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Comparison of efficacy of two types of different approaches for injection transformainal epidural space in lumber disc prolapse patient.

Phase 4
Conditions
Health Condition 1: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Registration Number
CTRI/2019/07/020187
Lead Sponsor
ESI Institute of Pain Management
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Presence of lumbar radicular pain with a pain intensity >= 4/10(NRS score) in a

patient diagnosed with a herniated nucleus pulposus (HNP) or spinal stenosis (SS)

after a series of physical, neurologic, and radiologic examinations & evidenced

by lumbar spine magnetic resonance imaging (MRI).

2. No prior therapeutic TFESI within the previous 6 months .

3. No prior surgery .

Exclusion Criteria

1. Generalized inflammatory diseases.

2. Previous use of anticoagulant agents.

3. Uncontrollable diabetes that could induce steroid adverse effects;

4. Previous adverse effects to lidocaine and/or contrast agents;

5. Current suspected or diagnosed infection.

6. Cutaneous disorders around the injection site, making it inappropriate for

injecting agents .

7. Previous injection treatment at the same site within the past six months.

8. Patients with cauda equine syndrome.

9. Pregnancy & Cognitive impairment.

10. Patient Denial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pain score in Neumeric Rating ScaleTimepoint: Before procedure, after 2 weeks and 4 weeks after procedure
Secondary Outcome Measures
NameTimeMethod
Complications (spinal nerve pricking, discal injection, intrvascuar injection)Timepoint: Intra and post op period;Patient satisfaction with Macnabs CriteriaTimepoint: Before procedure, after 2 weeks and 4 weeks after procedure
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