Different Treatments in Chronic Pain Patients.

Condition(s) studied

Investigational drug(s) / intervention(s)

Consultation: Consultation with the pain specialist, which might entail prescription of medication of vitamins.

Interventions: Facet injections, nerve denervations, infiltrations, Qutenza, Spinal Cord Stimulation, Transcutaneous Electrical Nerve Stimulation

Baxter therapy: Ketamine or Linisol baxter therapy

Interdisciplinary therapy: Interdisciplinary therapy provided by the physiotherapist, psychologist and occupational therapist.

Study summary

The goal of this observational study is to compare different treatment options in a chronic pain population. The main questions it aims to answer are:

* What is the effectiveness of the different therapy options in the pain center of Sint-Lucas on outcomes related to pain and disability?
* What are predictive factors for the different therapy options in the pain center of Sint-Lucas? Which factors predict improvement in pain related outcomes?

Participant data will be gathered as part of their routine care. They can be advised to 4 different treatment options:

* Consultations with the pain specialist
* Interventions by the pain specialist (infiltrations, denervations)
* Baxter therapy
* Interdisciplinary treatment

Researchers will compare patients with different dominant pain mechanisms to see which treatment are most effective for which dominant pain mechanisms.

Eligibility

Primary outcome measure(s)

• Change in Pain disability from baseline until 18 months — 0 weeks, 4 weeks, 10 weeks, 6 months, 12 months, 18 months
  Pain Disability Index, ranges from zero to 70, with a higher score indicating more pain-related disability
• Change in Pain intensity from baseline until 18 months — 0 weeks, 4 weeks, 10 weeks, 6 months, 12 months, 18 months
  Numeric Rating Scale for pain intensity in the past week, ranges from zero to 100, with a higher score indicating a higher pain intensity
• Change in Pain Frequency from baseline until 18 months — 0 weeks, 4 weeks, 10 weeks, 6 months, 12 months, 18 months
  Questions
• Change in Functionality from baseline until 18 months — 0 weeks, 4 weeks, 10 weeks, 6 months, 12 months, 18 months
  Patient Specific Complaints questionnaire, using a Numeric Rating Scale, ranging from zero to 100, with a higher score indicating a higher amount of functional disability
• Change in Quality of Life from baseline until 18 months — 0 weeks, 4 weeks, 10 weeks, 6 months, 12 months, 18 months
  EuroQol-5D questionnaire

Trial sites (1)

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