A comparison on the efficacy of low volume versus high volume injection of epidural steroids in the management of back pain and radiculopathy associated with lumbar degenerative disc disease - A Randomised superiority clinical trial.

Government medical college Kozhikode0 个研究点目标入组 0 人开始时间: 待定最近更新: 2023年5月1日

试验速览

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•1. Adult patients (aged 25-50 Years), capable of providing consent and complying with the outcome
•instruments
•2. Single-level lumbar disc herniation diagnosed by MRI
•3. Lower lumbar disc herniation diagnosed by MRI (L4/L5 or L5S1).
•4. Signs and symptoms consistent with the nerve root irritation
•5. Patients with lumbar radicular pain, irrespective of neurological signs.
•6. Patients have refractory pain, even after treatment with NSAIDs, opioids, and/or physical
•therapies for more than two weeks duration.
•7. Failure after a minimum of 6 weeks of conservative treatment

•Patientâ??s reluctance and lack of compliance, does not provide informed consent for the
•2. Patients with previous back surgery at the affected segmental level and radiologically
•proven facet syndrome
•3. Multiple level lumbar disc herniation diagnosed by MRI
•4. Patients with a severe motor deficit, segmental instability, spinal deformities.
•5. Any systemic infection or local infection at the injection site
•6. Patients presenting with cauda equina syndrome
•7. Patients on anticoagulation therapy or having any bleeding disorder
•8. Patients with congestive heart failure or uncontrolled blood sugars
•9. Pregnant females or ongoing breastfeeding females
•10. Patients with underlying malignancy
•11. Patients are not excluded based on the duration of pain alone.
•12. Patients who are allergic to any component of the medicine?

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