Focused TECAR therapy for lower back pain from a herniated lumbar disc

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults aged 20–60 with chronic (over 12 weeks) lumbar disc herniation will be enrolled in a prospective, randomized, double-blind trial and assigned to receive focused radiofrequency (TECAR) therapy plus a standardized home exercise program or a control/sham procedure with the same exercise program. The planned sample size is 54 participants to achieve 95% statistical power. Key outcomes — pain (VAS, NRS), disability (Oswestry Disability Index, Roland-Morris), quality of life (SF-36), lumbar mobility (finger-to-floor distance, Schober) and depressive symptoms (Beck Depression Inventory) — will be measured before treatment, immediately after treatment, and one month after treatment. Treatments will be delivered in the outpatient Physical Therapy and Rehabilitation unit at Ankara Bilkent City Hospital by trained technicians and clinicians.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Having low back pain lasting longer than 12 weeks

Having a diagnosis of lumbar disc herniation (bulging, protruded, or extruded)

Being able to comply with the exercise program

Willingness to participate in the study Being between 20 and 60 years of age

Exclusion Criteria:

Being younger than 20 years or older than 60 years

Having a known and/or newly diagnosed malignancy

Presence of cardiac implants such as a pacemaker

Having inflammatory low back pain

Having absolute spinal stenosis (anteroposterior diameter of the spinal canal \< 10 mm and anteroposterior diameter of the lateral recess \< 3 mm)

History of surgery due to lumbar disc herniation, lumbar spinal stenosis, vertebral fracture, or similar conditions

Presence of lumbar spondylolisthesis

Patients with sequestered disc herniation

Patients with polyneuropathy

Patients with central pain following stroke

Patients with neurological deficits

Having a diagnosed neurodegenerative disease

Having a systemic musculoskeletal disease

Patients with acute deep vein thrombosis

Pregnancy

Presence of infection at the skin surface where treatment will be applied

Unexplained weight loss

Bladder and/or bowel incontinence

Having received physical therapy modalities or injections for low back pain within the last 1 month

Having cognitive impairment

Refusal to participate in the study

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Where it's running

• Ankara Bilkent City Hospital
  Ankara, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: cemre y yılmaz
• Email: saymazcemre@gmail.com
• Phone: 0312 552 60 00

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.