ESF injection and dry needling with functional rehab for chronic low back pain after spine surgery
Official title: A Comparative Study of Erector Spinae Fascia (ESF) Injection and Dry Needling Combined With Functional Rehabilitation (FR) in Patients With Chronic Low Back Pain Who Have Undergone Spinal Surgery (SPIN-NEED)
Run by Clinique de la Côte d'Emeraude · NCT07555496 · Data updated 2026-11-12
This trial tests whether injecting the erector spinae fascia or using dry needling, alongside functional rehab, helps people with long-standing lower back pain who have had spine surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Clinique de la Côte d'Emeraude Academic / other |
| Locations | 1 site (St-Malo) |
| Status | Recruiting |
| Started | September 7, 2026 |
| Main results expected | December 31, 2028 |
| Study ends | March 31, 2029 |
| Registry record updated | September 11, 2026 |
| Trial ID | NCT07555496 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with chronic low back pain who have undergone spinal surgery and are eligible for functional spinal rehabilitation.
✕Probably not a fit
Patients without a meaningful response to the intervention or who have contraindications to injections or dry needling may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The study evaluates a minimally invasive, ultrasound-guided approach targeting the fascia around the erector spinae muscles in the lower back, combined with standard functional rehabilitation. Participants have chronic low back pain and a history of spinal surgery such as laminectomy, discectomy, or fusion. Interventions include erector spinae fascia infiltration, dry needling, or a placebo control, in addition to rehabilitation. The aim is to determine if these techniques improve pain and function beyond rehab alone, recognizing the complex, multifactorial nature of post-surgical chronic back pain. The outcomes will inform whether this combination can enhance adherence to rehab and overall daily functioning.
Why it matters
Potential benefit: If successful, participants may experience reduced pain and improved ability to participate in rehabilitation and daily activities.
How similar studies have gone: Prior similar approaches have shown potential benefits in musculoskeletal pain, but this specific combination in post-surgical chronic back pain is still being explored.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient with chronic back pain, with previous surgery Exclusion Criteria: * Patients with specific or common low back pain * Patients receiving posterior subcutaneous spinal cord stimulation * Patients with a life expectancy of less than 12 months * Patients with a contraindication to corticosteroid injections (coagulation disorder) * Pregnant or breastfeeding patients * Patients with cognitive and/or psychobehavioral disorders
Where it's running
-
Emerald Coast Clinic
St-Malo, France Recruiting
Study contacts
- Principal investigator: Julien Baglione-Streliski, MD — Emerald Coast Clinic
- Study coordinator: Marion Mandon, PhD
- Email: mmandon@vivcalto-sante.com
- Phone: +33 6 78 27 76 72
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Does spinal manipulation help with acute and subacute lower back pain?
For adults with recent low back pain, this study tests whether spinal manipulation can provide short-term relief and improved function.
-
Retrolaminar nerve block for lumbar surgery pain
This trial will test whether adding an ultrasound-guided retrolaminar nerve block to standard multimodal pain management reduces opioid use after elective lumbar spine surgery.
-
Psychological Options for Wellness and Recovery (POWeR) for Veterans with Chronic Back or Neck Pain
This study tests whether Pain Reprocessing Therapy (PRT), cognitive behavioral therapy (CBT), or usual care works best to lower pain in veterans with chronic back or neck pain.
-
Needle-free ear cryo-stimulation and brain imaging for chronic low back pain
This trial will test whether needle-free ear cryo-stimulation can change brain activity and reduce pain in adults who have had daily low back pain for at least six months.
-
Examining back muscle characteristics to improve exercise therapy for low back pain
This study is testing if understanding the differences in back muscles between people with low back pain and healthy individuals can help create better exercise programs to improve their posture and control.
-
Lower back pain: stem cell and exosome infusion vs placebo
This study tests whether an umbilical cord blood–derived stem cell and exosome infusion can help adults with chronic degenerative lower back pain compared with placebo.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.