Hip Arthropathy, Chronic Hip Pain, Ultrasound Therapy; Complications
Conditions
Keywords
chronic hip pain, ultrasound therapy
Brief summary
The main objective of the study is to assess whether the performance of type 2 quadratus lumborum block produces an improvement in the quality of life of the patient with osteoarthritis of the hip.
Detailed description
The quadratus lumborum block is an interfascial block of the posterior wall of the abdomen, initially described for the management of postoperative pain in abdominal surgery due to its suggested effect on the T7-11 roots. The analgesic efficacy of type 1 quadratus lumborum block (QL1) in hip surgery was subsequently published. Regarding chronic pain, QL2 has been successfully performed in posttherniorrhaphy pain or pancreatic cancer. This quadratus lumborum type 2 or posterior, is performed in the patients with hip joint based on the innervation of the hip and taking the role of thoraco-lumbar fascia in the analgesia of these patients as a reference. The good results obtained in the first 5 patients have led us to evaluate whether this blockade can indeed be an analgesic alternative in patients with coxarthrosis.
Interventions
DRUGlevobupivacaine
local anesthetic
DEVICEultrasound device
scream
Sponsors
Hospital Universitaio Getafe
Hospital Rio Hortega
Hospital Medina del Campo
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Sign informed consent (Annex 2) * Age 18-85 years * Cartilage injury (coxarthrosis) hip * Illness \<1 year of evolution * Patients with pain after treatment with physical therapy, exercises, NSAIDs. * EVN\> 5
Exclusion criteria
* Refusal of the patient * Allergy to the drugs used * Contraindication for performing the technique * Intraarticular treatment in the previous 3 months * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| relieve chronic hip pain | 3 months | The main objective of the study is to assess whether the performance of type 2 lumbar .square block produces an improvement in the quality of life of the patient with osteoarthritis of the hip. The evaluation of the patient will consist of 2 stages. The first of these will consist of the evaluation consultation evaluation with verbal numeric scale (VNS: 0 no dolor-10 the worst pain imaginable ) if patients improve their quality of pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| rate of adverse effects of the block | 3 months | find if there is complications (hematome, kidney punction...) |
Other
| Measure | Time frame | Description |
|---|---|---|
| relieve chronic pain at 6 month | 6 months | the main objective was to asses how long was the effect of the analgesia |
Countries
Spain
Outcome results
None listed