Health Condition 1: M512- Other thoracic, thoracolumbar andlumbosacral intervertebral disc displacement
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients suffering from low back pain due to disc herniation with or without radiculopathy. 2. Duration of pain more than 3 months with inadequate pain relief after conservative management for more than 6 weeks. 3. Pain score of more than equals to 5 on NRS 11 point scale. 4. Protruded disc from L1-S1 level with grade I-III disc degeneration with adequate water content as seen in T2 weighted MRI of L-S spine. 5. Absence of prior spine interventions.
Exclusion criteria
Exclusion criteria: 1. Patient refusal. 2. Coagulopathy and/or patients on anticoagulants. 3. Infection at site of injection. 4. Hypersensitivity to local anaesthetic and/or radiographic contrast agent. 5. Evidence of significant sensory or progressive motor deficit with or without bowel/bladder dysfunction. 6. Presence of anatomical deformity of spine e.g. scoliosis, kyphosis etc. 7. Evidence of severe psychiatric illness. 8. Presence of extruded and/or sequestered disc with grade IV-V disc degeneration on MRI. 9. History of previous back surgery or implant insertion, tumour, herniation compressing more than 50% of spinal canal and synovial cysts. 10. Presence of multiple sclerosis, cardiac pacemaker and pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| More than 50% pain relief according to pain score using Numerical Rating Scale or NRSTimepoint: 3 weeks, 2 months and 3 months after the procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in functional disability calculated by MODQ (Modified Oswestry Disability Questionnaire) according to Oswestry Disability Index Version 2.1aTimepoint: 3 weeks, 2 months and 3 months after the procedure. | — |
Countries
India
Contacts
ESI Institute of Pain Management