Official Title
Quadratus Lumborum Type 2 as Chronic Hip Pain Treatment
Phase
Early Phase 1Lead Sponsor
Hospital Medina del CampoStudy Type
ObservationalStatus
RecruitingIndication/Condition
Hip Arthropathy Chronic Hip Pain Ultrasound Therapy; ComplicationsIntervention/Treatment
levobupivacaine ...Study Participants
100The main objective of the study is to assess whether the performance of type 2 quadratus lumborum block produces an improvement in the quality of life of the patient with osteoarthritis of the hip.
The lumbar square block is an interfascial block of the posterior wall of the abdomen, initially described for the management of postoperative pain in abdominal surgery due to its suggested effect on the T7-11 roots. The analgesic efficacy of type 1 lumbar square block (QL1) in hip surgery was subsequently published. Regarding chronic pain, QL2 has been successfully performed in posttherniorrhaphy pain or pancreatic cancer.
This quadratus lumborum type 2 is performed in the patients with hip joint based on the innervation of the hip and taking the role of thoraco-lumbar fascia in the analgesia of these patients as a reference. The good results obtained in the first 5 patients have led us to evaluate whether this blockade can indeed be an analgesic alternative in patients with coxarthrosis.
scream
analgesic technique. The evaluation of the patient will consist of 2 stages. The first of these will consist of the evaluation consultation (clinical history, EVN evaluation, WOMAC) and initial treatment (QL2 block). In the second stage, the patient will be followed up with interviews at 3 weeks, 3 and 6 months.
Current analgesia , no QL block apply
patient with coxarthrosis
Inclusion Criteria: Sign informed consent (Annex 2) Age 18-85 years Cartilage injury (coxarthrosis) hip Illness <1 year of evolution Patients with pain after treatment with physical therapy, exercises, NSAIDs. EVN> 5 Exclusion Criteria: Refusal of the patient Allergy to the drugs used Contraindication for performing the technique Intraarticular treatment in the previous 3 months Pregnancy