Treatment of Chronic Hip Pain by Application of Conventional Radiofrequency Thermocoagulation to the Articular Branches of the Femoral and Obturatory Nerve

Hip Pain Chronic Clinical Trial

Official title:

Radiofrequency Thermocoagulation to the Articular Branches of the Femoral and Obturatory Nerve in Chronic Hip Pain

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05022381
• Other study ID #: 2021/04
• Status: Recruiting
• Phase: N/A
• Start date: June 1, 2021
• Est. completion date: July 31, 2022

Study information

• Verified date: August 2021
• Source: Aydin Adnan Menderes University
• Contact: sevilay simsek karaoglu, Msc
• Phone: +902564441256
• Email: sevilaysimsek[@]yahoo.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The estimated prevalence of hip joint pain is 7% in men and 10% in women over the age of 45 years.Although physical therapy and weight loss, use of walking aids (such as walking sticks) and analgesic agents are used as conservative treatment methods, these methods usually provide short-term and partial benefits.The anterior sensory innervation of the hip joint is provided by the articular branches of the femoral and obturatory nerve. Denervation of the articular branches of the femoral and obturator nerves with the radiofrequency thermocoagulation (RFT) method is a method used in chronic hip pain. In this study, we aimed to show the decrease in pain levels and the effect on quality of life of patients who underwent hip RFT.

Description:

Hip pain is a common medical condition with increasing age.The effectiveness of conservative methods used in hip pain is limited.Since the lifespan of prostheses used in hip surgery is limited, new methods are needed in the treatment of pain.The anterior sensory innervation of the hip joint is provided by the articular branches of the femoral and obturatory nerve. Denervation of the articular branches of the femoral and obturator nerves with the radiofrequency thermocoagulation (RFT) method is a method used in chronic hip pain.In previous studies with small groups, it was shown that radiofrequency thermocoagulation procedure caused 50% reduction in hip pain between 1-11 months.Hip joint radiofrequency thermocoagulation is a procedure applied in our clinic. In this study, we aimed to show the decrease in pain levels and the effect on quality of life of patients who underwent hip RFT.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 55
• Est. completion date: July 31, 2022
• Est. primary completion date: June 30, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. be over 18 years old

2. Written consent has been obtained

3. Those with chronic hip pain for more than 3 weeks

Exclusion Criteria:

1. Major psychiatric illness

2. The patient has lumbar compression pain or referred pain

3. Patients using anticoagulant agents

4. Patients with infection in the area to be treated

5. Those who are allergic to local anesthetics

6. Those who are allergic to betamethasone

7. Pregnancy

Related Conditions & MeSH terms

• Hip Pain Chronic

Intervention

Procedure:
• Radiofrequency thermal coagulation of articular branches of femoral and obturator nerves
Patients are operated under sedation in the operating room. C-arm fluoroscopy device is used for imaging purposes for radiofrequency thermocoagulation process. In order to prevent vascular injury, the needle is advanced under the guidance of ultrasonography. There are target points determined in fluoroscopy for the femoral nerve and the obturatory nerve. Before the thermocoagulation procedure, local anesthetic and steroid are injected into each of the target points. Patients who do not have any complications after the procedure and who are mobilized are discharged in the 2nd hour.

Locations

Country	Name	City	State
Turkey	Adnan Menderes University Faculty of Medicine	Aydin	Province
Turkey	Adnan Menderes University Faculty of Medicine	Aydin	Province

Sponsors (1)

Lead Sponsor	Collaborator
Aydin Adnan Menderes University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Life Quality	For this purpose, patients will be subjected to the Short Form-12- test, which is a short scale of quality of life at 1st month, 3rd month and 6th month.	1month, 3 month,6 month
Other	Acute pain	Week 1 Verbal Pain Score will be checked to observe the improvement in acute pain in patients. A 50% decrease in verbal pain score will be considered significant.	1 week
Primary	Chronic pain level	For this, the patients' preoperative, 1st month, 3rd month and 6th month VPS (Verbal Pain Score) scores will be checked. A 50% reduction in the verbal pain score will be considered significant.	1 month,3 month, 6 month
Secondary	Hip functional capacity	For this purpose, the WOMAC (Western Ontario and McMaster Universities Arthritis Index) scale will be checked at the 1st, 3rd, 6th, 6th months in order to evaluate the functional capacity before the procedure.	1month,3 month,6month