Chronic Pain
Conditions
Keywords
radiculalgia, chronic pain, quality of life
Brief summary
This study evaluate the administration of epidural betamethasone versus dexamethasone for pain reduction, consumption of analgesic and quality of life. Half of the patient will receive dexametasone and the other half betametasone.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Unilateral leg pain secondary to lateral stenosis, disc protrusion or herniated disc. * Age between 18 and 80 years. * Moderate to severe pain (NVS\>4). * Right proficient oral and written language.
Exclusion criteria
* Patients with high intracranial pressure. * Patients with Multiple Sclerosis. * Patients with Guillain-Barré syndrome radiculopathy of vascular origin. * Patients with previous lumbar surgery. * Patients pregnant or lactating. * Patients with allergy or intolerance to any of the drugs used. * Patients with severe cognitive impairment. * Patients with intrathecal injectio radiculalgia. * Patients with poorly controlled major psychiatric pathology. * Patients with type I diabetes or poorly controlled type II diabetes (Hb1Ac\>8.5). * Patients with glaucoma. * Patients with caudal equine syndrome. * Patients with pre-treatment with steroid injections/or local anesthetics. * Patients with central canal stenosis. * patients with chronic treatment with oral corticosteroids without stabilized pattern.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain. | 3 months. | Pain according to numerical visual pain scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life. | 7 days, 1, 3 and 6 months. | Quality of life according to SF-36. |
| Pain. | 7 days, 1, 3 and 6 months. | Pain according to numerical visual pain scale. |
| Adverse events. | 7 days, 1, 3 and 6 months. | Adverse events. |
Countries
Spain