Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Percutaneous adhesiolysis with hypertonic saline: Percutaneous adhesiolysis of the epidural adhesions done under C-arm guidance with methyl prednisolone, local anesthetic, hyaluronidase
Sponsors
Harivignesh
Eligibility
Inclusion criteria
Inclusion criteria: Pt should have undergone spinal procedure for Low back pain which is atleast 6 months back, presented with low back pain or radicular pain or both with VAS of more than or equal to 6. MRI showing post-procedure changes or Presence of contrast filling defect in epidurogram. Failed conservative management post-intervention which includes physical therapy, pharmacotherapy and modalities
Exclusion criteria
Exclusion criteria: 1.Low back pain due to facet joint or sacro-iliac joint pathologies 2.Inflammatory low back pain 3.Uncontrolled medical illness 4.Uncontrolled psychiatric illness 5.Any other conditions interfering with the study results 6.Allergic to lignocaine or steroids 7.Coagulopathy 8.Presence of red flag signs (Recent trauma, Fever, new onset neurological deficit, malignancy, fracture) 9.Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease in pain(by VAS) and improvement in disability(by Oswestry Disability Index)Timepoint: baseline, 2 weeks, 4 weeks and 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| need of analgesics, need to modalities in control of painTimepoint: pre-procedure, 2 weeks, 4 weeks, 12 weeks. | — |
Countries
India
Contacts
Public ContactProf Dr Rajesh Pramanik
IPGME&R and SSKM hospital
Outcome results
None listed