Herniated Disk Lumbar, Fibromyalgia
Conditions
Keywords
fibromyalgia, lumbar disc herniation, tfese
Brief summary
Lumbar radicular pain is defined as low back and leg pain caused by inflammation in the affected nerve root due to various etiological factors. In its treatment, there are various options such as anti-inflammatory drugs, physical therapy modalities, exercises, epidural steroid injections, and surgery. Epidural steroid injections have also become a frequently applied method in the treatment of lumbar radicular pain unresponsive to conservative treatments. The steroid applied here acts by suppressing the inflammation around the affected nerve root. Epidural steroid injections can be applied in lumbar radicular pain with 3 different approaches: caudal, interlaminar and transforaminal. In the transforaminal approach, a small amount of drug is injected into the epidural space, and in previous studies, reduction in pain and improvement in functionality were found in patients with lumbar radicular pain in the short and medium term. As far as we know, there is no previous study investigating the effect of fibromyalgia on TFESE treatment outcomes. For this reason, the aim of our study is to examine the effect of fibromyalgia on treatment outcomes in patients who underwent TFESE for lumbar radicular pain.
Interventions
In the transforaminal approach, a small amount of drug is injected into the epidural space, and in previous studies, reduction in pain and improvement in functionality were found in patients with lumbar radicular pain in the short and medium term.
Sponsors
Marmara University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Findings of root compression on MRI, lumbar radicular pain for at least 3 months, no previous history of lumbar spinal surgery, pain score of 4 and above according to the numerical rating scale (NRS), and ACR 2016 diagnostic criteria for the fibromyalgia group were met. patients
Exclusion criteria
* Patients who received lumbar epidural steroid injection in the last 3 months, who have pregnancy-breastfeeding, bleeding diathesis, contrast hypersensitivity, and patients who did not give consent for participation in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Successful Response | 3 months | The primary outcome measure of our study is successful response (\>50% reduction in NRS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Rating Scale | 3 months | Numerical rating scale (NRS) is used to convert some values into numeric values that cannot be evaluated numerically |
| Istanbul Low Back Pain Disability Index (ILBPDI) | 3 months | Istanbul Low Back Pain Disability Index (ILBPDI) is a scale developed to evaluate functional disability in patients with chronic low back pain, scoring 18 subjects |
| Short Form 12 (SF-12) | 3 months | Short Form 12 (SF-12) is a quality of life assessment scale consisting of 8 sub-dimensions and 12 items |
Countries
Turkey (Türkiye)
Contacts
Primary ContactSavaş Şencan
Backup Contactİmran Kalkan
Outcome results
None listed