Unilateral upper extreamity pain
Conditions
Interventions
Fluoroscopic guided Th1-transforaminal epidural injection: 1.mixture of contrast(0,5ml)and saline(0.5ml)is injected to detemine Th1 radiculography. 2.mixture of contrast(1ml)and 2%-mepivacaine(1ml)is
Sponsors
Kouseikai Takai Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.unilateral upper extreamity pain, 2.no abnormalities in the Th1/2 region confirmed by spinal MR images, 3.including disease are cervical disc hernia, cervical spondylosis,thoracic outlet syndrome,zoster associated pain and the other neuropathic pain syndromes of upper extreamities.
Exclusion criteria
Exclusion criteria: 1.apparent cervical spinal stenosis(AP distance of cervical canal<12mm on plain X-ray image), 2.previous history of posterior operation of cervical or upper thoracic spine, 3.anticoagulant therapy, allergy for local anesthetics or contrasts,and the other obstacles for spinal blockade.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of CT-epidurography between the two methods concerning as follows, ventral spread,lateral limiting,Th1-root filling,and cephalad/caudad spread. | — |
Secondary
| Measure | Time frame |
|---|---|
| Appearance of Horner sign, changes of blood pressure and heart rate, required time of fluoroscopy, complications of procedure including intravascular injection, and improvement of pain score. | — |
Countries
Japan
Contacts
Public ContactRyouji Ooba
Kouseikai Takai Hospital Department of hospital management
Outcome results
None listed