Lumbosacral radicular pain Musculoskeletal Diseases Radiculopathy
Conditions
Interventions
Patients with lumbosacral radicular pain first receive a diagnostic block at the DRG:
1. Diagnostic injection at the DRG:
The diagnostic injection is performed fluorosc
Sponsors
Erasmus University Medical Centre (MC) (Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age 18 years or older 2. Anamnesis and physical investigation suggestive of lumbosacral radicular pain for more than 3 months 3. Decrease in Numeric Rating Scale (NRS) of 2 or more / 10 on diagnostic block at the DRG
Exclusion criteria
Exclusion criteria: 1. Presence of red flags: possible fracture (major trauma, minor trauma in elderly or osteoporotic), possible tumor or infection (age >50 or <20, history of cancer, constitutional symptoms (fever, chills, weight loss), recent bacterial infection, IV drug abuse, immunosuppression, pain worsening at night or when supine), possible significant neurological deficit (severe or progressive sensory alteration or weakness, bladder or bowel dysfunction, evidence of neurological deficit (in legs or perineum in the case of low back pain) 2. Aspecific low back pain 3. Corpus vertebrae problem 4. Progressive neurological deficits 5. Major psychiatric disorder (according to psychiatrists opinion) 6. Anticoagulation cannot be stopped 7. Pain in other parts of the body that is more severe (including facet joint -, SI joint - and discogenic pain) 8. Allergies to any medication used in the study 9. Pregnancy 10. Communication (language) difficulties (according to physicians opinion)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain reduction (NRS) measured on the day of consultation, 1, 3, 6 and 12 months after treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain: Chronic Pain Acceptance Questionnaire (CPAQ), Four-Dimensional Symptom Questionnaire (4DSQ), Multidimensional Pain Inventory (MPI-DLV); Global Perceived Effect (GPE). Measured on the day of consultation, 1, 3, 6 and 12 months after treatment 2. Disability: Oswestry Disability Index (ODI); measured on the day of consultation, 3 and 12 months after treatment 3. Generic health status: Rand-36; measured on the day of consultation, 3 and 12 months after treatment 4. Kinesiophobia: Tampa Scale for Kinesiophobia (TSK); measured on the day of consultation, 3 and 12 months after treatment 5. Coping: Pain Coping Inventory (PCI), Pain Cognition List (PCL-2003); measured on the day of consultation, 3 and 12 months after treatment 6. Costs of intervention. | — |
Countries
Netherlands
Outcome results
None listed