Efficacy of Corticoid Infiltration in Quadratus Lumborum Syndrome

• Status: Unknown status
• Trial end date: 2019-11-01
• Target enrollment: 0
• Participant gender: All

Summary

This study has the primary goal of evaluating the efficacy of corticoid infiltration in the quadratus lumborum syndrome, aiming to determine if there are benefits with the use of corticosteroids and if they exist, if this improvement comes only from the systemic effects of corticosteroid administration.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Hospital de Braga
• Collaborator: University of Minho
• Treatments: Levobupivacaine; Triamcinolone; Triamcinolone Acetonide; Triamcinolone diacetate; Triamcinolone hexacetonide

Criteria

Inclusion Criteria:

I) patients followed in the Chronic Pain Unit proposed to have ultrasound- guided infiltration of the quadratus lumborum muscle.

II) written informed consent.

III) presence of 4 of the following clinical criteria evaluated by a physiatrist:

• pain below the 12th rib and 5 cm lateral to the transverse process of L1 during palpation, with referred pain to the iliac crest;

• pain on palpation of the trigger points in the quadratus lumborum muscle;

• exacerbation of the pain with with postural changes when lying down, walking, sitting and/or squatting;

• lumbar pain with muscle stretching;

• painful palpation of trigger points at the level of L4 vertebral body, 1 to 2 cm above the iliac crest.

Exclusion Criteria:

• rheumatologic disease;

• psychiatric disease;

• neurological disease;

• history of anticoagulation use;

• pregnant patients;

• uncontrolled diabetes mellitus;

• patients on corticosteroid therapy;

• allergy to the medication to be used;

• anterior realization of ultrasound techniques for low back pain ;

• anterior realization, of invasive techniques, less than 6 months, with administration of medication.