Spine related pain disorders Musculoskeletal Diseases
Conditions
Interventions
Patients with chronic low back pain in whom anamnesis, physical investigation and additional investigations point towards a facet joint problem first receive a diagnostic facet joint medial branch blo
Sponsors
Erasmus University Medical Centre (MC) (Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age 18 years or older 2. Anamnesis and physical investigation suggestive of facet joint pain on lumbar level 3. Decrease in Numeric Rating Scale (NRS) of 2 or more / 10 on diagnostic facet joint medial branch block
Exclusion criteria
Exclusion criteria: 1. Presence of red flags: possible fracture (major trauma, minor trauma in elderly or osteoporotic), possible tumor or infection (age >50 or <20, history of cancer, constitutional symptoms (fever, chills, weight loss), recent bacterial infection, IV drug abuse, immunosuppression, pain worsening at night or when supine), possible significant neurological deficit (severe or progressive sensory alteration or weakness, bladder or bowel dysfunction, evidence of neurological deficit (in legs or perineum in the case of low back pain) 2. Lumboradicular syndrome 3. Aspecific low back pain 4. Corpus vertebrae problem 5. Progressive neurological defecits 6. Major psychiatric disorder (according to psychiatrists opinion) 7. Anticoagulation cannot be stopped 8. Active infection 9. Pain in other parts of the body that is more severe 10. Allergies to any medication used in the study 11. Pregnancy 12. Communication (language) difficulties (according to physicians opinion)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain reduction (NRS) measured on the day of first consultation, 1, 3, 6 and 12 months after the treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain: Chronic Pain Acceptance Questionnaire (CPAQ), Four-Dimensional Symptom Questionnaire (4DSQ), Multidimensional Pain Inventory (MPI-DLV) measured on the day of first consultation, 3 and 12 months after the treatment 2. Disability: Oswestry Disability Index (ODI) measured on the day of first consultation, 3 and 12 months after the treatment 3. Generic health status: Rand-36 measured on the day of first consultation, 3 and 12 months after the treatment 4. Kinesiophobia: Tampa Scale for Kinesiophobia (TSK) measured on the day of first consultation, 3 and 12 months after the treatment 5. Coping: Pain Coping Inventory (PCI), Pain Cognition List (PCL-2003) measured on the day of first consultation, 3 and 12 months after the treatment 6. Costs of intervention | — |
Countries
Netherlands
Outcome results
None listed