Aim of the study
Comparing the safety, efficacy, pain reduction, and functional disability between Ramii communicans radiofrequency versus Annuloplasty versus combined both techniques in patients with discogenic low back pain
Patient and methods
• Study design: Prospective, randomized, double-blinded control clinical trial study.
• Study suite: The study will be conducted in the pain management unit at the Department of Anesthesia and Pain Management, Assiut University Hospital, after approval of the local ethical committee.
• Time of study: from January 2026 till the recruitment of all patients.
The PICOT algorithm is preliminarily pointed out:
* P (Population): patients complaining of Discogenic back pain with failed conservative treatment
* I (Intervention) Patients scheduled for Rammii Communicans Radiofrequency Ablation
* C (Comparison): patients scheduled for Annuloplasty Radiofrequency Ablation
* O (Outcomes): Assess safety, Efficacy, pain reduction (assessed by Numeric Rating Scale), functional disability (assessed by Oswestry Disability Index), and Depression score (SF-36) between the two groups
* T (Timing): 2weeks,1 month,3 months, and 6 months of follow-up.