Predicting Response to Interventional Pain Management Techniques in Chronic Low Back Pain in a Prospective Cohort.

  • STATUS
    Recruiting
  • participants needed
    500
  • sponsor
    Santiago Garcia-Hernandez
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Updated on 5 August 2020
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corticosteroids
back pain
analgesia
pain relieving
intra-articular injection
ganglion
radiofrequency denervation
caudal epidural
facet joint injection

Summary

The main aim of this study is to identify factors that may be associated with a better or worse response to interventional pain management therapies for the treatment of chronic lumbar pain in adult patients. If several predictive factors are to be identified, a predictive model will be developed.

Description

Chronic lumbar pain is a common affection in the adult population, and an important source of chronic incapacity and impaired quality of life. There is a wide range of therapeutic options for the treatment of chronic lumbar pain. This study will analyze the response to several interventional pain management techniques and will search for factors that may be associated to a better or worse response to the techniques.

Details
Condition Low Back Pain, lower back pain, Back Pain, Chronic Back Pain, epidural analgesia, Pain Assessment, Pain, Pain, Acute Pain Service, Chronic Pain, Chronic Pain, Chronic Back Pain, lower back pain
Age 18years - 100years
Treatment Fluoroscopically guided lumbar medial branch nerve radiofrequency denervation., Fluoroscopically guided lumbar facet joint injection., Fluoroscopically guided lumbar epidural corticosteroid injection., Fluoroscopically guided caudal epidural corticosteroid injection., Fluoroscopically guided pulsed radiofrequency of the lumbar dorsal root ganglion., Fluoroscopically guided transforaminal epidural corticosteroid injection or lumbar selective root block.
Clinical Study IdentifierNCT04451252
SponsorSantiago Garcia-Hernandez
Last Modified on5 August 2020

Eligibility

 Yes No Not Sure

Inclusion Criteria

Patients older than 18 years old with chronic lumbar pain to whom one of the following interventional pain management techniques has been indicated
Radiofrequency lumbar facet joint injection
Radiofrequency lumbar facet joint denervation
Lumbar epidural corticosteroid injection
Caudal epidural corticosteroid injection
Pulsed radiofrequency of the lumbar dorsal root ganglion
Dorsal root ganglion injection

Exclusion Criteria

Patients that have not undergone the interventional pain management technique. The interventional pain management technique is considered not performed if it is not done after a twelve month period after recruitment
Patients who are not willing to participate
Patients of whom it is impossible to obtain data of response
Patients who undergo low back surgery while they are in the study
Patients who suffer from an intercurrent disease that may interfere with the evaluation of chronic lumbar pain
Patients who suffer from myofascial pain syndromes
Patients who undergo pulsed radiofrequency denervation for the treatment of sacroiliac joint syndrome
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corticosteroids
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ganglion
radiofrequency denervation
caudal epidural
facet joint injection

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