Clinical trial NCT06469905: Erector Spina Plan Block in Patients With Lumbar Disc Herniation
Official title: Effects of Erector Spina Plan Block and Exercise in Patients With Lumbar Disc Herniation
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Low Back Pain
Keywords: Low back pain
Erector spina plane block
Exercise
Lead sponsor: Firat University
Sponsor class: OTHER
First posted: 2024-06-24
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Erector Spina Plan Block (ESPB) is a technique used in surgical interventions, acute and chronic pain. The aim of this study was to investigate the effect of ESPB and core stabilization exercises on functionality in patients with Lumbal Disc Herniation. ESPB will be applied to the patients in the study group. Stabilization exercises will be applied together with ESPB treatment. Only stabilization exercises will be applied to the patients in the control group. Patients will be asked to complete a questionnaire inquiring sociodemographic data (age, height, weight, BMI, smoking and alcohol use), VAS and Modified Oswestry Questionnaire at initial presentation and after 8 weeks of exercise (8 weeks 3 days a week).

Detailed description: Low back pain is defined as pain in the lower back and/or legs that negatively affects comfort. Low back pain lasting less than 6 weeks is defined as acute, 6-12 weeks as subacute, and more than 12 weeks as chronic low back pain. The goals of the exercise program include reducing pain, strengthening weak muscles, stretching tense muscles, reducing mechanical stress on spinal structures, mobilizing hypomobile segments and stabilizing hypermobile segments. Erector Spina Plan Block (ESPB) is a technique used in surgical interventions, acute and chronic pain. The aim of this study was to investigate the effect of ESPB and core stabilization exercises on functionality in patients with Lumbal Disc Herniation. ESPB will be applied to the patients in the study group. Stabilization exercises will be applied together with ESPB treatment. The needle will be inserted between the erector spinae muscle and the transverse process structures.The local anesthetic will be monitored to spread along the erector spinae muscle. Only stabilization exercises will be applied to the patients in the control group. Patients will be asked to complete a questionnaire inquiring sociodemographic data (age, height, weight, BMI, smoking and alcohol use), VAS and Modified Oswestry Questionnaire at initial presentation and after 8 weeks of exercise (8 weeks 3 days a week).

Eligibility criteria: Inclusion Criteria:

* 18-50 years old
* Patients diagnosed with disc herniation by clinical, physical examination and MR imaging
* Low back pain for \>6 weeks

Exclusion Criteria:

* Severe spinal stenosis
* Diagnosis of pregnancy, infection or malignancy
* Presence of systemic inflammatory rheumatic disease
* Having neurological, orthopedic or congenital problems that prevent physical activity
* History of spinal surgery

Primary outcomes:
measure: Disability assessment
timeFrame: 2 minutes
Secondary outcomes:
measure: Pain assessment
timeFrame: 1 minute
Other outcomes:
Locations:
city: Elazığ
country: Turkey
facility: Songul Baglan Yentur
Study officials:
References: