Chronic cervical facet joint pain patients Cervical medial branch blocks Chronic cervical facet joint pain Ultrasond guidance
Conditions
Interventions
0.5 % bupivacaine 4 ml plus normal saline 2 ml divided to 1 ml/injection site,0.5 % bupivacaine 4 ml plus dexamethasone 5 mg/ml 1 ml plus normal saline 1 ml divided to 1 ml/injection site
Active Comparator Drug,Active Comparator Drug
Bupivacaine,Bupivaciane and dexamethasone
Sponsors
Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients who 1. 18 years of age 2. History of chronic, function-limiting neck pain of at least 3 months duration 3. Without radicular pain 4. Without a history of recent cervical surgical procedures within the last 3 months 5. Diagnosed chronic facet joint pain by cervical median branch block with 2% lidocaine and the pain intensity relief 50 % or more
Exclusion criteria
Exclusion criteria: Patients who 1. History of adverse reactions to local anesthetic or steroids 2. Uncontrolled major depression or psychiatric disorders 3. Acute or uncontrolled medical illness 4. Women who were pregnant or lactating 5. Heavy opioid usage defined as oral morphine equivalent more than 300 mg/day
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain at 1, 3 and 6 months after intervention Numberic rating scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Neck disability index at 3 and 6 months after intervention Neck disability index | — |
Countries
Thailand
Contacts
Public ContactNiruji Saengsomsuan
Faculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed