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Treatment of Acute Low Back Pain With Transcutaneous Electrical Neurostimulation in Emergency Departments

RecruitingNAAges 18 Years - anyAllCliniques universitaires Saint-Luc- Université Ca…
NCT07588490 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Acute low back pain is a common reason for emergency department visits (4.39% \[95% CI: 3.67-5.18\]). Drug treatment options are limited and largely ineffective. Paracetamol and opioids are no better than placebo for acute low back pain. Only NSAIDs and muscle relaxants have a slightly beneficial effect on pain, but muscle relaxants have an unfavorable benefit-risk ratio. Given this situation, it is necessary to explore new non-pharmacological treatment options to relieve the pain of these patients. Transcutaneous electrical nerve stimulation (TENS) is a non-pharmacological therapy that involves applying an electrical current through the skin. Using one or two pairs of electrodes attached to the skin, TENS delivers painless, low-intensity electrical pulses to a painful area or along the path of a nerve. TENS works by selectively activating large-diameter, non-nociceptive afferent fiber

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📋 Eligibility rules (as published)
Inclusion Criteria: * = or \> 18 years old * pain (EN \> 3) related to acute lower back pain in the emergency department. Exclusion Criteria: * Refusal to participate in the study, refusal to sign the informed consent form * Consent cannot be obtained (cognitive impairment, language barrier, etc.) * Patients with lower back pain lasting more than 6 weeks * Taking immediate-release pain medication within the last 6 hours * Taking extended-release pain medication within the last 12 hours * Taking a muscle relaxant within the last 24 hours * Pregnant women * Patients requiring immediate medical attention (life-threatening situation) * Patient already treated with TENS * Patient with a body temperature \> 38°C * Patient with a known spinal infection * Lower back pain related to trauma * Patient with a known systemic rheumatological or spinal disease * Patient with a known systemic inflammatory disease * Patient with a known chronic pain condition such as fibromyalgia * Patient with pain radiating into the lower limb along the path of one of the following nerves (L3-L4-L5-S1)
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What it tests

  • transcutaneous electrical nerve stimulation (TENS)
  • FAKE TENS
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Where

1 site
Cliniques Universitaires Saint-Luc
Brussels, Belgium
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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