Caudal Versus S1 Transforaminal Epidural Steroid Injection for the Treatment of Unilateral S1 Radiculopathy
- Conditions
- Lumbosacral Radiculopathy
- Interventions
- Procedure: Transforaminal epidural steroid injectionProcedure: Caudal epidural steroid injection
- Registration Number
- NCT05711121
- Lead Sponsor
- Istanbul Medeniyet University
- Brief Summary
To compare the efficacies of two different interventional techniques (Caudal epidural steroid injection and S1 transforaminal epidural steroid injection) for the treatment of unilateral S1 radiculopathy.
- Detailed Description
Epidural steroid injections are commonly performed for the treatment of radicular pain resulting from a disc herniation. There are 3 different methods to deliver steroids to epidural area which are caudal, interlaminar and transforaminal routes. Lower lumbar and sacral radiculopathies can be managed with caudal epidural steroid injection which is generally quite easier to perform in comparison to transforaminal injection. Transforaminal epidural injection provides injectate to reach anterior epidural area and is the most target specific technique among others. In the present study investigators aim is to compare the success rates of these two different procedures regarding unilateral S1 radiculopathy. The patients referring to the pain medicine outpatient clinic of a university hospital for unilateral radicular pain and diagnosed S1 radiculopathy were planned to be randomized into these two different intervention groups.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 60
- Unilateral radicular pain resulting from a paracentral L5-S1 disc herniation causing S1 nerve root compression.
- History of previous surgery, pregnancy, neurological disorders, bleeding diathesis, contrast medium allergy, spinal disorders, rheumatologic diseases
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description S1 transforaminal Transforaminal epidural steroid injection The group receiving S1 transforaminal epidural steroid injection Caudal Caudal epidural steroid injection The group receiving caudal epidural steroid injection
- Primary Outcome Measures
Name Time Method 50 percent pain relief 3 months Number of patients having at least 50 percent pain relief
- Secondary Outcome Measures
Name Time Method Oswestry Disability Index 3 months Improvement in disability scores, 0 is the best, 100 is the worst score.
Radiation exposure during procedure The exposed radiation dose during the procedures
Procedure time during procedure The overall ease of application regarding procedure time.
Trial Locations
- Locations (1)
Marmara University School of Medicine
🇹🇷Istanbul, Pendik, Turkey