Official Title

Quadratus Lumborum Type 2 as Chronic Hip Pain Treatment
  • Phase

    Early Phase 1
  • Study Type

    Observational
  • Status

    Recruiting
  • Study Participants

    100
The 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.
Study Started
Sep 01
2020
Primary Completion
Sep 01
2022
Study Completion
Dec 01
2022
Anticipated
Last Update
Sep 30
2022

Drug levobupivacaine

local anesthetic

  • Other names: chirocane

Device ultrasound device

scream

quadratus lumborum None

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.

Control None

Current analgesia , no QL block apply

Population

patient with coxarthrosis

Criteria

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
No Results Posted