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 volunteersQualifiers
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
Single group
Treatments tested in this trial
cervical plexus block
Procedure/Surgerypatients 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
Trial outcomes
Primary outcomes
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
Secondary outcomes
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
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".
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