Low Back Pain due to Lumbar Facet Joint Involvement. Low back pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Chronic low back pain lasting more than 3 months Pain score greater than 4 on the visual analog scale (VAS > 4) Inadequate response to noninvasive and conservative treatments such as nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy based on the patient's medical history Normal lower limb muscle strength on neurological examination Unilateral lumbar facet joint pain Local tenderness on physical examination over the facet joint and pain elicited during lumbar hyperextension maneuvers Single-level involvement of the facet joint
Exclusion criteria
Exclusion criteria: Age younger than 18 years or older than 65 years Acute low back pain with a duration of less than 3 months Pain score of 4 or =4 on the Visual Analog Scale Abnormal lower extremity muscle strength on neurological examination Involvement of more than one facet joint (multi-level involvement)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity. Timepoint: Measurement of pain intensity at baseline (before the intervention) and at 30 and 90 days after initiation of the intervention. Method of measurement: Visual Analog Scale.;Functional disability. Timepoint: Measurement of functional disability at baseline (before the intervention) and at 30 and 90 days after initiation of the intervention. Method of measurement: Oswestry Disability Index.;Physical disability. Timepoint: Measurement of physical disability at baseline (before the intervention) and at 30 and 90 days after initiation of the intervention. Method of measurement: Roland-Morris Disability Questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesic medication use. Timepoint: During the 3-month follow-up period. Method of measurement: Daily medication diary.;Adverse events and safety. Timepoint: During the 3-month follow-up period. Method of measurement: Adverse Event Checklist.;Need for additional treatments or surgical intervention. Timepoint: During the 3-month follow-up period. Method of measurement: Regular monitoring and follow-up visits by the physician/investigator. | — |
Countries
Iran (Islamic Republic of)
Contacts
Tehran University of Medical Sciences