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A study to compare the efficacy of steroid plus local anaesthetic and only local anaesthetic in epidural space for management of chronic low back pain due to herniated intervertebral disk.

Phase 4
Conditions
Health Condition 1: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Registration Number
CTRI/2017/07/009080
Lead Sponsor
ESI Institute of Pain Management ESI Hospital Sealdah
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Patients suffering from low back pain due to herniated disk with or without radiculopathy

2. Duration of low back pain more than 12 weeks

3. Patient taking antineuropathic medicine more than 4 weeks

4. Degree of pain more than 5 according to numeric rating scale

Exclusion Criteria

1. Patients presenting with a cauda equina syndrome, severe paresis, severe pain

2. History of trauma, spinal injection or surgery, deformity, pregnancy, ongoing breast feeding, warfarin therapy

3. Ongoing treatment with non-steroidal anti-inflammatory drugs

4. Body mass index of more than 30

5. Poorly controlled psychiatric conditions with possible secondary gain or severe comorbidity.

6. Severe intraspinal pathology (large disc herniations occupying more than 50% of the spinal canal, spinal stenosis, tumours, bleeding, dural fistula, synovial cysts, or dysraphia).

7. Patients not giving consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pain score using Numeric rating scaleTimepoint: prior to the procedure and 1, 4 and 6 weeks after the procedure.
Secondary Outcome Measures
NameTimeMethod
Functional disability index by the Roland-Morris Disability QuestionnaireTimepoint: prior to the procedure and 1, 4 and 6 weeks after the procedure.
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