Lumbar Radiculopathy
Conditions
Brief summary
Purposes of the study To investigate the effect of pulsed magnetic therapy versus phonophoresis in discogenic lumbar radiculopathy patients
Detailed description
Patients will be randomized into either pulsed magnetic therapy group or phonophoresis group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.
Interventions
Pulsed etromagnetic therapy (1000 gauss) on sciatic nerve in gluteal fold. ( 30 min )
Phonophoresis using dexamethasone and topical diclofenac sodium gel on sciatic nerve in subgluteal fold and mid thigh
Conventional physical therapy consisting of 1. IF current on lumbar spine. (15 min ) 2. Hotpack on lumbar spine . (15 min ) 3. Neurodynamic mobilization . 4. Mobilization and manipulation for lumbar spine. 5. Exercises
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient age ranges from 20 -45 * Unilateral chronic lumbosacral radiculopathy * Intervertebral disc herniation confirmed by MRI * one of the following : 1. H- reflex amplitude side to side difference 0.67 in absence of latency difference. 2. H- reflex amplitude side to side difference smaller than 0.5 in p of latency difference. 3 - Side to side H- reflex latency difference more than 1 msec. 4- Prolonged H-reflex latency more than 30 msec.
Exclusion criteria
* Systematic disease * Lumbar canal stenosis * Pervious surgeries * Scoliosis * Kyphosis * Spinal fracture * Bilateral symptoms * Steroid injection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain | Change from Baseline pain and function at 6 weeks | Visual analogue scale |
| Disability | Change from Baseline pain and function at 6 weeks | Oswestry disability index |
| Sciatic nerve cross sectional area | Change from Baseline pain and function at 6 weeks | Diagnostic Ultrasound |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| H-reflex amplitude | Change from Baseline pain and function at 6 weeks | by EMG unit |
| H-reflex side-to-side amplitude (H/H) ratio | Change from Baseline pain and function at 6 weeks | by EMG unit |