Comparison of Pain score and Treatment effect between Bolus infusion method and Continuous infusion method when Hypertonic saline infusion in epidural adhesiolysis

Seoul National University Bundang Hospital0 个研究点目标入组 50 人开始时间: 待定最近更新: 2019年3月11日

适应症

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•(1) patients between 18 and 80 years of age; (2) patients with a history of chronic low back pain and/or lower extremity radiating pain of at least 6 months; (3) patients who received lumbar epidural adhesiolysis with a 1-day protocol including hypertonic saline infusion; (4) patients with numerical rating scale (NRS) pain scores of 6 or more after appropriate conservative treatments, such as oral analgesics, physical therapy and epidural steroid injection.

•(1) complaints of back pain more severe than leg pain; (2) lack of correlation between neuropathic back pain with radicular symptoms and MRI findings; (3) lumbar surgical intervention in previous 6 months; (4) coagulopathy, chronic infection or skin infection at the procedure site; (5) poorly controlled psychiatric disorders or acute medical illness, underlying systemic diseases that could interfere with the interpretation of the outcome assessments; (6) pregnant or lactating women; (7) with a history of adverse reaction to local anesthetics or steroids; (8) patients who require other interventions with uncontrolled pain during the follow-up period; (9) patients unable to understand the informed consent and protocol and (10) patients unable to be positioned in prone position to perform the procedure.

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