Evaluation of cervical epidural steroid injection in the Improvement of patients with upper extremity radicular pain due to cervical discopathy

Phase 2

Recruiting

Conditions: Cervical discopathy.
Cervical disc disorder with radiculopathy, unspecified cervical region
M50.10

Registration Number: IRCT20101113005172N5

Lead Sponsor: Shiraz University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 40

Inclusion Criteria

patients with chronic neck pain(more than 3 months), caused by disc herniation or central spinal stenosis, according to the clinical criteria and MRI findings

Exclusion Criteria

All red flags for spinal pain (inflammation, malignancy, spinal fracture, myelopathy, Cauda equina syndrome)
Serious coexisting neurological or musculoskeletal disorders
Serious comorbidities (renal or hepatic failure, severe heart failure, severe respiratory disease, vascular insufficiency )
Rheumatoid arthritis
Ankylosing spondylitis or other rheumatological diseases
Prior cervical spinal surgery
Prior cervical epidural injections during last year
All contraindications to epidural injections ( Systemic infection or local infection at the site of injection, bleeding diathesis or full anticoagulation, significant allergic reaction/hypersensitivity to contrast, anesthetic, … )
Critical level of spinal stenosis.
All contraindications to steroids or Non-steroidal anti-inflammatory drugs
Age less than 18 years
Pregnancy
Patient’s refusal

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain. Timepoint: 10 to 15 days before epidural steroid injection and 1, 3 and 6 months after epidural steroid injection. Method of measurement: In respect to standardized questionnaire.;Electromyogram. Timepoint: 10 to 15 days before epidural steroid injection and 1, 3 and 6 months after epidural steroid injection. Method of measurement: In respect to standardized questionnaire.

Secondary Outcome Measures