Radicular pain nerve pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18 years or higher 2. Unilateral, single level radicular pain at level L2-L3, L3-L4, L4-L5 or L5-S1 3. Pain score of 4 or higher on a scale from 0-10
Exclusion criteria
Exclusion criteria: 1. The presence of coagulation disorders or the use of anticoagulants that interfere with the procedure and cannot be stopped during the procedure 2. Presence of an infection at the lumbar spine 3. History of a spinal tumor 4. Previous surgery with fixation of the lumbar spine 5. Serious spinal deformity inducing large anatomic alterations 6. Allergic reaction to contrast dye or local anaesthetics used during the procedure 7. Inability to provide informed consent 8. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correct needle placement (Yes/No) as confirmed with fluoroscopy | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Inadvertent intravascular positioning (Yes/No) 2. Brief pain inventory at baseline and 2, 4, 8 and 12 weeks after TFEI 3. Global perceived effect at baseline and 2, 4, 8 and 12 weeks after TFEI 4. Number of repositioning procedures required for adequate contrast spread around the nerve root. 5. Procedure difficulty scoring scored by the pain specialist directly after the TFEI procedure. | — |
Countries
Netherlands
Contacts
Erasmus MC, Universitair Medisch Centrum Rotterdam