RecruitingNot ApplicableNCT06480175

Radiofrequency Plus Superficial Cervical Plexus Block in Treatment of Cervical Spondylosis Pain

Comparative Study Between Cervical Medial Branch Radiofrequency Ablation Versus Radiofrequency Plus Superficial Cervical Plexus Block in Treatment of the Cervical Facet and Cervical Spondylosis Pain

Sponsor

Ain Shams University

Enrollment

53 participants

Start Date

Jun 20, 2024

Study Type

INTERVENTIONAL

Conditions

Cervical Spondylosis Neck Pain

Summary

The goal of this clinical trial is to compare the effectiveness in the pain relief between doing radiofrequency ablation for the medial branch of the cervical facet pain alone vs using it combined with superficial cervical plexus block.in adults patients with cervical spondylosis pain The main question it aims to answer is: does adding superficial cervical plexus block to radiofrequency in patients with chronic neck pain provide better analgesia than radioprequency alone ?

Eligibility

Min Age: 30 YearsMax Age: 70 Years

Inclusion Criteria5

Both genders.
Age between 30-70 years.
American society of anesthesiologist ASA 1,2 \& 3 physical status.
MRI cervical spine diagnosing cervical facet arthropathy originating pain .
Failed full dose medical treatment and life style modification and physiotherapy for 3 months prior to intervention.

Exclusion Criteria10

Neurological disorders.(previous central and peripheral CNS affection ).
coagulopathy INR \> 1.8 or platelets \< 50,000.
Infection at or near the injection site.
Presence of pacemaker or defibrillator.
known allergy to used medications.
age \>70 or \<30 years.
patients with previous history of Radiotherapy , chemotherapy or metastasis
pregnant patients.
patients with rheumatological disorders ( rheumatoid arthritis, diffuse idiopathic skeletal hyerostosis, psoriatic arthritis, spondyloarthritis)
patients with antiphospholipid syndtrome.

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Interventions

PROCEDUREcervical plexus block

patients will receive cervical radiofrequency ablation on both sides then after 2 weeks they will be readmitted and will receive superficial cervical plexus block on one side only