Ultrasound-guided Caudal or Interlaminar Corticosteroid Epidural Injection for Sciatica

University Hospital, Caen

Overview

An open-label randomized trial to compare the efficacy of ultrasound-guided caudal and interlaminar corticosteroid injections for the treatment of lumbar disk herniation-related sciatica.

An open-label randomized trial conducted in one centre to compare the efficacy of ultrasound-guided caudal and interlaminar corticosteroid injections for the treatment of lumbar disk herniation-related sciatica. 30 male and female patients will be included in each group. The primary outcome measure will be a 30% decrease in lower limbs pain as assessed by a visual analog scale.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Conditions

Sciatica

Interventions

ultrasound-guidedPROCEDURE

ultrasound-guided caudal epidural corticosteroid injection

interlaminarPROCEDURE

interlaminar epidural corticosteroid injection

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * radicular pain (sciatica or cruralgia) for more than 2 weeks * failure of analgesics and NSAIDs * without neurological deficiency (motor weakness lower or equal to 3/5) * a lumbar disk herniation on MRI or CT dating less than 3 months Exclusion Criteria: * history of lumbar surgery * history of epidural injection during the last 3 months * radicular pain not due to disk herniation * a contraindication to epidural injection (infection, diabetes) * history of allergic reaction to corticosteroid * patient under legal guardianship

Locations (1)

University Hospital

Caen, France

Outcomes

Primary Outcomes

lower limbs pain

a 30% decrease in lower limbs pain using a visual analog scale

Time frame: day 15