Low Back Pain
Conditions
Keywords
sacroiliac joint, low back pain, radiofrequency
Brief summary
In order to determine whether L4 and L5 primary dorsal rami and S1-3 lateral branch radiofrequency denervation is effective for sacroiliac (SI) joint pain, we are conducting a randomized, controlled study.
Detailed description
30 subjects with SI joint pain confirmed by SI joint injections will be randomized to receive either L4 and L5 primary dorsal rami and S1-3 lateral branch radiofrequency denervation or sham denervation. To facilitate patient blinding, in both groups 1 ml of lidocaine will be injected before true (or sham) denervation so patients cannot feel heating. The stimulation will be the same for both groups and blinding assessed after the procedure. Follow-up visits will be at 1,3 and 6-months postprocedure.
Interventions
PROCEDUREradiofrequency denervation
Sponsors
Johns Hopkins University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Sacroiliac joint pain * Age \> 18
Exclusion criteria
* No focal neurological signs or symptoms, coagulopathy, unstable medical or psychiatric condition
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| visual analogue scale pain score, Oswestry Disability Index | 1, 3 and 6 months postprocedure |
Secondary
| Measure | Time frame |
|---|---|
| Medication reduction, global perceived effect, work status | — |
Countries
United States
Outcome results
None listed