Radiofrequency Therapy for Chronic Neck Pain.
Neck Pain, Posterior
About this trial
This is an interventional treatment trial for Neck Pain, Posterior
Eligibility Criteria
Inclusion Criteria:
- Patients with chronic neck pain.
- Age is above 18 years.
- patients had chronic pain ≥ 3 months,
- The radiological examination showed that the patients is free from any discogenic cause of pain.
- Patients are willing to stop medications.
- Patients accepted to assign informed consent to participate in the current study and will attend the lab twice a week for six successive weeks.
Exclusion Criteria:
- They have any known significant medical conditions such as hypertension, asthma, cardiac disease, or systemic disease that adversely affect them during testing.
- Previous neck surgery/injection for the last six months.
- Previous vertebral fracture or malignancy.
- Patients have a discogenic pain or any other radicular manifestation to the upper limb.
- Unable to commit study requirements.
Sites / Locations
- Umm Al-Qura University, Faculty of Applied Medical Science
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Exercise and Manual therapy
Exercise and radiofrequency therapy
Exercise, Manual and Radiofrequency therapy
Group I will be treated with stretching exercises (EX), manual therapy (EX group) and serves as a control group. Stretching of the neck extensor, upper fibers of trapezius, levator scapulae and scalenus muscles. stretching is applied for at least 15 seconds and repeated ten times in each session. Mobilization of the facet joint of the cervical vertebrae is performed after neck exercises.
Group II will be treated with capacitive and resistive radiofrequency therapy plus EX without manual therapy (CRRT+ EX group). In addition to neck stretching exercises, they will receive 20 minutes of CRRT. Both the capacitive and resistive electrodes. CRRT is applied by the INDIBA radiofrequency therapy. INDIBA radiofrequency therapy has a long wavelength diathermy with frequency of 488 KHz range. The integration of two operational modes capacitive electrode (CAP) and (RES), makes it possible to combine sub-thermal (electric) and thermal effects. Indiba radiofrequency has output frequency: 448kHz ± 1 kHz with Maximum output power in RES mode: 100 W and in CAP mode: 350 VA. Capacitive electrodes will be applied for five minutes. Then the resistive electrodes will be applied for 10 minutes and finally the capacitive will be applied again for another five minutes.
Patients in this group will receive the same program of exercises as in group one. in addition, patients will receive the CRRT as in group two and the mobilization of the facet joints of the cervical vertebrae is applied while applied the CRRT by a trained physiotherapist. The same protocol of mobilization is applied for group one and three.