Effectiveness of Conventional Therapy Plus Pulsed-Radiofrequency for Herniated Nucleus Pulposus

Dr. Syaiful Anwar Hospital, Malang

Status: Completed

Conditions: Herniated Nucleus Pulposus; Pain

Treatments: Other: Conventional therapy; Procedure: Pulsed radiofrequency

Study type: Interventional

Funder types: Other

Identifiers

NCT06415331

RSSA-00124

Details and patient eligibility

About

The purpose of this research was to study whether the additional application of a certain medical intervention making use of radiofrequencies (pulsed-radiofrequency) would reduce pain in patients with herniated disk.

Full description

Pain is an uncomfortable sensory and emotional experience that can affect quality of life. Low back pain (LBP) is one of the most common causes of pain, with herniated nucleus pulposus (HNP) being a common etiology. Pulsed radiofrequency (PRF) is a relatively novel technique that has shown promising results in many applications, including spinal pain conditions.

This quasi-experimental study aimed to compare pain levels between patients who underwent conventional therapy (CT) alone and CT plus PRF as management in patients with HNP. Pain severity was measured in the numeric rating scale before and 1 month after treatment.

Enrollment: 60 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having an established diagnosis of HNP
• Complaint present for at least the pas 3 months
• Experiencing pain intensity of 4 or greater on the numeric rating scale
• Capable of giving informed consent

Exclusion criteria

• Pregnant patients
• Presence of infection at the site of pulsed radiofrequency
• HNP with red flags.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Conventional therapy

Active Comparator group

Description:

Subjects in this arm received interventions which were conventional, including opioid and non-opioid analgesics, adjuvant analgesics, muscle relaxants, and physiotherapy.

Treatment:

Other: Conventional therapy

Conventional therapy + pulsed radiofrequency

Experimental group

Description:

Subjects in this arm received pulsed radiofrequency in addition to the same conventional therapy as the other arm.

Treatment:

Procedure: Pulsed radiofrequency

Other: Conventional therapy