X-ray Guided Facet Block in Chronic Low Back Pain

Back Pain Clinical Trial

Official title:

X-ray Guided Facet Block in Chronic Low Back Pain

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05676060
• Other study ID #: Facet block
• Status: Not yet recruiting
• Start date: January 1, 2023
• Est. completion date: April 1, 2025

Study information

• Verified date: December 2022
• Source: Assiut University
• Contact: Nada Tarek
• Phone: 01093906258
• Email: nadatarek33332[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Review outcome of injection of facet joint in chronic low back pain

Description:

Low back pain is a common problem that most people may experience. the incidence of low back pain is highest in the third decade and increases with age until the 60-65 year age group.

In the USA the prevalence of Low back pain is between 15 and 45%. Facet joint is the primary cause of pain in 10-15% of young adult patients with chronic low back pain.

Probable risk factors include genetic factors, age, smoking, heavy physical work, static work postures, lifting, vibration, obesity, and psychosocial factors.(2) Other Causes of low back pain include muscle and ligament strain, bulging or ruptured disc, arthritis, osteoporosis Treatment of chronic low back pain include pharmacological treatment, ,epidural steroid injection ,facet joint block and back surgery The facet joints are a set of plane types of synovial joints between the articular processes of two adjacent vertebrae, The lumbar facet joint is innervated by the medial branch from the posterior ramus of the lumbar spinal nerve.

Lumbar facet joint injections are performed by various techniques, including fluoroscopic-guided technique indications of diagnostic and therapeutic facet joint interventions

1. Average pain levels > 5 on a scale of 0 to 10.

2. Contraindications or inability to undergo physical therapy or inability to tolerate oral medications.

Complications from facet joint injections in the lumbar spine are rare and mostly related to the needle placement and/or reactions to injected drugs.(3)

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 43
• Est. completion date: April 1, 2025
• Est. primary completion date: January 1, 2025
• Gender: All
• Age group: 18 Years to 85 Years

Eligibility

Inclusion criteria:1-strong clinical suspicion of the facet syndrome,

2-Focal tenderness over the facet joints

3-Low back pain with normal radiological findings,

4-Post-laminectomy syndrome with no evidence of arachnoiditis or recurrent disc disease,

5-Persistent low back pain after lumbar spinal 6- Failed conservative treatment, including physical therapy with exercises, chiropractic management, and pharmacologic therapy

Exclusion Criteria:

• 1- Low back pain with abnormal radiological findings,

2-Post-laminectomy syndrome with evidence of arachnoiditis or recurrent disc disease,

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain

Intervention

Combination Product:
• quasi
block facet joint in back pain due to afacet cause

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visual analogue scale	The pain VAS is a unidimensional measure of pain intensity, used to record patients' pain progression, or compare pain severity between paints with similar conditions. VAS has been widely used in diverse adult populations	Baseline