Patients with low back pain who have spinal canal stenosis or several disc bulging or protrusion or degeneration changes in MRI. low back with sciatica
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients with low back pain who have had canal stenosis, multiple disc herniation or multiple degenerative joint disease(based on MRI report), with at least 3 months pain and non responsive to conservative treatments such as physiotherapy with pain score of at least 4 between 30-60 years old.
Exclusion criteria
Exclusion criteria: Patients with :1-epidural steroid injection during last 3 months, without previous MRI report.2- coagulation disorders 3- pregnant 4- women with milk feeding 5- sensitivity to radiology contrast medications 5- patients with psychological disease 6- unstable hydrodynamic status. 7- previous back surgery 8- contraindication for local anesthetic drugs.9- infection 10- Allergy to medications( local anesthetic, steroid or magnesium) 11- unwillingness of patients to study 12- patients who do not sign inform consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of magnesium sulfate and triamcinolone as adjuvant with ropivacaine for caudal block on pain score in patients with low back pain. Timepoint: Preblock and 1 and 3 month after block. Method of measurement: numeric rating scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Modified Oswestry disability questionnaire score. Timepoint: Preblock and 1 and 3 month after block. Method of measurement: Questionnaire score. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shahid Beheshti University of Medical Sciences