Herniated Nucleus Pulposus, Pain
Conditions
Brief summary
The purpose of this research was to study whether the additional application of a certain medical intervention making use of radiofrequencies (pulsed-radiofrequency) would reduce pain in patients with herniated disk.
Detailed description
Pain is an uncomfortable sensory and emotional experience that can affect quality of life. Low back pain (LBP) is one of the most common causes of pain, with herniated nucleus pulposus (HNP) being a common etiology. Pulsed radiofrequency (PRF) is a relatively novel technique that has shown promising results in many applications, including spinal pain conditions. This quasi-experimental study aimed to compare pain levels between patients who underwent conventional therapy (CT) alone and CT plus PRF as management in patients with HNP. Pain severity was measured in the numeric rating scale before and 1 month after treatment.
Interventions
Individualized dose of pulsed radiofrequency is given for 6 minutes.
Conventional therapy for HNP consisting of: * Acetaminophen * NSAID: Etoricoxib, celecoxib, meloxicam, diclofenac, ibuprofen * Muscle relaxant: eperisone, diazepam * Opioid: codein, tramadol * Adjuvant analgesics: Amitriptyline, pregabalin, gabapentin * Physiotherapy: Short wave diathermy, ultrasound diathermy, transcutaneous electrical nerve stimulation, and exercise
Sponsors
Study design
Eligibility
Inclusion criteria
* Having an established diagnosis of HNP * Complaint present for at least the pas 3 months * Experiencing pain intensity of 4 or greater on the numeric rating scale * Capable of giving informed consent
Exclusion criteria
* Pregnant patients * Presence of infection at the site of pulsed radiofrequency * HNP with red flags.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain severity | 1 month after treatment | Pain severity measured with the numeric rating scale (NRS). The numeric rating scale measures pain on a scale of 0-10 with 0 representing no pain and 10 representing the worst pain possible. |
Countries
Indonesia