Chronic Unilateral Lumbar Radicular Pain
Effectiveness of Transgrade vs Interlaminar Epidural Steroid Injection for Chronic Unilateral Lumbar Radicular Pain
Ain Shams University
80 participants
Nov 1, 2023
INTERVENTIONAL
Conditions
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.
Eligibility
Inclusion Criteria3
- \> 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 Criteria5
- Previous lumbar spinal surgery.
- Myelopathy.
- Rheumatoid disorders.
- Psychiatric disorders
- Bleeding or coagulation disorders
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Interventions
Transgrade (TG) Epidural Steroid Injection technique
Interlaminar (IL) Epidural Steroid Injection technique
Locations(1)
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NCT06092749