Health Condition 1: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Conditions
Interventions
Intervention1: Nil: Nil
Intervention2: Nil: Nil
Intervention3: Nil: Nil
Intervention4: Transforaminal Epidural Steroid Injection: To evaluate the results of using 8 mg of dexamethasone sodium diphosph
Sponsors
Maharana Bhupal Government Hospital
Eligibility
Inclusion criteria
Inclusion criteria: clinical diagnosis of unilateral or bilateral lumbar radiculopathy with a positive single leg raise test MRI-confirmed lumbar disc herniation correlating with clinical symptoms failure of conservative management for more than or equal to two weeks that is rest, analgesics or physiotherapy vas score more than or equal to three
Exclusion criteria
Exclusion criteria: Patients with cauda equina syndrome Patients with motor weakness Patients presenting with classical foot drop Bladder and bowel involvement Previous lumbar spine surgery Spinal infections, malignancy, instability Contraindications to steroid injection e.g., active infection, uncontrolled diabetes, allergy to injectate Coagulopathy Pregnancy Patients with psychiatric symptoms and somatic pain syndrome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure the reduction in pain intensity following transforaminal epidural steroid injection using the Visual Numerical Scale (VNS) at predefined intervalsTimepoint: Immediately after inject, 1 week, 2 week, 1 month, 3 month | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the improvement in functional mobility by evaluating the change in Straight Leg Raise test valueTimepoint: immediately after the procedure;To determine the patient-reported satisfaction with the procedureTimepoint: 1 week, 2-week, 1 month and 3 months;To document any procedure-related complications or adverse eventsTimepoint: till 3 months after procedure | — |
Countries
India
Contacts
Public ContactDr Khemraj Meena
R.N.T. Medical College
Outcome results
None listed