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Ultrasound Guided Diagnostic Cervical Medial Branch Block

NCT ID: NCT00896688

Last Updated: 2018-12-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2017-01-31

Study Completion Date

2017-12-31

Brief Summary

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The diagnostic cervical branch block for neck pain due to cervical facet joint pain has been traditionally done under fluoroscopic guidance. Its diagnostic value and technique have been well established. However, recently some studies have shown that the diagnostic cervical and lumbar medial branch block can be done under ultrasound guidance.

Detailed Description

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Conditions

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Facet Joint Pain Neck Pain

Keywords

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cervical branch block fluoroscopic guidance ultrasound guidance

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Healthy Volunteers

It will involve 5 volunteers and they will undergo C arm fluoroscopic guided cervical medial branch blocks (C2-C7) on unilateral position and then followed by the 3D ultrasound machine for visualization of needle position.

cervical medial branch blocks using the Quincke spinal needle

Intervention Type PROCEDURE

#25 gauge 1 and 1/2 inch long needle and #25 gauge 10cm long Quincke spinal needle will be used for placement.

Candidates for upper and lower cervial medical branch blocks

This will involve 25 patients and they will follow the same procedures as the healthy volunteers.

cervical medial branch blocks using the Quincke spinal needle

Intervention Type PROCEDURE

#25 gauge 1 and 1/2 inch long needle and #25 gauge 10cm long Quincke spinal needle will be used for placement.

Interventions

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cervical medial branch blocks using the Quincke spinal needle

#25 gauge 1 and 1/2 inch long needle and #25 gauge 10cm long Quincke spinal needle will be used for placement.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* healthy volunteers
* patients who have headache, neck pain, and shoulder pain due to possible facet joint disease

Exclusion Criteria

* patients/volunteers with BMI \> 35
* patients/volunteers with short thick neck
* coagulopathy
* allergy to local anesthetic, ultrasound gel
* patient unable to fill out post procedure pain diary
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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McMaster University

OTHER

Sponsor Role collaborator

Hamilton Health Sciences Corporation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joseph Park, MD

Role: PRINCIPAL_INVESTIGATOR

Hamilton Health Sciences Corporation

Locations

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Hamilton Health Sciences

Hamilton, Ontario, Canada

Site Status

Countries

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Canada

References

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Fishman SM, Smith H, Meleger A, Seibert JA. Radiation safety in pain medicine. Reg Anesth Pain Med. 2002 May-Jun;27(3):296-305. doi: 10.1053/rapm.2002.32578. No abstract available.

Reference Type BACKGROUND
PMID: 12016604 (View on PubMed)

Greher M, Scharbert G, Kamolz LP, Beck H, Gustorff B, Kirchmair L, Kapral S. Ultrasound-guided lumbar facet nerve block: a sonoanatomic study of a new methodologic approach. Anesthesiology. 2004 May;100(5):1242-8. doi: 10.1097/00000542-200405000-00028.

Reference Type BACKGROUND
PMID: 15114223 (View on PubMed)

Other Identifiers

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08-575-D

Identifier Type: -

Identifier Source: org_study_id