Peripheral Nerve Blocks for the treatment of lumbosacral radiculopathy- an alternative to lumbar epidural: A prospective preliminary study

All India Institute of Medical Sciences0 个研究点目标入组 34 人开始时间: 待定最近更新: 2021年11月24日

试验速览

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•1.Age more than 18 years.
•2.History of segmental low back pain of lumbar or sacral origin with radiation to unilateral lower limb below knee of more than 3 months duration.
•3.History of predominant leg pain over back pain.
•4.Radicular pain not responding to oral medications and physiotherapy.
•5.Pain involving up to two segmental levels (L4, L5 and S1).
•6.Average pain score of >=5 on an 11-point NRS.
•7.Tenderness over the concordant peripheral nerves (Gore sign +)
•8.Lower limb pain centralizes to spine on extension (McKenzeâ??s test +)
•9.Computed tomography/Magnetic resonance imaging evidence of nerve root pain concordant with the side and level of clinical features.
•10.Informed consent.

•1.Patient refusal to participate.
•2.Coagulopathy and/or patients on anticoagulants.
•3.Infection at the site of injection.
•4.Hypersensitivity to local anesthetic agent.
•5.Evidence of significant sensory or progressive motor deficit.
•6.Evidence of severe psychiatric illness.
•7.Presence of cancer as a cause of back pain.
•8.History of previous backs surgery/epidural steroid injection.
•9.Presence of diabetes mellitus, multiple sclerosis, cardiac pacemaker, pregnancy.

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