Health Condition 1: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time taken for correct placement of epidural needle, measured in seconds.Timepoint: 2nd, 4th, 8th, 12th week. | — |
Secondary
| Measure | Time frame |
|---|---|
| NRS for pain (0-10) scores and ODI values 2nd, 4th, 8th, 12th week.Timepoint: 2nd, 4th, 8th, 12th week. | — |
Countries
India
Contacts
Government Medical College and Hospital Sector 32 Chandigarh