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Peripheral Nerve Stimulation for Treatment of Sacroiliac Joint Pain (SIlencing)

P

PD Dr. med. Simon Bayerl

Status

Enrolling

Conditions

Sacroiliac Joint Pain

Treatments

Device: Peripheral Nerve Stimulation

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Prospective randomized controlled study, primary objective: Pain reduction in patients with chronic Sacroiliac joint pain after therapy either with Peripheral Nerve Stimulation or with best medical treatment.

Randomization 4:3 to operative (PNS=Peripheral Nerve Stimulation) arm or conservative (BMT= Best Medical Treatment) arm with crossover possibility for the BMT group after 6 months.

Enrollment

90 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Subject is at least 18 years old
  • Subject with chronic sacroiliac joint pain refractory to conservative treatment
  • Subject with NRS of at least 60/100
  • Subject with temporary pain reduction of at least 50% (NRS) after fluoroscopy guided SIJ infiltration
  • Subject received conservative treatment for at least three months including physiotherapy and pain medication
  • Subject is able to understand the study and Impulse generator programming

Exclusion criteria

  • Pregnancy
  • Subject is under age
  • Acute traumatic injury of the ISG
  • Active inflammation or neoplastic infiltration of the SIJ
  • Neoplastic diseases of the spine
  • Spinal surgery within the last three months
  • The SIJ pain is not the leading symptom
  • Contraindication for Neuromodulation Device (severe psychiatric disease, severe coagulation disorder, acute infection, active autoimmune disease with immunosupression)

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

90 participants in 2 patient groups

Peripheral Nerve Stimulation
Active Comparator group
Description:
Implant of percutaneous leads and impulse generator for peripheral nerve stimulation
Treatment:
Device: Peripheral Nerve Stimulation
Best Medical Treatment
No Intervention group
Description:
Physical therapy and therapy with analgetic medication

Trial contacts and locations

1

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Central trial contact

Simon H Bayerl, MD; Dimitri Tkatschenko, MD

Data sourced from clinicaltrials.gov

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