radicular syndrome of lower limbs sciatica
Conditions
Interventions
Intervention group 1:
transforaminal epidural injection with 60 mg Depomedrol and 1,5 ml
Levobupivacaine. The injection is given under radiological guidance with
administration of contrast agent.
cost effectiveness
pain management
sciatica
Sponsors
Sint Lucas Andreas Ziekenhuis
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: 18- 65 years old;sciatica; 8 weeks;radiologically confirmed discus;correlation between symptoms and MRI abnormalities;VAS 40 or more despite NSAIDs, PCM, of opioids
Exclusion criteria
Exclusion criteria: paresis MRC gr 3 or more, caudasyndrome;spinal surgery at the same level within 1 year ;lumbar stenosis, spondylolistesis;pregnancy;severe co morbidity (for example cancer)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measures: 1. Roland Disability Questionaire 2. Visual Analogue Scale (VAS) for back pain 3. Visual Analogue Scale (VAS) for leg pain 4. Global Perceived effect | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outomce measures: 1. satisfaction 2. use of medication 3. absenteism from work (yes- no) 4. number of operations | — |
Countries
The Netherlands
Outcome results
None listed