Degenerative disc disease Musculoskeletal Diseases Intervertebral disc degeneration
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged >18 2. Chronic low back pain without leg pain for more than 3 months 3. One or more lumbar discs (L3/L4 to L5/S1) with evidence of degenerative changes on magnetic resonance imaging (MRI) maintenance of 50% or more of normal disc height 4. At least one symptomatic disc confirmed using standardised provocative discography and/or disc block
Exclusion criteria
Exclusion criteria: 1. Abnormal neurological symptoms (e.g. radiculopathy) with lumbar spinal stenosis or spondylolisthesis 2. Inflammatory arthritis (e.g. discitis)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy assessment: pain-related efficacy of this treatment will be assessed at baseline, and at 4, 8, 16, 24, 32, 40, 48 weeks following treatment: 1. Visual analog scale (VAS) for back pain 2. Roland-Morris Disability Questionnaire (RDQ) for back pain-related disability 3. Neurological assessments (motor strength, sensory function and reflexes) Safety assessment: the safety of this treatment will be evaluated in terms of neurological changes. Radiological examination includes: 1. Changes in disc height, lumbar lordosis angle, MRI morphology and T2-value. 2. The presence or absence of adverse events will also be evaluated through the follow-up period. | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS pain score. | — |
Countries
Japan