This clinical trial aims to check the safety and efficacy profile of pulsed radiofrequency (RF) neuromodulation combined with leukocyte-rich platelet-rich plasma (PRP) injections for the treatment of refractory low back pain due to multifidus dysfunction. The trial will compare two groups: one receiving standard physical therapy and the other receiving pulsed RF neuromodulation and physiotherapy.
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Eligibility Criteria
Inclusion Criteria:
* Refractory low back pain due to multifidus dysfunction.
* Pain persisting for more than 6 months despite conventional treatments.
* Ability to provide informed consent.
Exclusion Criteria:
* Previous spinal surgery within the last year.
* Current use of systemic steroids or …
Inclusion Criteria:
* Refractory low back pain due to multifidus dysfunction.
* Pain persisting for more than 6 months despite conventional treatments.
* Ability to provide informed consent.
Exclusion Criteria:
* Previous spinal surgery within the last year.
* Current use of systemic steroids or immunosuppressive medications.
* Known bleeding disorders or anticoagulant therapy.
* Pregnancy or lactation.
* Severe psychiatric or cognitive disorders.
* Any Congenital or Non-congenital disorders
Contacts
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