Hernia Disc Lumbar with radiculopathy. Intervertebral disc disorders with radiculopathy, lumbar region.
Conditions
Interventions
Intervention group: Epidural steroid injection with 2 ml bupivacaine 2% and 6 ml distilled water and 40 mg / ml triamcinolone (total volume 8 ml) in the target area..
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients older than 18 years Hernia disc and in case of stenosis of spinal cord involvement less than 30% based on clinical examinations and CT scan/MRI findings Symptomatic hernia, leg pain and unilateral radiculopathy Lumbar Disc Patients are candidates for epidural steroid injection Signed written informed consent to participate in the study
Exclusion criteria
Exclusion criteria: Body Mass Index <20 kg/m2 Disc herniation at levels other than L4 to S1 Central hernia with extrusion pain or symptoms of progressive or severe sensory impairment More than two hernia discs at different levels of the lumbar History of steroid epidural injection in the last six months History of opioid abuse The latest use of long-acting opioids with radicular pain for more than a year Coagulation disorders, Steroid susceptibility, Malignancy Psychiatric problems and patient's lack of cooperation, speech problems Surgical indication, local skin infections in the area of operation, deformity of the spine and pregnancy History of lumbar spine surgery, cauda equina syndrome, vertebral fracture, tumor or infection in the spine, inflammatory spondylopathy, neurological defects
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Level. Timepoint: Before treatment, two, and six weeks after treatment. Method of measurement: visual analog scale (VAS) (0 None; 1-3 Mild; 4-7 Moderate; 8-10 Severe).;Disability Level. Timepoint: Before treatment, two, and six weeks after treatment. Method of measurement: Oswestry Low Back Disability Questionnaire that disability is measured with 10 items. Each item is scored from 5-0, which indicates a higher score for the disability. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSeyed Masoud Hashemi MD.
Shahid Beheshti University of Medical Sciences
Outcome results
None listed