Radiofrequency Plus Superficial Cervical Plexus Block in Treatment of Cervical Spondylosis Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30-70
SponsorAin Shams University

About this trial

The goal of this clinical trial is to compare the effectiveness in the pain relief between doing radiofrequency ablation for the medial branch of the cervical facet pain alone vs using it combined with superficial cervical plexus block.in adults patients with cervical spondylosis pain

The main question it aims to answer is:

does adding superficial cervical plexus block to radiofrequency in patients with chronic neck pain provide better analgesia than radioprequency alone ?

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Both genders.

Age between 30-70 years.

American society of anesthesiologist ASA 1,2 & 3 physical status.

MRI cervical spine diagnosing cervical facet arthropathy originating pain .

Disqualifiers

Neurological disorders.(previous central and peripheral CNS affection ).

coagulopathy INR > 1.8 or platelets < 50,000.

Infection at or near the injection site.

Presence of pacemaker or defibrillator.

Trial design

Design model

Single group

Treatments tested in this trial

  • cervical plexus block

    Procedure/Surgery

    patients will receive cervical radiofrequency ablation on both sides then after 2 weeks they will be readmitted and will receive superficial cervical plexus block on one side only

Treatment groups

53 Participants
are divided into 1 treatment group
Group A: cervical plexus blockExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

pain releif

evaluating degree of pain releif after cervical medial branch radiofrequency ablation Monitoring pain score using numeric pain rating scale (NPRS) it is a 11 point scale scored from 0-10 * 0 represents no pain * 10 represents the worst pain imaginable . versus radiofrequency plus superficial cervical plexus block by using numeric pain rating scale after 1 month

Time frame
1 months

Secondary outcomes

1

improved life style

Secondary outcomes that will be detected in our study is the degree of pain releif after 6 months Monitoring pain score using numeric pain rating scale (NPRS) it is a 11 point scale scored from 0-10 * 0 represents no pain * 10 represents the worst pain imaginable . * change the need for the use of oral or parentral analgesics

Time frame
6 months
2

global impression of change

measuring patient global impression of change ( PGIC) score: PGIC is a 7 point scale depicting a patient's rating of overall improvement. Patients rate their change as "very much improved," "much improved," "minimally improved," "no change," "minimally worse," "much worse," or "very much worse." where score 1 indicating " very much improved " and 7 indicating " very much worse".

Time frame
6 months

Other outcomes

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