Degenerative disc disorders and radicular pains are suitable for discogel injection. Radicular pain is a type of pain that extends from the back and hips through the spine to the legs. The pain follows the spinal nerve root. Degenerative disc disease is a condition in which a damaged disc causes pain. This pain can range from discomfort to disability. This condition can be caused by disc drying over time, daily activities, sports, and injuries..
Conditions
Interventions
Intervention group: patients with degenerative disc.
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: individuals aged 18 to 90 with a history of unilateral or bilateral radicular pain in the lower limb caused by lumbar intervertebral disc herniation, without neurological deficits. This condition was confirmed through physical examination and medical imaging (radiology and magnetic resonance imaging). Additionally, individuals must not have responded to conservative treatment for at least the past 3 months.
Exclusion criteria
Exclusion criteria: disc fragment, segmental instability (spondylolisthesis cis) - Stenosis of neural foramen or spinal canal 3- Asymptomatic protrusion of the intervertebral disc 4- Untreated infection and/or discitis 5- pregnancy 7- Anticoagulant treatment (must be stopped before surgery) 8- Severe degenerative disc disease with more than 2/3 reduction in disc height 9- And having a history of intervertebral disc surgery at the same level
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Numerical Rating Scale (NRS) is widely used to measure pain through self-reporting. Its popularity is due to its simplicity - it doesn't require specialized equipment - and the fact that its 0-10 scale is preferred by healthcare professionals. The scale's validity and reliability have already been proven. Patients are typically asked, "On a scale of 0 to 10, how intense has your pain been in the last 14 days? 0 represents no pain, while 10 represents the most severe pain imaginable.". Timepoint: one and three months after injection. Method of measurement: questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| The Disability Index (ODI) is also measured at the specified times, assessing disability with 10 ODI items. Each item is scored from 0-5, with a higher score indicating more disability. If the total score reaches 28, no further treatment will be administered to alleviate the pain. In cases where the Numeric Rating Scale (NRS) score is greater than 4, non-steroidal anti-inflammatory drugs will be used. The success of the treatment in this protocol is determined by the outcomes being classified as average or good, while poor outcomes are considered treatment failures. Timepoint: a month and three months after injection. Method of measurement: questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public Contactsogol asgari
Shahid Beheshti University of Medical Sciences
Outcome results
None listed