New needle angle could mean less back pain for millions
NCT ID NCT06283628
First seen Jun 25, 2026 · Last updated Jul 24, 2026 · Updated 3 times
Summary
This study tests two different methods of radiofrequency ablation (a procedure that uses heat to calm pain nerves) for people with long-term low back pain. The standard method uses a slight angle, while the new method places the needle more straight in from the back. Researchers will compare how well each method reduces pain and improves daily function in 25 adults.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Radiofrequency ablation procedure
- What this could lead to
- If successful, this could identify a more effective way to perform radiofrequency ablation for chronic low back pain, leading to better pain relief and function.
- What could go wrong
- This is a small, early-stage study with only 25 participants, so results may not apply to everyone. The new approach might not be better than the standard one.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 25 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Bilateral equally intense axial low back pain 2. Pain duration of ≥ 6 months 3. Three-day average NRS scores of ≥ 3/10 4. Age greater than 18 years 5. Failure of conservative treatment, including nonsteroidal anti-inflammatory medications and physical therapy 6. Positive response to a series of two bilateral diagnostic lumbar medial branch nerve blocks (≥ 80% pain relief). This is the current standard of care. Exclusion Criteria: 1. Radicular pain below the knee 2. Systemic infection or localized infection at the anticipated introducer entry site 3. Pregnancy 4. Allergy to Lidocaine 5. Bleeding dyscrasias 6. Patients unable to give informed consent 7. History of lumbar spine surgery at the affected levels 8. History of previous bilateral lumbar RFA of medial branches within the past six months. 9. Significant comorbid somatization or widespread pain with central sensitization 10. Secondary gain identified due to ongoing legal proceedings or worker's compensation 11. Cognitive impairment 12. Any pre-existing condition at the discretion of the provider that may confound interpretation of results -
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Penn State Hershey College of Medicine
Hershey, Pennsylvania, 17033, United States
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