Cervical spondylosis myelopathy CSM Gabapentin Limaprost alfadex
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. 20-80 years old 2. Patients who meet the diagnostic criteria in the following topics a. Symptom : Neck pain or aching pain down the arm or have numbness Weakness in arms, hands, abnormal gait b. physical examination : Intrinsic muscle weakness , Finger escape sign + , Grip and release + , lhermitte test + c. An MRI or CT scan showed narrowing of the spinal canal in the neck. together with spinal cord compression d. The diagnosis was confirmed by an Orthopedic spine surgeon. The diagnosis relies on a, b and d together, with or without c. 3. Cooperate consent to participate in the research project
Exclusion criteria
Exclusion criteria: 1. History of allergy to gabapentin or Pregabalin 2. History of allergies to NSAIDs, Opioids 3. Peripheral nerve entrapment and other pathology such as Tandem stenosis. 4. Take anti-platelet drugs (ASA), anticoagulant drugs 5. Received NSAID and Gabapentin treatment within 1 week prior to study participation. 6. History of end-stage chronic kidney disease 7. History of heart failure, ischemic heart disease 8. History of cirrhosis 9. History of peptic ulcer disease 10. History of all types of cancer 11. Persons diagnosed with cervical spondylosis with severe symptoms requiring surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score 0 4 8 weeks after treatment Visual analog scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life before - after treatment SF-36,Motor power , Sensory , Provocation test Before - After treatment Physical examination,Adverse effect In researching time Patient feed back | — |
Countries
Thailand
Contacts
Rajavithi hospital