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Comparison of Pain Relief from two block injections namely Lateral Recess and Caudal Epidural Steroid Injection in Lumbar Disc Prolapse Patients

To compare the analgesic efficacy of a single Lateral Recess steroid injection vs single Caudal epidural steroid injection in Lumbar disc prolapse patients with predominantly unilateral symptoms A randomized controlled trial - nil

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/10/095815
Enrollment
100
Registered
2025-10-09
Start date
Unknown
Completion date
Unknown
Last updated
2025-10-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Lateral Recess Steroid injection: Lateral recess steroid injection (LRSI) is an image-guided interventional technique used for managing lumbar disc prolapse presenting with unilateral r

Sponsors

Dr Anuj Jain
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Age: Adults aged between 18 and 60 years. 2. Clinical Presentation: Unilateral radicular pain corresponding to a specific nerve root distribution, persisting for more than 3 months. 3. Imaging Confirmation: MRI evidence of lumbar disc herniation at L4-L5 or L5-S1 levels, causing nerve root compression. 4. Treatment History: Symptoms refractory to at least 6 weeks of conservative management, including physical therapy and pharmacological treatment. 5. Functional Status: Baseline Oswestry Disability Index (ODI) score indicating moderate to severe disability.

Exclusion criteria

Exclusion criteria: 1. Previous Lumbar Surgery: History of lumbar spine surgery at the affected level. 2. Neurological Deficits: Presence of severe motor weakness, rapidly progressing neurological symptoms, or signs of cauda equina syndrome. 3. Systemic Conditions: Uncontrolled diabetes mellitus, bleeding disorders, or active infections. 4. Medication Use: Use of systemic corticosteroids within the past 3 weeks. 5. Allergies: Known hypersensitivity to steroids, local anaesthetics, or contrast agents used in the procedures. 6. Pregnancy: Pregnant or lactating women. 7. Other Spinal Pathologies: Presence of spinal tumors, infections, or other non-discogenic causes of radiculopathy

Design outcomes

Primary

MeasureTime frame
To compare Improvement in the two groups receiving the interventions on the Oswestry Disability Index (ODI)Timepoint: At baseline, 4 weeks and 12 weeks—

Secondary

MeasureTime frame
Improvement in 6 Minute Walk distance at weekly interval for 3month after the procedure using a mobile appTimepoint: At baseline, 1 week, 2 week, 3 week, 4 week, 5 week, 6 week, 7 week, 8 week, 9 week, 10 week, 11 week, 12 week interval;Improvement in quality of life using Short Form Health Survey (SF-12) score.Timepoint: At baseline, 4 week & 12 week interval—

Countries

India

Contacts

Public ContactNikhil Nair

AIIMS, Bhopal

nikhilnair.2399@gmail.com9329934377

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026