Long-Term Follow-up of Radiofrequency to Articular Branches of the Femoral and Obturator Nerve in Chronic Hip Pain

Aydin Adnan Menderes University

Status: Not yet enrolling

Conditions: Chronic Hip Pain; Conventional Radiofrequency Thermocoagulation Application to the Articular Branches of the Femoral and Obturator Nerve

Treatments: Diagnostic Test: WOMAC (Western Ontario and McMaster Universities Arthritis Index) scale; Diagnostic Test: VPS (Verbal Pain Score)

Study type: Observational

Funder types: Other

Identifiers

NCT06751472

2024-218

Details and patient eligibility

About

It has been observed that the deterioration in the physical performance of the hip, the medical need before the specialist consultation and the deterioration in the health status can progress treatment[3]. When conservative treatment methods such as physical therapy and weight change, the use of walking aids (such as a cane) and analgesic agents are used, these interruptions usually provide short-term and partial benefits. After the application of medical treatment procedures, hip prostheses are usually separated. However, the additional diseases of the patients, the fact that the surgery is a major surgery and the mortality rate is high, and the life of the prostheses used are limited have led to the search for alternative pain palliation.

Hip joint radiofrequency thermocoagulation is a procedure performed in our clinic. In this study, we aimed to examine the long-term effects of hip RFT on pain and functional capacity changes in patients.

Full description

After obtaining hospital ethics committee approval, it was planned to retrospectively examine adult patients over the age of 18 who applied to the outpatient clinic of the Department of Algology, ADÜTF, between May 2021 and September 2023 and who underwent elective conventional radiofrequency thermocoagulation (RFT) procedure to the articular branches of the femoral and obturator nerves due to chronic hip pain. The prospective studies conducted in our clinic titled "Treatment of chronic hip pain with conventional radiofrequency thermocoagulation to the articular branches of the femoral and obturator nerve" and "Comparison of Conventional Radiofrequency Thermocoagulation to the Articular Branches of the Femoral and Obturator Nerve in Chronic Hip Pain with Intra-Articular Steroid Injection and Pericapsular Nerve Group (PENG) Block" (theses of assistants Sevilay Şimşek Karaoğlu and Bilge Ergün, respectively) will include patients who underwent conventional RF. In the studies, patients who underwent elective conventional radiofrequency thermocoagulation (RFT) to the articular branches of the femoral and obturator nerve were followed up for up to 6 months. The follow-up of the patients in our clinic is ongoing. In our study, the long-term follow-up of these patients will be evaluated retrospectively at 12 months and 24 months.

Enrollment: 76 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Being over 18 years of age
2. Having received written consent
3. Those with chronic hip pain lasting longer than 3 weeks

Exclusion criteria

1. Major psychiatric disease
2. Patients with lumbar pressure pain or referred pain
3. Patients using anticoagulant agents
4. Patients with infection in the area to be treated
5. Those with local anesthetic allergy
6. Those with betamethasone allergy
7. Pregnant women

Trial design

76 participants in 1 patient group

RFT

Description:

Conventional radiofrequency thermocoagulation (RFT) procedure was applied to the femoral and obturator nerve joint branches electively due to chronic hip pain.

Treatment:

Diagnostic Test: WOMAC (Western Ontario and McMaster Universities Arthritis Index) scale

Diagnostic Test: VPS (Verbal Pain Score)