Patients receiving treatment for lumbosacral radicular pain at the Pain Clinic, Chulalongkorn Hospital Bipolar, radiofrequency, radicular pain, neuromodulation
Conditions
Interventions
On the day of the procedure, the experimental group underwent sterile procedures with monitoring equipment. This group received two electrode of bipolar pulsed radiofrequency treatment at dorsal root
bipolar radiofrequency neuromodulation at dorsal root ganglia with transforaminal epidural steroid injection through nerve root,transforaminal epidural steroid injection through nerve root
Sponsors
Faculty of Medicine at Chulalongkorn University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. ASA class I-III 2. aged 18-75 years 3. Patients with lumbosacral radicular pain more than 3 months and has not responded to conservative treatment 4. MRI of lumbar spine showed degenerative lower back pain, spinal canal stenosis, spinal disc prolapse, or herniated disc that compresses nerve, which cause of radicular pain and no other lesions that may be the main cause of radicular pain were found 5. The sites to be operated on were equal or less than 2 sites
Exclusion criteria
Exclusion criteria: 1. Patients who refused treatment with bipolar pulsed radiofrequency ablation combined with intraspinal steroid injection through the nerve root 2. Patients with S1 radicular symptoms 3. Patients with infection at the surgical site 4. Patients who had undergone previous spinal surgery on lumbar spine 5. Patients with progressive neurological deficit and Cauda equina syndrome 6. Patients with abnormal blood clotting 7. Patients with allergies to the study drugs 8. Patients who could not provide pain scores 9. Patients with pain in any location more severe than nerve radiating pain 10. Pregnant patients 11. Patients who were taking chronic opioid use in doses greater than 90 mg/day (Morphine milligram equivalent more than 90 mg/day)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| success rate at 2 weeks, 3 month,6 months after intervention pain score of less than 4 out of 10 or greater than or equal to 50% reduction in pain scores | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain scores at different time points pre intervention, 2 weeks, 1 month, 2 months, 3 month, 4 months,5 months, 6 month after intervention NRS,disability pre intervention, 2 weeks, 3 months, 6 months after intervention ODI,adverse events and side effects immediate post treatment, 2 weeks, 1 month, 2 months, 3 months, 4 months, 4 months, 5 months, 6 months after intervention adverse events and side effects | — |
Countries
Thailand
Contacts
Public ContactChanon Thanaboriboon
Faculty of Medicine, Chulalongkorn University
Outcome results
None listed