Health Condition 1: null- Patients with pain over the iliac crest and buttock accompanied by a trigger point over the posterior iliac crest 7-8 cm from the midline
Conditions
Interventions
Intervention1: Superior Cluneal Nerve Block: The Superior Cluneal Nerve Block will be done in OT under fluoroscopic guidance. Patient will be positioned prone and iliac crest identified in antero-post
a marker is placed over the iliac crest 7cm from the L5 spinous process. A 25G 10 cm needle will be inserted in end on fashion towards the iliac crest and 2ml 1% lidocaine will be injected after hitti
Sponsors
Sanjay Gandhi Postgraduate Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: Patients in the age group of 18-60 years with complaint of unilateral low back pain over the iliac crest and buttock for more than 6 months not responding to conservative measures
Exclusion criteria
Exclusion criteria: Patients who have undergone spine surgery Patients with vertebral fracture Patients with infectious diseases of spine Patients with radicular symptoms Patients with uncontrolled psychiatric ailments Patients with uncontrolled medical diseases Patients with spine malignancy Patients with coagulopathy Patients with infection at the local site Patient refusal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severity of pain before and after Superior Cluneal Nerve BlockTimepoint: Baseline (pre-procedure) and 2 weeks, 1, 3 and 6 months post-procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Patientâ??s functional status assessment by using Oswestry Disability IndexTimepoint: Baseline (pre-procedure) and 2 weeks, 1, 3 and 6 months post-procedure;Percentage pain relief (â?¥ 50% taken as significant pain relief)Timepoint: Baseline (pre-procedure) and 2 weeks, 1, 3 and 6 months post-procedure;Psychological assessment of patient by using DSM-IV scaleTimepoint: Baseline (pre-procedure) and 2 weeks, 1, 3 and 6 months post-procedure;Reduction of analgesic usageTimepoint: Baseline (pre-procedure) and 2 weeks, 1, 3 and 6 months post-procedure | — |
Countries
India
Contacts
Public ContactSujeet Kumar Singh Gautam
Sanjay Gandhi Post-graduate Institute of Medical Sciences
Outcome results
None listed