Treatment Response to GON Pulsed Radiofrequency in Elderly Patients With Chronic Migraine
Starting soon
Conditions studied: Headache, Migraine
In brief
Headache disorders are highly prevalent in older adults, yet their management remains challenging due to comorbidities, polypharmacy, and the paucity of evidence derived from geriatric populations. Most randomized clinical trials exclude elderly patients, underscoring the need for effective and safe non-pharmacological treatment strategies for headache in this age group. Greater occipital nerve blocks are commonly used in the treatment of migraine and other headache disorders; however, their clinical benefit is often transient. Pulsed radiofrequency (PRF) has been introduced as a minimally invasive technique aimed at prolonging therapeutic effects through neuromodulation without causing structural neural damage. Although greater occipital nerve pulsed radiofrequency (GON-PRF) has demonstrated efficacy in various headache disorders, its effectiveness in patients aged 65 years and older has not been adequately investigated. The primary aim of this study is to evaluate the effectiveness of GON-PRF in patients aged ≥65 years with chronic migraine by assessing changes in pain intensity, monthly headache days, and monthly severe headache days. The secondary aim is to identify geriatric predictors of treatment response, including frailty status and the Geriatric Nutritional Risk Index (GNRI), in order to support individualized treatment strategies for older adults.
Key facts
- Study ID
- NCT07363083
- Run by
- Ankara City Hospital Bilkent
- People needed
- 100
- Starts
- 2026-03-01
- Expected to finish
- 2027-05-01
- Last updated by the study team
- 2026-02-10
Who can join
Age: 65 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age 65 years or older
- Diagnosis of chronic migraine according to ICHD criteria
- Presentation to the algology clinic
- Eligibility for greater occipital nerve pulsed radiofrequency (GON-PRF) treatment according to the study protocol
- Ability to provide written informed consent
You may not qualify if…
- Acute headache or pain conditions
- Malignancy-related headache
- Severe cognitive or communication impairment
Full record on ClinicalTrials.gov
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