Low Back Pain. Low back pain
Conditions
Interventions
Intervention 1: Control group: which undergoes epidural epidural injection using 2-3 ml of Xylocaine (without preservative and without epinephrine) by a 17-gauge spinal injection needle. Intervention
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: Chronic low back pain more than six months +/- radiculopathyModerate to severe pain score (> 3, based on the Visual Analog Scale)Being at the age of 40-70 years Inadequate response to conservative and physiotherapy treatments after three monthsAmerican Anesthesiologists Classification (ASA) I-IIDisc protrusion in MRI
Exclusion criteria
Exclusion criteria: Severe canal stenosis (more than two thirds in axial MRI view) Sequestrated disc (fragmented) Decreased disc height more than 60% Sever spinal deformity Spinal tumors Vertebral fracture Spondylolisthesis Grade>2 Local or systemic infection Taking anticoagulants Drug abuse History of drug reaction Sever psychological disorders Pregnancy and lactation Severe or sudden neurological deficit such as urinary or fecal incontinence Body Mass Index (BMI) > 35 Patient's refusal Diabetes mellitus MRI contraindications (cardiac pacemaker, defibrillator, aortic aneurysm clips) Impossible prone positioning
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analog scale. Timepoint: At the beginning of the study (before the intervention) and 14, 30, 90 and 180 days after the intervention. Method of measurement: Visual Analogue Scale.;Oswestry Disability Index. Timepoint: At the beginning of the study (before the intervention) and 14, 30, 90 and 180 days after the intervention. Method of measurement: Oswestry Low Back Pain Disability Questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| The amount of painkiller used. Timepoint: At the beginning of the study (before the intervention) and 14, 30, 90 and 180 days after the intervention. Method of measurement: Preset form for recording the amount of painkiller used. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFarnad Imani
Iran University of Medical Sciences
Outcome results
None listed