About this trial
The purpose of this study is to examine non-invasive pulsed radiofrequency (NIPRF) and the effect it has on chronic neuropathic pain. Chronic neuropathic pain after peripheral nerve injury most often occurs in the context of post-traumatic or post-surgical pain. It is often treated with nerve blocks, prescription medication, physical therapy, neuromodulation, and surgery. The study team will be examining the efficacy of NIPRF and determining if it would be an appropriate treatment for chronic neuropathic pain after peripheral nerve injury.The Stimpod used in the present study is FDA approved and will be used for on label purposes.
Eligibility criteria
Qualifiers
-Adults aged 18 or older with clinically diagnosed chronic neuropathic pain after peripheral injury defined as persistent or recurrent neuropathic pain caused by a peripheral nerve lesion, history of a plausible nerve trauma, pain onset in temporal relation to the trauma, and pain distribution within the innervation territory of a peripheral nerve (or nerves). Negative and positive sensory symptoms or signs must be compatible with the innervation territory of the affected nerve. Can be posttraumatic, post-surgical, nerve compression, nerve ischemia with or without loss of motor function
Positive response (at least 50% pain relief) to diagnostic nerve block at the suspected site of CNP-PI.
Continued pain despite conservative therapy for a minimum of 12 weeks
Stable dosage of analgesic medications for at least 30 days, and willingness to refrain from trialing new analgesic medications for three weeks after randomization
Disqualifiers
Conditions causing inability to complete assessments (education, cognitive ability, mental status, medical status)
Cancer diagnosis, active malignant neoplasm (metastatic or local) or evidence of paraneoplastic syndrome
Painful polyneuropathy (e.g., metabolic, autoimmune, familial, infectious disease, environmental toxins, treatment with neurotoxic drug)
Chronic central neuropathic pain (e.g., spinal cord injury, brain injury, multiple sclerosis)
Trial design
Treatments tested in this trial
- Active Treatment
- Non-active Treatment