Erector Spinae Plane Block for Acute Back Pain in the Emergency Department

ConditionLow Back Pain
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorRush University Medical Center

About this trial

The goal of this clinical trial is to learn if an erector spinae plane block (ESPB; a type of nerve block) works to reduce pain in adults presenting to the emergency department with low back pain. It will also learn if the ESPB reduces pain, disability, and return to work at 7 days. The main questions it aims to answer are:

1. Does the ESPB reduce short-term pain in participants with low back pain? 2. Does the ESPB reduce longer-term pain, reduce disability, and improve return to work and activities in participants with low back pain?

Researchers will compare ESPB to a placebo (an injection that does not involve a nerve block) to see if ESPB works to treat low back pain.

Participants will:

Receive either the ESPB or a placebo injection in the emergency department Report their pain scores for up to 120 minutes Report their pain, disability, and return to work at 7 days

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults (age ≥18 years) presenting to the emergency department with isolated low back pain present less than 6 total weeks.

Disqualifiers

Do not speak English or Spanish as a primary language

Are incarcerated

Have a known pregnancy

Are allergic to amide-type local anesthetics

Trial design

Design model

Parallel

Treatments tested in this trial

  • Erector Spinae Plane Block

    Procedure/Surgery

    Erector Spinae Plane Block

  • Sham Procedure

    Procedure/Surgery

    Sham Procedure

Treatment groups

62 Participants
are divided into 2 treatment groups
Group A: Erector Spinae Plane BlockExperimental treatment 1 intervention
Group B: Sham ProcedureSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

Pain score at 120 minutes post-intervention as assessed using a 10-point numeric rating scale

Zero is equivalent to no pain and 10 indicates worst pain imaginable

Time frame
Change from baseline to 120 minutes post-intervention

Secondary outcomes

1

Pain score at 30 minutes post-intervention as assessed using a 10-point numeric rating scale

Zero is equivalent to no pain and 10 indicates worst pain imaginable

Time frame
Change from baseline to 30 minutes post-intervention
2

Pain score at 60 minutes post-intervention as assessed using a 10-point numeric rating scale

Zero is equivalent to no pain and 10 indicates worst pain imaginable

Time frame
Change from baseline to 60 minutes post-intervention
3

Degree of disability assessed via the Roland-Morris disability questionnaire at 7 days

Participants will be scored using the validated Roland-Morris disability questionnaire.

Time frame
Assessed as the change in Roland-Morris disability questionnaire scores between baseline and 7 day follow up
4

Pain score at 7 days post-intervention as assessed using a 10-point numeric rating scale

Zero is equivalent to no pain and 10 indicates worst pain imaginable

Time frame
Pain score assessed at 7 days post-intervention

Other outcomes

Sponsors and contacts

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