Chronic low back pain (LBP), Facet joint osteoarthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Men and women age 65 years and older 2) Patients who are able and willing to give consent and able to attend all study visits 3) Patients with chronic low back pain (LBP) for at least 6 months 4) Patients with LBP worst score >= 4 on NRS (0-10 scale) 5) Patients must have chronic LBP originating in lumbar facet joints 6) Patients with localized pressure pain on the facet joints (<= 2)
Exclusion criteria
Exclusion criteria: 1) Patients with evidence of lumbosacral radiculopathy on MRI or physical exam findings, including radicular leg pain 2) Patients with motor deficit or any other indication for surgical intervention 3) Patients with existing malignancy 4) Patients with standard contraindications for MR imaging such as non-MRI compatible implanted metallic devices including cardiac pacemakers, size limitations (weight >113 kg) 5) Patients on dialysis 6) Patients with an active infection or severe hematological, neurological, or other uncontrolled disease 7) Patients with unstable cardiac status 8) Patients with severe hypertension 9) Patients with severe cerebrovascular disease 10) Patients with severe coagulation disorder or on anticoagulant and antiplatelet therapy 11) Patients unable to communicate with the investigator and staff 12) Patients who are not able or willing to tolerate the required prolonged stationary position during treatment (approximately 3 hrs.) 13) Any patients disqualified by a study physician because of medical, psychological, or any other reason
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adverse events [Time frame: 6 months] | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain scores on Numeric Rating Scale (NRS) Quality of life, measured by the Oswestry Disability index (ODI), Brief Pain Inventory-interference scale (BPI-QoL) and EuroQOL-5 dimension (EQ-5D) [Time frame: 6 months] | — |
Countries
Japan
Contacts
Kochi Medical School, Kochi University Department of Orthopaedic Surgery