Health Condition 1: M480- Spinal stenosis
Conditions
Interventions
Intervention1: caudal epidural injection of triamcinolone acetonide with hyaluronidase: Fluroscopic guided caudal epidural injection of triamcinolone acetonide with hyaluronidase as adjuvant will be
Sponsors
Government Medical College and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. Clinically diagnosed signs and symptoms suggestive of neurogenic claudication pain refractory to conservative treatment for more than 3 months. 2. Age range between 40 and 80 years. 3. Magnetic Resonance Imaging (MRI) based Lee’s Grading 1 to 3 for lumbar central canal or foraminal stenosis.
Exclusion criteria
Exclusion criteria: 1. Previous history of lumbar surgery 2. Back or leg pain due to other etiologies (e.g. spinal fracture, metastasis, neuropathy, vascular claudication etc.) 3. Pregnancy and lactating women 4. Severe bleeding diathesis or on anticoagulation therapy 5. Patient with severe heart, lung, hepatic, renal, psychiatric, connective tissue disorder, neurological, uncontrolled diabetes mellites or hypertension 6. Presence of systemic infection or local infection at the injection site 7. Significant allergic reaction or hypersensitivity to contrast, anaesthetic, or corticosteroids 8. Patient diagnosed with malignancy 9. Patient on uncontrollable or unstable opioid use 10. Patient having severe motor weakness, rapidly progressing neurological deficit, or cauda equina syndrome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the analgesic efficacy of fluoroscopically guided caudal epidural injection of methylprednisolone versus triamcinolone with hyaluronidase as adjuvant, using ‘visual analogue scale’ in patients with lumbar canal stenosis.Timepoint: Pain assessment of patient by VAS score at pre-intervention, 1, 2, and 3-month post- intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare the functional outcomes achieved by administering fluoroscopically guided caudal epidural injection of methylprednisolone versus triamcinolone with hyaluronidase as adjuvant, using ‘Swiss Spinal Stenosis’ score.Timepoint: Functional status of patient by SSS score at pre-intervention, 1, 2, and 3-month post- intervention.;2. To compare the patient satisfaction outcomes achieved by administering fluoroscopically guided caudal epidural injection of methylprednisolone versus triamcinolone with hyaluronidase as adjuvant, using five-point ‘Likert scale’.Timepoint: Patient satisfaction level by Likert 5 -point scale at pre-intervention, 1, 2, and 3-month post-intervention. | — |
Countries
India
Contacts
Public ContactDr M Priyadarshini
Government Medical College and Hospital,Chandigarh Sector 32
Outcome results
None listed