Low Level Laser Therapy in the Dorsal Root Ganglion in the Treatment of Chronic Low Back Pain
Pain, Low Back Pain, Nociceptive Pain
About this trial
This is an interventional treatment trial for Pain focused on measuring Low Level Laser Therapy, Low Back Pain, Diagnosis, Genetic, Clinical trial
Eligibility Criteria
Inclusion Criteria:
- Chronic low back pain (more than 3 months of nociceptive or neuropathic pain).
- No neurological deficits
Exclusion Criteria:
- Active lumbar cancer
- Active infection
- Coagulation disorders
Sites / Locations
- Nove de Julho Universtiy
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Active Comparator
Laser
Radiofrequency
Drug: Lidocaine
15 patients will be positioned in a prone horizontal position under anesthetic monitoring. The intervertebral foramen between the second and third lumbar vertebrae will be accessed by percutaneous puncture guided by fluoroscopy. Laser Photon III® (DCM) will be applied through fiber optics crossing G18 cannulas, during 84 seconds.
15 patients will receive radiofrequency in the second dorsal root ganglion through tubes G20, 150 mm long and 5 mm active tip in contact with the target, neuromodulation will be held for 300 seconds at 42oC.
In the local anesthetic group, 15 patients will receive the injection of 1 ml lidocaine without vasoconstrictor will be applied in the tubes G18, 150 mm long to block the second dorsal root ganglion.