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A clinical trial to study the convenience of ultrasound versus fluoroscopy guided caudal epidural block for low back pain with radiculopathy

Phase 4
Conditions
Health Condition 1: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Registration Number
CTRI/2020/02/023131
Lead Sponsor
Government Medical College and Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

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

1) Patients attending the Pain Clinic of the Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, with chronic low back pain (LBP) of more than 3 months duration with bilateral radiculopathy, not responding to conservative treatment

2) Age 25- 80 years

3) American Society of Anaesthesiology (ASA)Physical status I or II

4) Magnetic resonance imaging (MRI) of lumbosacral spine findings of disc protrusion and disc bulge at various levels of lumbar spine and impingement of exiting and traversing nerve roots

Exclusion Criteria

1) Patients refusing to provide informed consent

2) Systemic infection or local infection at the site of injection

3) Bleeding diathesis or full anticoagulation

4) Significant allergic reaction/hypersensitivity to contrast, anaesthetic, or corticosteroid

5) Local malignancy

6) Patient refusal

7) Uncontrolled diabetes mellitus

8) Patients with severe cardiovascular, respiratory, renal, and hepatic diseases

9) Pregnancy (due to fluoroscopy)

10) Cases with severe motor weakness, rapidly progressing neurological deficit, cauda equina syndrome

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time taken for correct placement of epidural needle, measured in seconds.Timepoint: 2nd, 4th, 8th, 12th week.
Secondary Outcome Measures
NameTimeMethod
RS for pain (0-10) scores and ODI values 2nd, 4th, 8th, 12th week.Timepoint: 2nd, 4th, 8th, 12th week.
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