Comparison of parasagittal and midline interlaminar epidural steroid injections in unilateral cervical radicular pain

Cervical Epidural Steroid Injection: Parasagittal approach as an alternative to the midline approach in patients with unilateral cervical radicular pain; a comparative randomized clinical trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20180524039816N1

Enrollment

Registered

2018-09-24

Start date

2018-05-17

Completion date

Unknown

Last updated

2018-10-11

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

Conditions

Unilateral cervical radicular pain. Cervical disc disorder with radiculopathy

Interventions

Intervention 1: Control group: Cervical epidural steroid and local anesthetic injection with the midline approach. Intervention 2: Intervention group: Cervical epidural steroid and local anesthetic in

Eligibility

Sex/Gender

All

Age

18 Years to 65 Years

Inclusion criteria

Inclusion criteria: Unilateral upper extremity radicular pain due to a cervical disc pathology Pain duration of at least 3 months Pain unresponsive to conservative treatment such as medical and physical therapy for 6 weeks Patients' age between 18 and 65 years

Exclusion criteria

Exclusion criteria: Pregnancy Breast feeding Allergy to one of medications used in the study Signs and symptoms of cervical myelopathy Sings and symptoms indicating a progressive, unstable nerve damage Cervical spinal canal stenosis Proven psychiatric disorder Coagulopathy Infection at the site of injection Presence of an uncontrolled medical problem eg, high blood pressure, diabetes

Design outcomes

Secondary

Measure	Time frame
Evaluation of radiocontrast spread pattern in parasagittal and midline cervical epidural injections. Timepoint: At the time of the procedure. Method of measurement: Pattern of radiocontrast spread describe as (1) predominantly midline, (2) predominantly ipsilateral to the painful side, (3) predominantly contralateral to the painful side.	—

Primary

Measure	Time frame
Pain severity measured by NRS (Numeric Rating Scale). Timepoint: Before and one month after the intervention. Method of measurement: Pain severity according to NRS (Numeric Rating Scale)(Zero to 10; 0 indicating no pain and 10 indicating the worst conceivable pain).;Degree of neck disability measured by NDI (Neck Disability Index). Timepoint: Before and one month after the intervention. Method of measurement: Degree of neck disability measured with NDI (Neck Disability Index) (expressed as percent).	—

Measure

Time frame

Pain severity measured by NRS (Numeric Rating Scale). Timepoint: Before and one month after the intervention. Method of measurement: Pain severity according to NRS (Numeric Rating Scale)(Zero to 10; 0 indicating no pain and 10 indicating the worst conceivable pain).;Degree of neck disability measured by NDI (Neck Disability Index). Timepoint: Before and one month after the intervention. Method of measurement: Degree of neck disability measured with NDI (Neck Disability Index) (expressed as percent).

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactDr Kasra Dehghan

Shahid Beheshti University of Medical Sciences

dehghan19kasra@gmail.com+98 21 2261 2252

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 21, 2026