Lumbar Radiculopathy, Pain, Intractable
Conditions
Keywords
pulsed radiofrequency treatment, lumbar radicular pain, fluoroscopy
Brief summary
Pulsed radiofrequency applied to the dorsal root ganglion (DRG) is an interventional treatment alternative in the treatment of lumbar radicular pain that does not respond to conservative methods. Under intermittent fluoroscopic imaging, the location of the ganglion can be determined by administering contrast media. We consider that determining the localization of the ganglion with this method during pulse radiofrequency application can shorten the procedure time. In this way, we believe that it would help the correct application of the procedure.
Detailed description
Although there are many reasons that can lead to low back pain, radicular pain, which is mostly secondary to lumbar disc hernia, is one of the most common pathologies. Pulsed radiofrequency applied to the dorsal root ganglion (DRG) is an interventional treatment alternative in the treatment of lumbar radicular pain that does not respond to conservative methods and epidural injection treatments. The electrical field created by the application of pulsed radiofrequency (PRF) changes the cellular activity in DRG neurons. By polarizing cell membranes, reduces nociceptive transmission and contributes to analgesia. In lumbar dorsal root ganglion PRF applications, when the targeted point is reached, the position is confirmed by giving motor and sensory stimuli, and the PRF application is initiated in the follow-up. However, it is a problem that the DRG is not always in the same location, and therefore, time is often lost or even not found while searching with stimulation. Under intermittent fluoroscopic imaging, the location of the ganglion can be determined by administering contrast material. We consider that determining the localization of the ganglion with this method during pulse radiofrequency application can shorten the procedure time. In this way, we believe that it would help the correct application of the procedure.
Interventions
PROCEDUREPulsed Radiofrequency treatment of the lumbar dorsal root ganglion
Using radiocontrast media or not for the pulsed radiofrequency treatment of the lumbar dorsal root ganglion
Sponsors
Sanliurfa Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* 18-65 years of age. * Lumbar radicular pain * Lack of response to conservative methods * L5 nerve root compression due to disc herniation
Exclusion criteria
* Patients younger than 18 and older than 65 * Non-radicular low back pain * L5 nerve root compression due to reasons other than disc herniation * Those having spondylolisthesis, or transitional vertebra * Having an active infection * Pregnancy * Bleeding diathesis * Renal Insufficiency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procedure time | 3 months | The time from cutaneous anesthesia to confirmation of the dorsal root ganglion position by motor and sensory stimulation. |
Countries
Turkey (Türkiye)
Outcome results
None listed