Pulsed RF Neuromodulation and Leukocyte-Rich PRP for Refractory Low Back Pain
Safety and Efficacy of Pulsed RF Neuromodulation and Leukocyte-Rich PRP for the Treatment of Refractory Low Back Pain Due to Multifidus Dysfunction
Iffat Anwar Medical Complex
100 participants
Jul 10, 2024
INTERVENTIONAL
Conditions
Summary
This clinical trial aims to check the safety and efficacy profile of pulsed radiofrequency (RF) neuromodulation combined with leukocyte-rich platelet-rich plasma (PRP) injections for the treatment of refractory low back pain due to multifidus dysfunction. The trial will compare two groups: one receiving standard physical therapy and the other receiving pulsed RF neuromodulation and physiotherapy.
Eligibility
Inclusion Criteria3
- Refractory low back pain due to multifidus dysfunction.
- Pain persisting for more than 6 months despite conventional treatments.
- Ability to provide informed consent.
Exclusion Criteria6
- Previous spinal surgery within the last year.
- Current use of systemic steroids or immunosuppressive medications.
- Known bleeding disorders or anticoagulant therapy.
- Pregnancy or lactation.
- Severe psychiatric or cognitive disorders.
- Any Congenital or Non-congenital disorders
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Interventions
RF neuromodulation will be applied to the L2 and L3 segments bilaterally. Each segment will receive treatment for 6 minutes, either sequentially or simultaneously on both sides.
Leukocyte-rich PRP will be prepared from the patient's blood and injected into the multifidus muscle at the L2 and L3 levels.
Standard physiotherapy regimen tailored to each participant's needs. This may include exercises to improve flexibility, strength, and endurance of the back muscles, as well as education on posture and body mechanics.
Locations(1)
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NCT06524531