Nerve block may cut opioid use after back surgery
NCT ID NCT07695987
First seen Jul 10, 2026 · Last updated Jul 31, 2026 · Updated 2 times
Summary
This study compares two ways to control pain after a single-level lumbar microdiscectomy (a common back surgery). One group receives an ultrasound-guided nerve block (quadro-iliac plane block) with bupivacaine, while the other gets standard local infiltration of pain medicine at the surgical site. Both groups also have a patient-controlled pain pump. The main goal is to see which approach reduces total opioid use in the first 24 hours after surgery, with additional measures of pain scores, side effects, and recovery quality.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupivacaine
- What this could lead to
- If effective, this nerve block could become a standard way to manage pain after back surgery, reducing the need for strong opioids and improving recovery.
- What could go wrong
- This is a small, early-stage trial (60 participants) comparing two established techniques, so the difference may be small or not statistically significant. Nerve blocks carry rare risks like infection or bleeding.
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 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- 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 to 75 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 to 75 years * American Society of Anesthesiologists physical status I to III * Scheduled for elective single-level lumbar microdiscectomy, such as L4-L5 or L5-S1 disc herniation * Planned surgery under general anesthesia * Able to provide written informed consent Exclusion Criteria: * Allergy or hypersensitivity to local anesthetics * Coagulopathy or active anticoagulant use * Infection, scar tissue, or skin lesion at the injection site * Pregnancy or breastfeeding * Chronic pain syndrome or regular opioid use * American Society of Anesthesiologists physical status IV or higher * Planned surgery for two or more levels of disc herniation
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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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Health Science University İstanbul Kanuni Sultan Süleyman Education and Training Hospital
RECRUITINGIstanbul, Istanbul, 34303, Turkey (Türkiye)
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