Chronic Pain
Conditions
Keywords
Radiofrequency thermocoagulation, Phenol chemical ablation
Brief summary
In our study, we aimed to compare the effects of conventional radiofrequency thermocoagulation applied to the articular branches of the femoral and obturator nerves with chemical ablation using phenol on hip pain.
Detailed description
Our study is designed as a double-blind, prospective randomized controlled trial. Blinding will be ensured by keeping the researcher performing pain diary follow-ups unaware of which procedure was applied to each patient. Patients will be randomized using computer-assisted methods. Following approval from the hospital ethics committee, clinical trial registration will be conducted. From 2024 to 2025, patients presenting with chronic hip pain to the Department of Algology at ADU Faculty of Medicine will be divided into two groups. In Group 1, chemical ablation of the femoral and obturator nerve branches with phenol under ultrasound guidance will be performed. In Group 2, conventional radiofrequency thermocoagulation of the articular branches of the femoral and obturator nerves under ultrasound guidance will be applied. During the study, pain intensity will be assessed using the Numerical Rating Scale (NRS) at baseline, 2 hours post-procedure, and at 1 month and 3 months post-procedure for both Group 1 and Group 2. The WOMAC scale will be used to evaluate their functional capacity.
Interventions
DRUGSedative
Sedation is applied before the procedure
Sponsors
Aydin Adnan Menderes University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Be older than 18 years old. Written consent must be obtained. Have had chronic hip pain for more than 3 weeks. -
Exclusion criteria
Major psychiatric illness Presence of lumbar radicular pain or referred pain in the patient Patients using anticoagulant agents Patients with infection in the area where the procedure will be performed Those with allergy to local anesthetics Those allergic to phenol or betamethasone Pregnant women Scheduled for surgery \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NRS (Numerical Rating Scale) | preoperative | We will assess NRS (Numerical Rating Scale) scores at 1 month and 3 months. A 50% reduction in NRS will be considered statistically significant |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| WOMAC (Western OntarioandMcMasterUniversitiesArthritis Index ) | preoperative | To assess functional capacity preoperatively, we will evaluate the WOMAC (Western Ontario and McMaster Universities Arthritis Index) scale at 1 month and 3 months post-procedure in patients. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactAkylai Dosieva, Resident doctor
Backup Contactosman nuri aydın, Professor
Outcome results
None listed