Radiofrequency Neurotomy In Relieving Chronic Knee Pain

Pain, Chronic Clinical Trial

Official title:

Fluoroscopic Guided Radiofrequency of Genicular Nerves for Pain Alleviation in Chronic Knee Osteoarthritis : A Single-blind Randomized Controlled Trial.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03224637
• Other study ID #: IRB00009913
• Status: Completed
• Phase: N/A
• First received: July 19, 2017
• Last updated: July 22, 2017
• Start date: July 2014
• Est. completion date: February 2016

Study information

• Verified date: July 2017
• Source: Assiut University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Osteoarthritis (OA) affects aged above 45 years. RF has been used for several painful conditions. There have been a few attempts to use RF current for the treatment of painful conditions of joints of the extremities. It was also used for the treatment of painful conditions of the hip joint.

Description:

Osteoarthritis (OA) is commonest chronic arthritis affecting patients usually aged above 45 years. OA decreased health-related quality of life and increased economic costs. Radiofrequency (RF), was used for the treatment of chronic pain unresponsive to conservative therapies. RF has been used for several painful conditions. There have been a few attempts to use RF current for the treatment of painful conditions of joints of the extremities. It was also used for the treatment of painful conditions of the hip joint.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: February 2016
• Est. primary completion date: December 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 30 Years to 70 Years

Eligibility

Inclusion Criteria:

• chronic arthritis according to the American College of Rheumatology criteria

• diagnosed radiologically patients in stage 3 and 4, according to the Kellgren-Lawrence classification

Exclusion Criteria:

• other causes of pain such as radiculopathy, neurological disorders, or intermittent claudication.

• patients receive intraarticular steroid or hyaluronic acids during previous three months.

• patients did previous knee surgery.

• Patients with general contraindication to the application of invasive intervention such as hemorrhage, coagulation disorder, systemic infection or local infection.

• patients with other connective tissue disease affecting the knee. And 6-psychiatric disorders.

Related Conditions & MeSH terms

• Chronic Pain
• Osteo Arthritis Knee
• Osteoarthritis
• Osteoarthritis, Knee
• Pain, Chronic

Intervention

Procedure:
• radiofrequency
radiofrequency done in the three genicular nerves upper medial and upper lateral and lower medial

Drug:
• Paracetamol (conventional)

• Ketorolac Tromethamine (conventional)

Locations

Country	Name	City	State
Egypt	Emad Zarief Kamel Said	Assiut

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	pain assessment by VAS scale	assessing pain by VAS scale	6 months
Secondary	patient satisfaction by Likert scale	Likert scale to assess patients satisfaction	6 months
Secondary	patient disability by Western Ontario McMaster Universities OA index	Western Ontario McMaster Universities OA index to assess disability	6 months