Disability measurement. Timepoint: Before the treatment, 24 hours, 1 week, 1 month, 3 months after the treatment. Method of measurement: Oswestry disability index score.;Successful treatment rate. Timepoint: 3 months after the treatment. Method of measurement: Pain relief more than 50%.;Patient request for analgesia. Timepoint: Before the treatment, 24 hours, 1 week, 1 month, 3 months after the treatment. Method of measurement: Based on the patient's request. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFarnad Imani MD.
Rasul Hospital
Outcome results
None listed