Evaluation of Multi-Tined Expandable Electrode (MEE) Efficacy and Safety in Treatment of Lumbar Facet Arthropathy by Radiofrequency Neurotomies Compared to Conservative Medical Management.
Purpose
The purpose of this study is to better understand how people feel after a radiofrequency ablation standard of care surgery using a different type of needle (multi-tined expandable electrode/MEE) in comparison to receiving conventional medical management (CMM) techniques.
Condition
- Chronic Low-back Pain
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Age > 18 years old. - Patients with pain lasting at least 6 months. - Patients with history of non-radiating low back pain. - Patient who had two diagnostic medial branch blocks (MBB) with significant (>50%) improvement on both injections. - Patient has signed study-specific informed consent. - Patient has the necessary mental capacity to participate and is physically able to comply with study protocol requirements.
Exclusion Criteria
- Patient with low back pain with radiation or involvement of pain going into their legs below their knees. - Patient did not receive satisfactory relief from diagnostic MBB (<50% relief). - Patient is unable to receive radiation exposure. - Patient is currently pregnant. - Patient has a current local overlying low back or systemic infection. - Patient currently receiving or seeking workers compensation, disability remuneration, and/or involved in injury litigation. - Known or suspected drug or alcohol abuse. - Diagnosed psychiatric disease (e.g., schizophrenia, major depression, personality disorders) that could interfere with study participation. - Patient is participating in an investigational study or has been involved in an investigational study within 3 months prior to evaluation for participation. - Patient has an implanted intrathecal pump or spinal neuromodulation device. - Patient currently on daily oral morphine equivalent (OME) of 50.
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Active Comparator Radiofrequency ablation (RFA) with MEE |
Radiofrequency ablation involves a minimally invasive procedural technique. It uses radiofrequency waves to burn the nerve causing pain. This nerve will no longer be able to send pain signals to your brain. For this study, the multi-tined expandable electrode needle will be used. This needle will result in a larger treatment area. This may result in better pain relief and longer lasting pain relief. If you undergo the radiofrequency ablation procedure you will have pain medication injected where the ablation will be done. The procedure will take about 20 mins to complete. You will be allowed to go home afterward. |
|
|
Active Comparator Conventional Medical Management (CMM) Treatment Only |
Your current standard of care treatment may already consist of some CMM therapies. Standard of care includes a variety of intervention types such as medication, physical therapy, home exercise programs, back brace, walking aid, and chiropractic care. |
|
Recruiting Locations
University of Kansas Medical Center
Kansas City, Kansas 66160
Kansas City, Kansas 66160
Contact:
Principal Investigator
Principal Investigator
More Details
- Status
- Recruiting
- Sponsor
- University of Kansas Medical Center