Comparison of Femoral and Obturatory Nerve Joint Branches Conventional Radiofrequency Thermocoagulation ,Intraarticular Steroid Injection and Pericapsular Nerve Group (PENG) Block in Chronic Hip Pain

Chronic Hip Pain Clinical Trial

Official title:

Comparison of Femoral and Obturatory Nerve Joint Branches Conventional Radiofrequency Thermocoagulation ,Intraarticular Steroid Injection and Pericapsular Nerve Group (PENG) Block in Chronic Hip Pain

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05822310
• Other study ID #: 2022/07
• Status: Recruiting
• Phase: N/A
• Start date: April 15, 2023
• Est. completion date: April 1, 2024

Study information

• Verified date: April 2023
• Source: Aydin Adnan Menderes University
• Contact: BILGENUR ERGÜN DEMIRÖZ, RESIDENT DOCTOR
• Phone: +902564441256
• Email: bilgenurergunn[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In this study ,the investigators aimed to show the decrease in pain levels and the effect on quality of life of patients who underwent chronic hip painRFT , intraartıcular steroid injection and Peng block.

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. Today, the most commonly used techniques for hip pain are corticosteroid administration into the hip joint, pericapsular nerve group (PENG) block application, and radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves. The aim of this study is to compare the effects of these three procedures in hip pain.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: April 1, 2024
• Est. primary completion date: April 1, 2024
• 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

8. Patients who underwent hip surgery during the 3-month follow-up period during the study

Related Conditions & MeSH terms

• Chronic Hip Pain

Intervention

Procedure:
• radiofrequency thermocoagulation to the articular branches of the femoral and obturatory 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.
• intraairticular steroid injection
The patients were placed in the supine position in the operating room. The patient was stained sterile with povidone iodide. The femoral neck was detected under ultrasonography and the joint capsule was entered with a 22G 9 cm spinal needle. Then, 5 cc bupivacaine and 5 mg betamethasone were given and the procedure was terminated.
• pericapsular nerve group (PENG) block
The patients were placed in the supine position in the operating room. The patient was stained sterile with povidone iodide. The high-frequency linear ultrasonography probe was placed on the anterior superior iliacspina (ASIS). Later, the anterior inferior iliac spine (AIIS) was detected by descending caudally. Afterwards, the probe was brought to the oblique position and AIIS, iliopubikeminence, psoas muscle and tendon were seen. Using a 22G 90-mm Quinckespinal needle, the tendon of the iliopsoas muscle was entered in the lateral-medial direction in the in-plane plane and bone contact was achieved. After negative aspiration, 15 ml of 0.5% bupivacaine were administered by seeing the appropriate drug distribution.

Locations

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

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	NRS(Numerating Rating Scale) for acute pain	It is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain	postoperative second hour
Primary	NRS(Numerating Rating Scale) for chronic pain	It is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain	preoperative
Primary	NRS(Numerating Rating Scale) for chronic pain	It is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain	Postoperative first month
Primary	NRS(Numerating Rating Scale) for chronic pain	It is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain	Postoperative third month
Secondary	WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex )	It includes 24 questions under three sub-headings as pain, stiffness and physical function. Each question was scored according to the Likert scale as 0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe.minimum score is 0=good maximum score is 96 = bad functional capacity	Preoperative
Secondary	WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex )	It includes 24 questions under three sub-headings as pain, stiffness and physical function. Each question was scored according to the Likert scale as 0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe.minimum score is 0=good maximum score is 96 = bad functional capacity	Postoperative first month
Secondary	WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex )	It includes 24 questions under three sub-headings as pain, stiffness and physical function. Each question was scored according to the Likert scale as 0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe.minimum score is 0=good maximum score is 96 = bad functional capacity	Postoperative third month