Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Epidural steroid and verapamil: Single epidural injection of 2 ml 2% lignocaine + 80 mg triamcinolone (2ml) + 5 mg verapamil (2 ml). Injection will be made with help of 18G Tuohy needle
Sponsors
All India Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1. Low back ache with radiation to leg >= 6 months 2. Unilateral radiculopathy 3.Numerical rating scale (NRS) for pain >= 5 on 11 point scale 4.Radicular pain explained by evidence of lumbar disc herniation encroaching on nerve root on magnetic resonance imaging (MRI)
Exclusion criteria
Exclusion criteria: 1. Patient refusal 2. History of epidural steroid during past 6 months 3. Bilateral radicular pain 4. Radicular pain due to spinal canal stenosis 5. Sequestered disc 6. Allergy to contrast or local anesthetics 7. History of lumbar spine surgery 8. Pregnant patients 9. Bleeding or coagulation disorders 10. Opioid addiction of psychiatric disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NRS for pain (on scale of 0-10)Timepoint: Pre Procedure, at 7 days,15 days 1, 3 and 6 months post procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Oswestry disability index (ODI) 2.Reduction in medication usage 3.Successful outcome Timepoint: Pre Procedure, at 7 days,15 days 1, 3 and 6 months post procedure | — |
Countries
India
Contacts
Public ContactVirender Kumar Mohan
AIIMS, New Delhi
Outcome results
None listed