Health Condition 1: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Conditions
Interventions
Intervention1: lumbar transforaminal epidural steroid injection through subpdicular (Safe triangle) approach: single dose of 40 mg depot preparation of methyl prednisolone with 0.5ml Bupivacaine given
Sponsors
ESI Institute of Pain Management
Eligibility
Inclusion criteria
Inclusion criteria: 1. Presence of lumbar radicular pain with a pain intensity >= 4/10(NRS score) in a patient diagnosed with a herniated nucleus pulposus (HNP) or spinal stenosis (SS) after a series of physical, neurologic, and radiologic examinations & evidenced by lumbar spine magnetic resonance imaging (MRI). 2. No prior therapeutic TFESI within the previous 6 months . 3. No prior surgery .
Exclusion criteria
Exclusion criteria: 1. Generalized inflammatory diseases. 2. Previous use of anticoagulant agents. 3. Uncontrollable diabetes that could induce steroid adverse effects; 4. Previous adverse effects to lidocaine and/or contrast agents; 5. Current suspected or diagnosed infection. 6. Cutaneous disorders around the injection site, making it inappropriate for injecting agents . 7. Previous injection treatment at the same site within the past six months. 8. Patients with cauda equine syndrome. 9. Pregnancy & Cognitive impairment. 10. Patient Denial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score in Neumeric Rating ScaleTimepoint: Before procedure, after 2 weeks and 4 weeks after procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Complications (spinal nerve pricking, discal injection, intrvascuar injection)Timepoint: Intra and post op period;Patient satisfaction with Macnabs CriteriaTimepoint: Before procedure, after 2 weeks and 4 weeks after procedure | — |
Countries
India
Contacts
Public ContactDr Subrata Goswami
ESI Institute of Pain Management
Outcome results
None listed