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Radiofrequency Neurotomy for Chronic Facet Joint Related Neck Pain

Unknown statusNot applicableNCT03066960
View the official record on ClinicalTrials.gov

Recruiting status changes often. Contact the study team listed on ClinicalTrials.gov, and talk to your doctor before joining a study.

This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.

Brief summary (from the registry)

This is a single-center, double blind, sham-controlled randomized trial (N: 34) to assess the long term efficacy of RF neurotomy of cervical medial branches. Patients with chronic unilateral neck pain who are found eligible and achieve ≥50% pain relief of two predictive and comparative test blocks will be included in the trial in a primary analysis. We will further test whether a strict selection of ≥80% pain relief better predicts efficacious RF neurotomy compared with a less strict selection of ≥50% to \<80%. After 6 months sham-treated patients may also be offered active unblinded RF treatment. Demographic and clinical data will be recorded at baseline while primary and secondary outcome measurements are recollected after 1, 3, 6, 9 and 12 months. Primary outcome measurements include self-reported neck function (NDI) and pain relief after 6 months.

Study details

Official title
Long-term Efficacy of Radiofrequency Neurotomy for Chronic Zygapophysial (Facet) Joint Related Neck Pain
Conditions
Interventions
  • Procedure: Radiofrequency neurotomy
  • Procedure: Sham treatment
Sponsor
Oslo University Hospital
Collaborators
St. Olavs Hospital
Start date
2019-01-01
Primary completion
2024-12-14
Sex
All
Age range
from 18 Years to 80 Years
Results posted
No results posted in this snapshot
Countries
Norway
Total sites listed
2

Eligibility criteria

Show eligibility criteria (verbatim from the registry)
Inclusion Criteria * Min 18 years and Maximum 80 years * Read and understand Norwegian * Stable neck pain \>12 months, with or without unilateral headache * Average of worst pain intensity last three days ≥ 4 out of maximum 10 * Neck Disability Index \>15 points or \> 30 percentage points. * At least two predictive blocks ≥ 50% pain relief 30 to 60 minutes after lidocaine and 30 to 180 minutes after bupivacaine . Exclusion Criteria: * Serious cervical pathology (acute cervical disc herniation, radiculopathy, myelopathy, spinal anomalies and chronic widespread pain * Opioid consumption \> 50 morphine equivalents/day * Ongoing litigation process and applying for disability insurance/benefits * Serious psychiatric disorder (DSM-IV-TR) diagnosed at a psychiatric unit, including suicidal thoughts and somatization (from Hopkins Symptom Check List 25 ≥ 2.5) * Ongoing addictive behavior ( diagnostic criteria in Statistical Manual, 4th Edition) * Unstable medical condition (ASA 4, serious vascular disease like unstable angina) * Bacterial infection * Malignancy * Chronic generalized pain * Hypersensitive to contrast agents or local anesthetics * Pregnancy * Bleeding diathesis * Previously radiofrequency neurotomy

Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT03066960