Chronic neck pain from fecet joint cervical medial branch block, cervical facet arthropathy, neck pain, lidocaine, bupivacaine
Conditions
Interventions
2% lidocaine will be use in cervical medial branch block 0.5 ml per level of cervical spine (maximum 5 ml) using 25G needle under ultrasound guided.,0.5% bupivacaine will be use in cervical medial br
Active Comparator Drug,Active Comparator Drug
lidocaine,bupivacaine
Sponsors
Faculty of Medicine, Chulalongkorn University
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. patient with non-specific neck pain without radicular pain for more than 3 months 2. patient with non-specific neck pain without radicular pain for more than 3 months who are not improve after receiving medical treatment. (not improve define as numeric rating scale more than 4 or pain disturb function in daily life) 3. MRI finding dose not find surgical condition 4. positive result from diagnostic block
Exclusion criteria
Exclusion criteria: 1. negative result from diagnostic block 2. allergic to lidocaine or bupivacaine 3. have local infection at the area proceeding the procedure 4. coagulopathy 5. chronic neck pain from malignancy 6. unstable and severe underlying disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| duration of 50 percent pain relief every week until 50 percent pain relief week (interview) | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of 75 percent pain relief every week until 75 percent pain relief week (interview),number of patient with 50% pain relief at recovery room 30 minutes after procedure interview,number of patient with 50% pain relief at 2 weeks 2 weeks after procedure interview,number of patient with 50% pain relief at 1 month 1 month after procedure interview,number of patient with 50% pain relief at 3 months 3 months after procedure interview,number of patient with 75% pain relief at recovery room 30 minutes after procedure interview,number of patient with 75% pain relief at 2 weeks 2 weeks after procedure interview,number of patient with 75% pain relief at 1 month 1 month after procedure interview,number of patient with 75% pain relief at 3 months 3 months after procedure interview,neck disability index at 2 week 2 weeks after procedure neck disability index questionnaire,neck disability index at 1 month 1 month after procedure neck disability index questionnaire,neck disability index at 3 months 3 months after procedure neck disability index questionnaire | — |
Countries
Thailand
Contacts
Public ContactPorntipa Pasuhirunnikorn
Faculty of Medicine, Chulalongkorn University
Outcome results
None listed