An interventional study of FACET JOINT UNDER CT GUIDANCE and NERVE BLOCK UNDER CT GUIDANCE in Facet Joint Pain, Facet Syndrome of Lumbar Spine and Facet Joints; Degeneration, sponsored by Complejo Hospitalario Universitario de Granada. Status unknown at 2 sites in Spain. Open to participants aged 18 Years to 79 Years. Per ClinicalTrials.gov, last updated 2019-03-15.
Sponsored by Complejo Hospitalario Universitario de Granada · Not applicable, Interventional, and Treatment
In suspected facet joints pain, it is recommended to perform nerve blocks to establish the diagnosis with positive results being and indicator of successful of most permanent treatment of facet pain by rhizolysis. Nevertheless, the usefulness of intraarticular joint injection for diagnosis and prediction of successful neurolysis have been scarcely studied. The main purpose of this trial is to compare both methods, nerve block and intra articular injection, in diagnosis and treatment of facet joints pain.
Facet joint pain is considered as a nonspecific cause of spinal pain with an estimated prevalence of 12-61% of the population. At present, there are no unanimous clinical criteria to achieve and accurate diagnosis and the imaging findings do not show a direct correlation with the clinical symptoms.
Facet syndrome treatment is also controversial and, although most clinical guidelines recommend nerve block as a diagnostic test, followed by neurolysis as therapeutic technique, there are many detractors of this therapeutic sequence.
The confusion is even greater when considering the variability of specialists who perform these techniques, the variability of methods used ranging from blind injections to injections guided by ultrasound, fluoroscopy or CT, or the amount of medication injected.
The investigators have long experience in the percutaneous treatment of pain and in the use of different imaging techniques. Although the investigators objectives are multiple, the main one is to know if there are any difference in the outcome of the facet syndrome treated by intra-articular injections and the block of the medial branch of the dorsal branch of the spinal nerve.
Along with the collaboration of other specialists the investigators want to address secondary objectives such as the usefulness of ultrasound and fluoroscopy in the treatment of facet syndrome and its comparison with those performed under CT guidance that is considered as the standard technique for its greater precision.
273 studies on the registry are indexed under Arthralgia; 41 are open to participants now.
This study's planned enrollment of 100 is above the median of 63 across 219 interventional studies indexed under Arthralgia.
Browse Arthralgia studies →Complejo Hospitalario Universitario de Granada is the lead sponsor of 2 studies on the registry; none are open to participants now.
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1- Lumbar facet syndrome diagnosed by the referring specialist: Rehabilitation, Traumatology or Neurosurgery 2 -Mechanical low back pain that increases with rotation and flexion-extension, without radicular irradiation.
3- failure of conservative treatment (pharmacological and physical therapy). 4-Symptoms present more than 3 months
Exclusion Criteria:
Injection of the facet joint under computed tomography guidance
Diagnostic Test: NERVE BLOCK UNDER CT GUIDANCE · Diagnostic Test: FACET JOINT UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: FACET JOINT UNDER ULTRASOUND GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER ULTRASOUND GUIDANCE
Injection of the nerve under computed tomography guidance
Diagnostic Test: FACET JOINT UNDER CT GUIDANCE · Diagnostic Test: FACET JOINT UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: FACET JOINT UNDER ULTRASOUND GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER ULTRASOUND GUIDANCE
Injection of the facet joint under fluoroscopy guidance
Diagnostic Test: FACET JOINT UNDER CT GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER CT GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: FACET JOINT UNDER ULTRASOUND GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER ULTRASOUND GUIDANCE
Injection of the nerve under ultrasound guidance
Diagnostic Test: FACET JOINT UNDER CT GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER CT GUIDANCE · Diagnostic Test: FACET JOINT UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: FACET JOINT UNDER ULTRASOUND GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER ULTRASOUND GUIDANCE
Injection of the facet joint under ultrasound guidance
Diagnostic Test: FACET JOINT UNDER CT GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER CT GUIDANCE · Diagnostic Test: FACET JOINT UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER ULTRASOUND GUIDANCE
Injection of the nerve under computed ultrasound guidance
Diagnostic Test: FACET JOINT UNDER CT GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER CT GUIDANCE · Diagnostic Test: FACET JOINT UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: NERVE BLOCK UNDER FLUOROSCOPY GUIDANCE · Diagnostic Test: FACET JOINT UNDER ULTRASOUND GUIDANCE
injection of triamcinolone in the facet joint under CT guidance
Also known as: facet joint, ct guidance
injection of triamcinolone around the dorsal ramus under CT guidance
Also known as: posterior ramus, ct guidance
injection of triamcinolone in the facet joint under fluoroscopy guidance
Also known as: facet joint, fluoroscopy guidance
injection of triamcinolone around the dorsal ramus under fluoroscopy guidance
Also known as: posterior ramus, fluoroscopy guidance
injection of triamcinolone in the facet joint under ultrasound guidance
Also known as: facet joint, ultrasound guidance
injection of triamcinolone around the dorsal ramus under ultrasound guidance
Also known as: dorsal ramus, ultrasound guidance
Pain (VAS score)
score from no pain (0) to maximum pain (10)
Time frame: 1 year
Oswestry scale
score from no disability(0) to maximum disability (10)
Time frame: 1 year
Plan to share: Yes — our idea is to publish the short term results and the long term results in order to influence management of this pathology. Tables and statistical analysis will be available for review and metaanalysis.
Supporting information: Study protocol, Sap, Icf, Csr
No publications or documents are linked to this record.
This study is status unknown, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.
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Complejo Hospitalario Universitario de Granada