Comparison of parasagittal and midline interlaminar epidural steroid injections in unilateral cervical radicular pai

Not Applicable

Conditions: nilateral cervical radicular pain.
Cervical disc disorder with radiculopathy

Registration Number: IRCT20180524039816N1

Lead Sponsor: Shahid Beheshti University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 26

Inclusion Criteria

Unilateral upper extremity radicular pain due to a cervical disc pathology
Pain duration of at least 3 months
Pain unresponsive to conservative treatment such as medical and physical therapy for 6 weeks
Patients' age between 18 and 65 years

Exclusion Criteria

Pregnancy
Breast feeding
Allergy to one of medications used in the study
Signs and symptoms of cervical myelopathy
Sings and symptoms indicating a progressive, unstable nerve damage
Cervical spinal canal stenosis
Proven psychiatric disorder
Coagulopathy
Infection at the site of injection
Presence of an uncontrolled medical problem eg, high blood pressure, diabetes

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain severity measured by NRS (Numeric Rating Scale). Timepoint: Before and one month after the intervention. Method of measurement: Pain severity according to NRS (Numeric Rating Scale)(Zero to 10; 0 indicating no pain and 10 indicating the worst conceivable pain).;Degree of neck disability measured by NDI (Neck Disability Index). Timepoint: Before and one month after the intervention. Method of measurement: Degree of neck disability measured with NDI (Neck Disability Index) (expressed as percent).

Secondary Outcome Measures

Name	Time	Method
Evaluation of radiocontrast spread pattern in parasagittal and midline cervical epidural injections. Timepoint: At the time of the procedure. Method of measurement: Pattern of radiocontrast spread describe as (1) predominantly midline, (2) predominantly ipsilateral to the painful side, (3) predominantly contralateral to the painful side.