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In this study ,the investigators aimed to show the decrease in pain levels and the effect on quality of life of patients who underwent chronic hip painRFT , intraartıcular steroid injection and Peng block.
Hip pain is a common medical condition with increasing age.The effectiveness of conservative methods used in hip pain is limited.Since the lifespan of prostheses used in hip surgery is limited, new methods are needed in the treatment of pain.The anterior sensory innervation of the hip joint is provided by the articular branches of the femoral and obturatory nerve. Today, the most commonly used techniques for hip pain are corticosteroid administration into the hip joint, pericapsular nerve group (PENG) block application, and radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves. The aim of this study is to compare the effects of these three procedures in hip pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves | Experimental | radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves applied |
|
| intraairticular steroid injection | Active Comparator | intraairticular steroid injection applied |
|
| pericapsular nerve group (PENG) block | Active Comparator | pericapsular nerve group (PENG) block applied |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| radiofrequency thermocoagulation to the articular branches of the femoral and obturatory nerves | Procedure | Patients are operated under sedation in the operating room. C-arm fluoroscopy device is used for imaging purposes for radiofrequency thermocoagulation process. In order to prevent vascular injury, the needle is advanced under the guidance of ultrasonography. There are target points determined in fluoroscopy for the femoral nerve and the obturatory nerve. Before the thermocoagulation procedure, local anesthetic and steroid are injected into each of the target points. |
| Measure | Description | Time Frame |
|---|---|---|
| NRS(Numerating Rating Scale) for chronic pain | Ä°t is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain | preoperative |
| NRS(Numerating Rating Scale) for chronic pain | Ä°t is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain | Postoperative first month |
| NRS(Numerating Rating Scale) for chronic pain | Ä°t is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain | Postoperative third month |
| Measure | Description | Time Frame |
|---|---|---|
| WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex ) | It includes 24 questions under three sub-headings as pain, stiffness and physical function. Each question was scored according to the Likert scale as 0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe.minimum score is 0=good maximum score is 96 = bad functional capacity | Preoperative |
| Measure | Description | Time Frame |
|---|---|---|
| NRS(Numerating Rating Scale) for acute pain | Ä°t is a pain intensity determination system based on the system where there person tells a point between 0=(no pain) 10=( unbearable pain) and to describe their pain | postoperative second hour |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| BİLGENUR ERGÜN DEMİRÖZ, RESİDENT DOCTOR | Contact | +902564441256 | bilgenurergunn@gmail.com | |
| Sinem Sarı Öztürk, Associate professor | Contact | +902564441256 | sinemsari@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Adnan Menderes University Faculty of Medicine | Recruiting | Aydin | 09010 | Turkey (Türkiye) |
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|
| intraairticular steroid injection | Procedure | The patients were placed in the supine position in the operating room. The patient was stained sterile with povidone iodide. The femoral neck was detected under ultrasonography and the joint capsule was entered with a 22G 9 cm spinal needle. Then, 5 cc bupivacaine and 5 mg betamethasone were given and the procedure was terminated. |
|
| pericapsular nerve group (PENG) block | Procedure | The patients were placed in the supine position in the operating room. The patient was stained sterile with povidone iodide. The high-frequency linear ultrasonography probe was placed on the anterior superior iliacspina (ASIS). Later, the anterior inferior iliac spine (AIIS) was detected by descending caudally. Afterwards, the probe was brought to the oblique position and AIIS, iliopubikeminence, psoas muscle and tendon were seen. Using a 22G 90-mm Quinckespinal needle, the tendon of the iliopsoas muscle was entered in the lateral-medial direction in the in-plane plane and bone contact was achieved. After negative aspiration, 15 ml of 0.5% bupivacaine were administered by seeing the appropriate drug distribution. |
|
| WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex ) | It includes 24 questions under three sub-headings as pain, stiffness and physical function. Each question was scored according to the Likert scale as 0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe.minimum score is 0=good maximum score is 96 = bad functional capacity | Postoperative first month |
| WOMAC (Western OntarioandMcMasterUniversitiesArthritisIndex ) | It includes 24 questions under three sub-headings as pain, stiffness and physical function. Each question was scored according to the Likert scale as 0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe.minimum score is 0=good maximum score is 96 = bad functional capacity | Postoperative third month |
| ID | Term |
|---|---|
| D001733 | Bites and Stings |
| ID | Term |
|---|---|
| D011041 | Poisoning |
| D064419 | Chemically-Induced Disorders |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D003766 | Dental Occlusion |
| ID | Term |
|---|---|
| D003813 | Dentistry |
| D009063 | Dental Physiological Phenomena |
| D055688 | Digestive System and Oral Physiological Phenomena |
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