Neuropathic Pain
Conditions
Brief summary
Chronic neuropathic lumbar pain is among one of the most widespread complaints of patients.Many approaches have been attempted to target chronic pain, with varying efficacy and risks. Transgrade (TG) epidural injection is a new technique using a Racz- Coudé needle for epidural access at a "transgrade" angle without requiring any specialized hardware or accessories. Interlaminar (IL) epidural steroid injection (ESI) is one of the procedures that involves the delivery of injectate to the epidural space through directing a needle between the laminae of two adjacent vertebrae.
Interventions
OTHERTransgrade technique (TG)
Transgrade (TG) Epidural Steroid Injection technique
OTHERInterlaminar technique (IL)
Interlaminar (IL) Epidural Steroid Injection technique
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* \> 6-month history of persistent pain in one leg with back pain. * Capable of giving informed consent. * Unsatisfactory response to conventional treatments including physical therapy or medications with a numeric rating scale (NRS) ≥ 5.
Exclusion criteria
* Previous lumbar spinal surgery. * Myelopathy. * Rheumatoid disorders. * Psychiatric disorders * Bleeding or coagulation disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients who experienced successful pain relief at 3 month post-intervention | 6 month post intervention (study period) | Number of patients who experienced successful pain relief at 3 month post-intervention, which is defined as ≥ 50% reduction of numeric rating scale (NRS-11) from pre-intervention level. |
Countries
Egypt
Contacts
CONTACTIbrahim Mamdouh Esmat
Outcome results
None listed