Comparison of Femoral and Obturatory Nerve Joint Branches Conventional Radiofrequency Thermocoagulation ,Intraarticular Steroid Injection and Pericapsular Nerve Group (PENG) Block in Chronic Hip Pain

Aydin Adnan Menderes University

Status: Enrolling

Conditions: Chronic Hip Pain

Treatments: Procedure: intraairticular steroid injection; Procedure: pericapsular nerve group (PENG) block; Procedure: radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves

Study type: Interventional

Funder types: Other

Identifiers

NCT05822310

2022/07

Details and patient eligibility

About

In this study ,the investigators aimed to show the decrease in pain levels and the effect on quality of life of patients who underwent chronic hip painRFT , intraartıcular steroid injection and Peng block.

Full description

Hip pain is a common medical condition with increasing age.The effectiveness of conservative methods used in hip pain is limited.Since the lifespan of prostheses used in hip surgery is limited, new methods are needed in the treatment of pain.The anterior sensory innervation of the hip joint is provided by the articular branches of the femoral and obturatory nerve. Today, the most commonly used techniques for hip pain are corticosteroid administration into the hip joint, pericapsular nerve group (PENG) block application, and radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves. The aim of this study is to compare the effects of these three procedures in hip pain.

Enrollment: 60 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. be over 18 years old
2. Written consent has been obtained
3. Those with chronic hip pain for more than 3 weeks

Exclusion criteria

1. Major psychiatric illness
2. The patient has lumbar compression pain or referred pain
3. Patients using anticoagulant agents
4. Patients with infection in the area to be treated
5. Those who are allergic to local anesthetics
6. Those who are allergic to betamethasone
7. Pregnancy
8. Patients who underwent hip surgery during the 3-month follow-up period during the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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60 participants in 3 patient groups

radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves

Experimental group

Description:

radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves applied

Treatment:

Procedure: radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves

intraairticular steroid injection

Active Comparator group

Description:

intraairticular steroid injection applied

Treatment:

Procedure: intraairticular steroid injection

pericapsular nerve group (PENG) block

Active Comparator group

Description:

pericapsular nerve group (PENG) block applied

Treatment:

Procedure: pericapsular nerve group (PENG) block