Radiofrequency for Chronic Post-mastectomy Pain: is it Better to Target Intercostal Nerves or Corresponding Dorsal Root Ganglia?

Assiut University

Status: Completed

Conditions: Post-Mastectomy Chronic Pain Syndrome

Treatments: Procedure: radiofrequency

Study type: Interventional

Funder types: Other

Identifiers

NCT03374423

ENPH

Details and patient eligibility

About

neuropathic pain can occur following any surgical procedure on the breast ..

Full description

chronic pain affects the daily lives of post-surgical breast cancer patients. many of these patients were undertreated for pain and generally obtained poor pain relief.treated patients with chronic thoracic segmental pain including patients with post-mastectomy pain syndrome by radiofrequency for dorsal root ganglion reported longterm pain relief.

Enrollment: 60 patients

Sex: Female

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with chronic post-mastectomy pain for at least 3 months post operatively.
• patients with visual analogue scale for pain score > 4
• patients treated with more than one line of anti-neuropathic drugs.

Exclusion criteria

• patient refusal.
• coagulopathy.
• chest and back deformity.
• infection at the introduction site of the needle .

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

intercostal nerve group

Active Comparator group

Description:

pulsed radiofrequency on intercostal nerves (2-5)

Treatment:

Procedure: radiofrequency

Procedure: radiofrequency

dorsal root ganglion group

Active Comparator group

Description:

pulsed radiofrequency on dorsal root ganglion (2-5)

Treatment:

Procedure: radiofrequency

Procedure: radiofrequency