Radiofrequency for Chronic Radicular Lumbar Pain: Geriatric vs. Young Patients

ConditionsRadiculopathy Lumbar Radiculopathy, Lumbosacral Region Chronic Pain

Trial statusNot yet recruiting

Trial phaseNot listed

Trial typeObservational

Biological sexAll

Age18-100

SponsorAnkara Etlik City Hospital

About this trial

This study aims to evaluate the treatment response and lumbar magnetic resonance imaging (MRI) findings of patients who have undergone pulsed radiofrequency therapy for chronic radicular lumbar pain at the dorsal root ganglia. By comparing young (18-64 years) and geriatric (≥65 years) patient groups, the study seeks to assess the impact of age on treatment response and opioid consumption. Additionally, it aims to analyze the potential relationship between paraspinal muscle fat infiltration and treatment outcomes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 years of age or older patients

Patients that diagnosed with chronic radicular lumbar pain

Have not received adequate response despite conservative treatments

Have complete medical data available in the hospital data system

Disqualifiers

Missing data in the patient's follow-up records

The patient has previously undergone interventional pain management

The patient has previously had lumbar surgery

Trial population

The study population includes patients who underwent pulsed radiofrequency (PRF) therapy at the lumbar dorsal root ganglia for chronic radicular lumbar pain. Participants are divided into two age groups: young group (18-64 years) and geriatric group (65 years and older). Only patients who have not responded well to medical and conservative treatments for their chronic radicular lumbar pain and have not undergone prior surgery will be included.

Trial design

Design model

Cohort

Time perspective

Retrospective

Treatments tested in this trial

Lumbar Dorsal Root Ganglia Pulsed Radiofrequency
Procedure/Surgery
It is an interventional pain management technique used to treat chronic radicular pain, often associated with conditions like lumbar disc herniation or degenerative disc disease. It involves the application of pulsed radiofrequency energy to the dorsal root ganglia (DRG), which are clusters of nerve cell bodies located just outside the spinal cord. DRG is involved in transmitting sensory signals from the periphery (e.g., the limbs) to the central nervous system.

Treatment groups

130 Participants

are divided into 2 treatment groups

Group A: Young1 intervention

Group B: Geriatric1 intervention

Trial outcomes

Primary outcomes

Numeric Rating Scale

Numeric Rating Scale is a scale that can be used measuring pain. Scores range from 0 (no pain) to 10 (the worst pain)

Time frame

Change from baseline to third month after treatment

Secondary outcomes

Goutallier Classification

The Goutallier grading system is a scale used to assess the degree of fat infiltration in the paraspinal muscles, typically evaluated through magnetic resonance imaging (MRI). Scores range from 0 (no fat infiltration, normal muscle) to 4 (complete fat infiltration, muscle entirely replaced by fat).

Time frame

Pre-procedure grade

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ankara Etlik City Hospital

Lead sponsor

Source ClinicalTrials.gov

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