Failed back surgery syndrome. Postlaminectomy syndrome, not elsewhere classified
Conditions
Interventions
Intervention 1: Intervention group: after obtaining consent, qualified people, in the form of random sampling, under aseptic conditions, epidural caudal and transforaminal injection of hyaluronidase 3
Sponsors
Ghoum University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Candidate patients to remove adhesions with medication Age older than 18 years History of epidural steroid injection in the last six months Patients who have not responded satisfactorily to 6 weeks of medical treatment despite the annoying pain NRS>=5 The presence of evidence of pressure on the lumbar spinal cord in MRI
Exclusion criteria
Exclusion criteria: Hyaluronidase contraindications Symptoms of cauda equina, spinal canal stenosis requiring surgery, psychosomatic disease suffering from diabetes; Suffering from rheumatic diseases and vascular collagen and gout and lupus Having nerve damage and neuropathies Suffering from bleeding diseases Inability to communicate History of allergies and allergic reactions to the drugs used History of significant liver, kidney and cardio-pulmonary disorders Pregnancy Suffering from cancers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Level. Timepoint: Two weeks, one month, three months and six months after treatment. Method of measurement: Numeric Rating Scale (NRS) (0 None; 1-3 Mild; 4-7 Moderate; 8-10 Severe).;Disability Level. Timepoint: Two weeks, one month, three months and six months 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 ContactReza Aminnejad
Ghoum University of Medical Sciences
Outcome results
None listed