Health Condition 1: G55- Nerve root and plexus compressionsin diseases classified elsewhere
Conditions
Interventions
Intervention1: Standard treatment caudal epidural steroid injection STCESI group: 1ml of Corticosteroid (40mg Triamcinolone) plus 19 ml normal saline injected into caudal epidural space under USG guid
Sponsors
AIIMS Raipur
Eligibility
Inclusion criteria
Inclusion criteria: 1: Patients with lower back pain with unilateral or bilateral radiculopathy of minimum one month’s duration. 2: Physical examination should show radicular irritation or abnormalities in the sensory, motor, and/or reflex of the lower lumbar or upper sacral nerve root distribution 2: Both sex and all adults (above 18 years) will be included 3: Patients with MRI findings of disc protrusion or disc bulge at multiple levels of lumbosacral spine showing nerve impingement of lower lumbar or upper sacral roots with or without canal stenosis.
Exclusion criteria
Exclusion criteria: 1: Patients with severe psychiatric illness or any disease precluding prone positioning for the injection procedure. 2: Patients with active infections or otherwise severely ill with any co morbid condition. 3: Patients with neurological involvement that mandates immediate surgical interventions like cauda equina symptoms or bladder bowel incontinence. 4: Patients having bleeding disorders and with history of allergy to local anesthetics.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Numerical rating scale 2.Oswestry Low Back Pain Disability IndexTimepoint: Two weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| NCV of lower extremities ( including CMAP, f wave of common peroneal, posterior tibial nerve and h reflex)Timepoint: Two weeks | — |
Countries
India
Contacts
Public ContactDr Jaydeep Nandi
AIIMS Raipur
Outcome results
None listed