Health Condition 1: G30-G32- Other degenerative diseases of the nervous system
Conditions
Interventions
Intervention1: cervical epidural adhesiolysis: Patients will undergo cervical epidural adhesiolysis using a specialized catheter under fluoroscopic guidance. The procedure involves targeted mechanical
Sponsors
Nil
Eligibility
Inclusion criteria
Inclusion criteria: Had cervical surgery performed at least one year before enrollment. (cervical pain either persisting despite surgical intervention or appearing after surgical intervention) Had a history of chronic, function-limiting neck and upper extremity pain lasting for at least 6 months following surgery. Pain unresponsive to conservative treatment including medical management, physical therapy, and previous interventions. Average pain score of more than 4 on an 11 point NRS. competent to understand the study protocol. Will be willing to provide voluntary, written informed consent and willing to participate in the assessment of outcome measurements.
Exclusion criteria
Exclusion criteria: Patient refusal Pain for less than 6 months Coagulopathy and/or patients on anticoagulants. Infection at the site of injection. Hypersensitivity to local anesthetic agent. Evidence of severe psychiatric illness. Absence of prior cervical spine surgery. Uncontrolled or unstable opioid use Any conditions that might compromise the interpretation of outcome assessments. Pregnancy or lactation. History of any major comorbid medical conditions, those interfere with recording of study outcomes (neurological disorders, auto-immune diseases), multiple sclerosis, and pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain relief as assessed by Numerical Rating Scale (NRS) on a scale of 1-10 Timepoint: at baseline and 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in functional status as measured by Neck disability index at respective time intervals.Timepoint: baseline, one month & three months;Analgesic usage Procedural complications (if any)Timepoint: baseline | — |
Countries
India
Contacts
Public ContactDR AJIT KUMAR
AIIMS Rishikesh
Outcome results
None listed