Health Condition 1: 8- Other Procedures Health Condition 2: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Conditions
Interventions
Intervention1: Peripheral Nerve Block: For L5 radiculopathy
Deep peroneal nerve block/posterior tibial nerve block with 4 ml of Bupivacaine (0.25%) with Methylprednisolone 80 mg (Total volume - 5ml)
F
Sponsors
All India Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age more than 18 years. 2. History of segmental low back pain of lumbar or sacral origin with radiation to the unilateral lower limb below the knee of more than 3 months duration. 3. History of predominant leg pain over back pain. 4. Radicular pain not responding to oral medications and physiotherapy. 5. Pain involving up to two segmental levels (L4, L5 and S1). 6. Average pain score of >=5 on an 11-point NRS. 7. Tenderness over the concordant peripheral nerves (Gore sign +) 8. Lower limb pain centralizes to spine on extension (McKenzeâ??s test +) 9. Computed tomography/Magnetic resonance imaging evidence of nerve root pain concordant with the side and level of clinical features. 10. Informed consent.
Exclusion criteria
Exclusion criteria: 1. Patient refusal to participate. 2. Coagulopathy and/or patients on anticoagulants. 3. Infection at the site of injection. 4. Hypersensitivity to local anesthetic agent. 5. Evidence of significant sensory or progressive motor deficit. 6. Evidence of severe psychiatric illness. 7. Presence of cancer as a cause of back pain. 8. Presence of diabetes mellitus, multiple sclerosis, cardiac pacemaker, pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.A reduction in pain as measured by â?¥50% or â?¥4 point reduction in an 11-point numeric scale (NRS 0-10).Timepoint: at 2 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesic requirements according to medication quantification scaleTimepoint: at 2 weeks, 1 month, 2 months and 3 months;To compare Global Perceived EffectTimepoint: at 2 weeks, 1 month, 2 months and 3 months.;To compare improvement in functional status as measured by Modified Oswestry Disability Questionnaire (MODQ)Timepoint: at 2 weeks, 1 month, 2 months and 3 months.;To compare the pain scores (NRS-11). Timepoint: immediate post procedure, 1 month, 2 months and 3 months. | — |
Countries
India
Contacts
Public ContactPradeep Atter
All India Institute of Medical Sciences
Outcome results
None listed