Health Condition 1: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age: 18-65 years 2. Low back pain due to intervertebral disc herniation with or without radiation to lower limb, not responding to conservative treatment with NRS >6/10 3. Duration of pain more than 3 months 4. MRI evidence of lumbar disc herniation
Exclusion criteria
Exclusion criteria: 1. Refusal of patient or relatives. 2. Allergic to local anaesthetic and/or radiographic contrast agent. 3. Severe systemic diseases (DM/HTN/CAD/Valvular heart disease/Respiratory disease/Neuromuscular disorders/Epilepsy). 4. Coagulopathy or patients on anticoagulants. 5. Local site infection. 6. Pregnancy. 7. Any spinal deformity or fracture and raised intracranial pressure. 8. History of previous back surgery or implant insertion. 9. Severe psychiatric illness. 10. Red flag sign.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the pain score measured by visual analogue scale (VAS)/numerical rating scale (NRS)Timepoint: Baseline,15 days, 1 month, 2 months, 3 months and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 6) If the differences are found to be clinically significant but statistically non-significant, the effect size seen will be used to design a large confirmatory RCT.Timepoint: After 6 month;Assessment of treatment response on the basis of Global perceived effect (GPE) scaleTimepoint: Baseline, 15 days, 1 month, 2 months, 3 months and 6 months;To compare blood serum level of erythrocyte sedimentation rate (ESR), High-sensitivity C-reactive protein (hs-CRP), interleukins (IL-4), Tumour necrosis factor alpha (TNF alpha), Interferon gamma (IFN-Ã?³) in both groupsTimepoint: Base line, 1 month and 3 months;To compare radiological changes in MRI lumber spineTimepoint: Baseline and 6 months;To compare the functional status by modified oswestry low back pain disability questionnaire (MODQ) and straight leg raising test (SLRT)Timepoint: Baseline, 15 days, 1 month, 2 months, 3 months and 6 months | — |
Countries
India
Contacts
ALL INDIA INSTITUTE OF MEDICAL SCIENCES,RISHIKESH