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IRCT20230829059295N2 IRCT 2023-11-20 Combined military hospital Transforaminal epidural versus intra-articular facet joint injection for treatment of lumbar radiculopathy Comparison of transforaminal epidural versus intra-articular facet joint injection for treatment of lumbar radiculopathy 2023-06-01 anticipated 90 Complete https://irct.ir/trial/73631 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization was done by non probability consecutive sampling via lottery method. Patients were divided in to facet joint group (Group F) and epidural group (Group E). Allocation concealment was not done. N/A Lower backache and hip pain. Intervention 1: Intervention group: Facet-joint group ( Group F), The procedure was carried out under fluoroscopic guidance with the patient in the prone position under strict aseptic measures. The site of needle insertion was anesthetized using 1% lignocaine on the skin and subcutaneous tissue. Spinal needle (22 G) was inserted, and sequential fluoroscopic views taken. Once appropriate position was reached, 2.5 ml contrast was injected through minibore tubing attached to the needle to confirm correct placement and rule out intravascular placement. One confirmed, 2 ml of 1% preservative-free lignocaine (20mg) with 60 mg of methylprednisolone was injected at the facet-joint site. Intervention 2: Intervention group: Epidural group ( Group E) patients were placed in the prone position with the targeted site away from the interventionist. An Anteroposterior scout was done at vertebral level T12-S1 to confirm position and level before the procedure. Under fluoroscopic guidance, 2 ml of 1% preservative-free lignocaine (20mg) with 60 mg of methylprednisolone was injected once the needle was in the correct placement after confirmation with 2.5 ml of iodinated contrast. Yes - There is a plan to make this available What will be shared: All collected data could be provided When: Data will be available for 2 years starting from December 2023 till December 2025 To whom: Academic institutions Conditions: Interventional studies being done on the same topic Where to obtain: haroontariq299@gmail.com How to obtain: Please contact the email provided above to ask for the detailed data. Comments:
public Haroon Tariq
House No 318, Street 5, Sector B1, DHA Phase 1, Rawalpindi
Rawalpindi Pakistan 46000 +92 323 7399976 haroontariq299@gmal.com Combined Military Hospital scientific Haroon Tariq
House 318 ,Street 5, sector B1 , DHA phase one Rawalpindi
Rawalpindi Pakistan 46000 +92 323 7399976 haroontariq299@gmail.com Combined military hospital Rawalpindi Pakistan All male and female patients between ages 30-60 years Confirmed case of lumbar radiculopathy diagnosed by standard MRI imaging studies 30 years 60 years Both Patients with debilitating cardiac or respiratory disease Tumors of the spine with or without metastatic disease Patients with known allergy to lignocaine, bupivacaine or steroids Patients with a regional block done for pain in the last one year M54.16 Radiculopathy, lumbar region Treatment - Other Treatment - Other Intervention group: Facet-joint group ( Group F), The procedure was carried out under fluoroscopic guidance with the patient in the prone position under strict aseptic measures. The site of needle insertion was anesthetized using 1% lignocaine on the skin and subcutaneous tissue. Spinal needle (22 G) was inserted, and sequential fluoroscopic views taken. Once appropriate position was reached, 2.5 ml contrast was injected through minibore tubing attached to the needle to confirm correct placement and rule out intravascular placement. One confirmed, 2 ml of 1% preservative-free lignocaine (20mg) with 60 mg of methylprednisolone was injected at the facet-joint site. Intervention group: Epidural group ( Group E) patients were placed in the prone position with the targeted site away from the interventionist. An Anteroposterior scout was done at vertebral level T12-S1 to confirm position and level before the procedure. Under fluoroscopic guidance, 2 ml of 1% preservative-free lignocaine (20mg) with 60 mg of methylprednisolone was injected once the needle was in the correct placement after confirmation with 2.5 ml of iodinated contrast. Patient satisfaction regarding pain relief after interventional procedure in lumbar radiculopathy. Timepoint: 4 weeks and then 3 months post intervention. Method of measurement: Numerical rating scale (NRS) , Visual analog scale (VAS) , Oswestry disability index (ODI). Combined military hospital Approved 2023-05-29 Ethical committee of combined military hospital Tamizudin road , lalkurti rawalpindi Rawalpindi Punjab Pakistan