Cervical discopathy. Cervical disc disorder with radiculopathy, unspecified cervical region
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: patients with chronic neck pain(more than 3 months), caused by disc herniation or central spinal stenosis, according to the clinical criteria and MRI findings
Exclusion criteria
Exclusion criteria: All red flags for spinal pain (inflammation, malignancy, spinal fracture, myelopathy, Cauda equina syndrome) Serious coexisting neurological or musculoskeletal disorders Serious comorbidities (renal or hepatic failure, severe heart failure, severe respiratory disease, vascular insufficiency ) Rheumatoid arthritis Ankylosing spondylitis or other rheumatological diseases Prior cervical spinal surgery Prior cervical epidural injections during last year All contraindications to epidural injections ( Systemic infection or local infection at the site of injection, bleeding diathesis or full anticoagulation, significant allergic reaction/hypersensitivity to contrast, anesthetic, … ) Critical level of spinal stenosis. All contraindications to steroids or Non-steroidal anti-inflammatory drugs Age less than 18 years Pregnancy Patient’s refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: 10 to 15 days before epidural steroid injection and 1, 3 and 6 months after epidural steroid injection. Method of measurement: In respect to standardized questionnaire.;Electromyogram. Timepoint: 10 to 15 days before epidural steroid injection and 1, 3 and 6 months after epidural steroid injection. Method of measurement: In respect to standardized questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shiraz University of Medical Sciences