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To establish the sensory profile of patients using quantitative sensory testing (QST) and questionnaires as well as the level of sensitisation using temporal summation and diffuse noxious inhibitory control paradigms in all patients undergoing a chronic pain intervention at Barts Health NHS Trust.
Primary objective- To identify the phenotype of responders and non-responders to a chronic pain intervention using QST sensory profile as well as the sensitisation paradigms.
Secondary objective- To establish the correlation between sensory profile, and sensitisation parameters as well as other measures of chronic pain as per Initiative on Methods, Measurement and Pain Assessment in clinical trials (IMMPACT) recommendation.
Common interventions performed at Barts Health NHS Trust includes Neuromodulation, targeted epidural steroid and/or radiofrequency treatment, 8% Capsaicin patch and pharmacological interventions such as anti-neuropathic agent and opioids.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Quantitative sensory testing | QST will be performed at baseline two weeks and 2 months |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quantitative sensory testing | Procedure | Quantitative sensory testing |
|
| Measure | Description | Time Frame |
|---|---|---|
| • To identify the phenotype of responders and non-responders to a chronic pain intervention using QST sensory profile as well as the sensitisation paradigms. | This is assessed by comparing and reporting any change in QST results before and after the intervention. | QST changes at 4 weeks is taken as primary objective. |
| Measure | Description | Time Frame |
|---|---|---|
| • To establish the correlation between sensory profile and sensitisation parameters as well as other measures of chronic pain as per Initiative on Methods, Measurement and Pain Assessment in clinical trials (IMMPACT) recommendation • | QST changes | 2 weeks 3, 6 months and one year |
| The effect on functionality and quality of life following chronic pain intervention |
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Inclusion Criteria:• Male and female patients between the age of 18-80 years who have a lumbar radiculopathy who have not undergone any spinal surgery.
Exclusion Criteria:• Any inclusion criteria not met
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Chronic pain of at leasr 6 months
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| Name | Affiliation | Role |
|---|---|---|
| vIVEK mEHTA, MD | Barts NHS Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr Theresa Wodehouse | London | Essex | ec1a 7be | United Kingdom |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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QST changes |
| 2 weeks and 3, 6 months and 1 year. |
| Whether central sensitisation can be used as a bedside biomarker to predict outcome after interventions for chronic pain (i.e. the more centrally sensitised the more superior improvement from treatment) | QST changes | 2 weeks and 3, 6 months and 1 year |