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Effectiveness of Ultrasound Versus Fluoroscopy Guided S1 Injections and Radiofrequency

Effectiveness of Ultrasound Versus Fluoroscopy Guided S1 Injections and Radiofrequency for the Management of Radicular Pain

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05247892
Enrollment
60
Registered
2022-02-21
Start date
2022-02-01
Completion date
2022-10-20
Last updated
2022-11-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pain, Chronic

Brief summary

The investigators aim to compare the effect of ultrasound versus floroscopy guided pulsed radiofrequency treatment of the lumbar dorsal root ganglion (DRG) of S1 in patients with a chronic lumbosacral radicular pain.

Interventions

PROCEDUREUltrasound-guided S1 Radiofrequency stimulation

Pulsed radiofrequency stimulation of the S1 dorsal root ganglia under ultrasound-guidance

PROCEDUREFluoroscopic-guided S1 Radiofrequency stimulation

Pulsed radiofrequency stimulation of the S1 dorsal root ganglia under fluoroscopy-guidance

Sponsors

Diskapi Teaching and Research Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Persistent pain score ≥ 4 on VAS, not responding to traditional treatments * Radicular pain in lumbar region for 3 months or more, * Pattern of radiation suggestive for S1 pathology

Exclusion criteria

* Patient refusal * Coagulopathy * Uncooperative patients * Malignant disorder or currently under treatment for a malignant disorder * Pregnancy * Leg pain due to localized hip or knee pathology

Design outcomes

Primary

MeasureTime frameDescription
Pain scoresbaseline to 6 months post-procedureVisual analog scale (VAS) for pain at the follow-up time periods. The visual analog scale is a numerical scale from 0 to 10; with 0 representing no pain and 10 representing the worst pain imaginable.

Secondary

MeasureTime frameDescription
Oswestry Disability Index (ODI)baseline to 6 months post-procedureMean Change from Baseline in functional disability scores based on Oswestry Disability Index. 0% to 20% indicate minimal disability, 21% to 40% indicate moderate disability, 41%-60% indicates severe disability, 61%-80% means crippled and 81%-100% indicates that the patient is either bed-bound or exaggerating his/her symptoms.
Patient satisfaction Questionnairebaseline to 6 months post-procedureSatisfaction was measured on a 1 to 5 scale,Using score: 5-Excellent, 4-Very Good, 3-Good, 2-Fair, and 1-Poor

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026