Health Condition 1: M95-M95- Other disorders of the musculoskeletal system and connective tissue Health Condition 2: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Conditions
Interventions
Intervention1: Caudal epidural
steroid injection: The first group (Low volume group) will be treated with a
dose of 80 mg triamcinolone in a 3 ml solution
Duration of intervention : 30 minutes
Contro
Sponsors
Government medical college Kozhikode
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult patients (aged 25-50 Years), capable of providing consent and complying with the outcome instruments 2. Single-level lumbar disc herniation diagnosed by MRI 3. Lower lumbar disc herniation diagnosed by MRI (L4/L5 or L5S1). 4. Signs and symptoms consistent with the nerve root irritation 5. Patients with lumbar radicular pain, irrespective of neurological signs. 6. Patients have refractory pain, even after treatment with NSAIDs, opioids, and/or physical therapies for more than two weeks duration. 7. Failure after a minimum of 6 weeks of conservative treatment
Exclusion criteria
Exclusion criteria: Patientâ??s reluctance and lack of compliance, does not provide informed consent for the study 2. Patients with previous back surgery at the affected segmental level and radiologically proven facet syndrome 3. Multiple level lumbar disc herniation diagnosed by MRI 4. Patients with a severe motor deficit, segmental instability, spinal deformities. 5. Any systemic infection or local infection at the injection site 6. Patients presenting with cauda equina syndrome 7. Patients on anticoagulation therapy or having any bleeding disorder 8. Patients with congestive heart failure or uncontrolled blood sugars 9. Pregnant females or ongoing breastfeeding females 10. Patients with underlying malignancy 11. Patients are not excluded based on the duration of pain alone. 12. Patients who are allergic to any component of the medicine?
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the efficacy of low volume corticosteroid injections in the treatment of low back pain and radiculopathy associated with lumbar degenerative diseases with that of conventional high-volume injection.Timepoint: 1. Pre injection 2. Post injection At 3 weeks, 6 weeks, and 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the side effects, if any, of low-volume versus high-volume corticosteroid injections in the treatment of low back pain.Timepoint: During the injection and in the next 24 hours after the injection | — |
Countries
India
Contacts
Public ContactRaju Karuppal
Govt. Medical College Kozhikode
Outcome results
None listed