Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Epidural adhesiolysis and dextrose: Epidural adhesiolysis will be carried out with a Racz catheter by injecting hyaluronidase 1500 units. 10 ml of 10% dextrose will be injected through
Sponsors
AIIMS, New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: 1. Low back with radicular pain more than 6 months with pain of 6 or more on 11 point NRS scale 2. Radicular pain present post lumbar spine surgery evident by MRI imaging and clinical examination 3. Failure to respond to conservative therapy and fluoroscopic guided epidural injections 4. Filling defects observed on contrast injection during previous epidural steroid injections
Exclusion criteria
Exclusion criteria: 1. Pain due to facet joint, sacroiliac joint or myofascial pain 2. Sequestered disc 3. Foraminal stenosis 4. Allergy to contrast or local anesthetics 5. Pregnant patients 6. Bleeding or coagulation disorders 7. Uncontrolled systemic disorders 8. Opioid addiction of psychiatric disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NRS for pain (on scale of 0-10)Timepoint: Preprocedure 15 days, 1, 3 and 6 months post procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Oswestry Disability Index scoreTimepoint: Preprocedure 15 days, 1, 3 and 6 months post procedure;Reduction in medication usageTimepoint: Preprocedure 15 days, 1, 3 and 6 months post procedure;Successful outcomeTimepoint: Preprocedure 15 days, 1, 3 and 6 months post procedure | — |
Countries
India
Contacts
Public ContactDhruv Jain
All India Institute of Medical Sciences, New Delhi
Outcome results
None listed