Effectiveness of Thoracolumbar Fascia Mobilization and Ultrasound-Guided 5% Dextrose Injection in Chronic Low Back Pain
Comparison of the Effectiveness of Thoracolumbar Fascia Mobilization and Ultrasound-Guided Thoracolumbar Interfascial 5% Dextrose Injection in Patients With Chronic Low Back Pain
Ankara City Hospital Bilkent
75 participants
Nov 1, 2025
INTERVENTIONAL
Summary
The aim of this study is to investigate the effects of thoracolumbar fascia mobilization and ultrasound-guided thoracolumbar interfascial 5% dextrose injection on pain, range of motion, disability, quality of life, proprioception, and fascial thickness and echogenicity in patients with nonspecific chronic low back pain. -Primary Objective: The primary objective is to evaluate the effects of these interventions on pain, functional status and range of motion. -Secondary Objective: The secondary objective is to assess the long-term effects on quality of life, proprioception, fascial thickness, and echogenicity.
Eligibility
Inclusion Criteria4
- Male or female patients aged 18 to 65 years
- Presence of low back pain lasting longer than 3 months
- No adequate response to medical treatment
- Voluntary participation in the study
Exclusion Criteria13
- Age below 18 or above 65 years
- Body mass index (BMI) greater than 30 kg/m²
- Pregnancy or breastfeeding
- Presence of coagulation disorders
- History of spinal surgery
- Presence of inflammatory or malignant diseases
- Local infection at the spine or injection site
- Presence of lumbar disc pathology causing radiculopathy
- Presence of spinal stenosis, spondylolysis, or spondylolisthesis
- Participation in physical therapy or any manual therapy within the past 6 months
- Receiving lumbar injections within the past 6 months
- History of allergy to injection materials
- Refusal to participate in the study
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Interventions
10 mL of 5% dextrose solution will be injected into the target area.
Patients in this group will receive thoracolumbar fascia mobilization. A total of six sessions of myofascial release therapy will be administered twice per week for three weeks.
Locations(1)
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NCT07241559