Erector Spinae Plane Block for Acute Back Pain in the Emergency Department

Rush

Status: Enrolling

Conditions: Low Back Pain

Treatments: Procedure: Erector Spinae Plane Block; Procedure: Sham Procedure

Study type: Interventional

Funder types: Other

Identifiers

NCT06745453

24062802

Details and patient eligibility

About

The goal of this clinical trial is to learn if an erector spinae plane block (ESPB; a type of nerve block) works to reduce pain in adults presenting to the emergency department with low back pain. It will also learn if the ESPB reduces pain, disability, and return to work at 7 days. The main questions it aims to answer are:

1. Does the ESPB reduce short-term pain in participants with low back pain?
2. Does the ESPB reduce longer-term pain, reduce disability, and improve return to work and activities in participants with low back pain?

Researchers will compare ESPB to a placebo (an injection that does not involve a nerve block) to see if ESPB works to treat low back pain.

Participants will:

Receive either the ESPB or a placebo injection in the emergency department Report their pain scores for up to 120 minutes Report their pain, disability, and return to work at 7 days

Enrollment: 62 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults (age ≥18 years) presenting to the emergency department with isolated low back pain present less than 6 total weeks.

Exclusion criteria

• Do not speak English or Spanish as a primary language
• Are incarcerated
• Have a known pregnancy
• Are allergic to amide-type local anesthetics
• Are unable to tolerate positioning for the procedure
• Have a critical illness precluding the ability to perform the procedure.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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62 participants in 2 patient groups

Erector Spinae Plane Block

Experimental group

Description:

This group will receive the erector spinae plane block

Treatment:

Procedure: Erector Spinae Plane Block

Sham Procedure

Sham Comparator group

Description:

This group will receive a sham injection.

Treatment:

Procedure: Sham Procedure