Back Pain Clinical Trial
Official title:
Prospective, Randomized, Single Blind Trial on the Effects of Paravertebral Intramuscular Oxygen-ozone Therapy on Back Pain in Subjects Aged 65 or Older
This study aims to evaluate the efficacy of the oxygen-ozone therapy in the treatment of back pain in subjects aged 65 or older. In particular, the intramuscular injection technique/paravertebral of oxygen-ozone mixture, a minimal invasive treatment with respect to intradiscal infiltration/intraforaminal technique, will be used.
Back pain is a leading cause of disability, including impairment in activities of daily
living. In particular, the persistence of low back pain is more frequent in the elderly,
associated with functional limitations and difficulties to perform tasks in everyday life.
In addition to pharmacological treatments, various non-surgical interventional procedures
are used for the treatment of low back pain. Some recent studies have evaluated the
interventional oxygen-ozone (O2-O3) therapy in the treatment of back pain. However, these
results are based on the technique of intradiscal infiltration / intraforaminal of O2-O3,
while the intramuscular injection technique / paravertebral is the most widely used in
clinical practice in Italy. In general, minimally invasive treatments such as percutaneous
infiltration, are well tolerated and have been shown to produce clinical results, although
the number of controlled studies is still scarce and the studies are often not comparable.
Taking into account the above considerations, it seems appropriate to try to broaden the
knowledge on the use of O2-O3 in the treatment of low back pain, using the technique of
intramuscular injection / paravertebral, with particular reference to the elderly
population.
The primary objective of this trial is therefore to evaluate the effects of O2-O3 therapy in
the treatment of back pain associated with lumbar disc disease using the technique of
intramuscular injection/paravertebral. These effects will be evaluated after a 6 weeks
treatment period and after a 3 months follow-up period.
The project will include 130 subjects aged 65 or older who will be randomly enrolled in two
different types of intervention:
- Oxygen-ozone therapy
- Simulated treatment
fully described below in the section: Interventions
In addition to clinical evaluations, the trial will contribute to the study of biological
bases of the O2-O3 therapy as the levels of trace elements, oxidative status and antioxidant
capacity in plasma will be evaluated.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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