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

Launched by AIN SHAMS UNIVERSITY · Jun 24, 2024

Keywords

ClinConnect Summary

This clinical trial is studying the best way to relieve neck pain caused by a condition called cervical spondylosis, which affects the bones and joints in the neck. Researchers want to find out if combining two treatments—radiofrequency ablation (a procedure that uses heat to reduce pain) and a superficial cervical plexus block (an injection that numbs nerves in the neck)—provides better pain relief than just using radiofrequency ablation alone.

To participate in this study, you need to be between 30 and 70 years old and have been diagnosed with cervical facet arthropathy, a type of pain in the neck that hasn't improved with standard treatments like medication and physical therapy for at least three months. The study is currently recruiting participants, and it is open to both men and women. If you decide to join, you can expect to receive treatment and follow-up care, and the research team will monitor your pain levels to see how well the combined approach works compared to the single treatment.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 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 .
• • Failed full dose medical treatment and life style modification and physiotherapy for 3 months prior to intervention.
• Exclusion Criteria:
• • 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.
• • known allergy to used medications.
• • age \>70 or \<30 years.
• • patients with previous history of Radiotherapy , chemotherapy or metastasis
• • pregnant patients.
• • patients with rheumatological disorders ( rheumatoid arthritis, diffuse idiopathic skeletal hyerostosis, psoriatic arthritis, spondyloarthritis)
• • patients with antiphospholipid syndtrome.