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NCT05719792

Comparison of the Effectiveness of Erector Spina Plane Block and Transforaminal Anterior Epidural Injections

Status unknown Last updated 9 February 2023
What this trial tests

trial testing Transforaminal Epidural Steroid Injection in Lumbar Disc Herniation in 50 participants. Status unknown.

Timeline
1 November 2022
Primary endpoint
1 June 2023
1 August 2023

Quick facts

Lead sponsorMarmara University
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment50
Start date1 November 2022
Primary completion1 June 2023
Estimated completion1 August 2023
Sites1 location across Turkey (Türkiye)

Drugs / interventions tested

Conditions studied

Sponsor

Marmara University

Who can join

Adults 18 to 65, any sex, with Lumbar Disc Herniation or Radiculopathy Lumbar. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Low back pain is one of the leading causes of disability and its social burden and economic cost are quite high. The lifetime prevalence in the population is frequently reported between 40% and 70%. Although there are many reasons that can lead to low back pain, radicular pain, which develops mostly secondary to lumbar disc hernia, is one of the most common pathologies. Epidural corticosteroid and local anesthetic injections are an important treatment option in the treatment of lumbar radicular pain that does not respond to conservative methods. epidural injections; includes transforaminal, interlaminar and caudal approaches. The advantage of the transforaminal approach is that it allows access to the anterior epidural area, which is the region of pathology, and that it can spread to the target specifically around the inflamed nerve roots. The standard imaging technology used for steroid injections with this approach is fluoroscopy. However, the aforementioned approaches carry the risk of dural puncture, epidural hematoma, epidural abscess, nerve damage, paralysis and many complications. In addition, radiation exposure is another problem. It may be possible to avoid a significant part of these risks by applying interfacial blocks used in regional anesthesia and postoperative pain control in the lumbar region. Recently, Erector Spina Plan Block (ESPB), an interfascial block technique, has been frequently applied under ultrasound (US) guidance as an alternative method to conventional paravertebral block. Investigators also frequently refer to this procedure in the clinic for patients with lumbar radicular pain. In the literature, there are case reports of lumbar ESPB applied to patients with radicular pain due to disc herniation. Beyond case-level reports, there is no clinical study investigating the efficacy of this procedure technique for applications in the lumbar region. Starting from here, the aim of this study is; Investigators determined to compare the efficacy of erector spina plane block and transforaminal anterior epidural steroid injections in patients with radicular pain due to lumbar disc herniation.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other trials of Transforaminal Epidural Steroid Injection

Trials testing the same drug.

Other recruiting trials for Lumbar Disc Herniation

Currently open trials in the same condition.

Other Marmara University trials

Trials by the same sponsor.

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Data sources for this page

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