To compare the efficacies of two different interventional techniques (Caudal epidural steroid injection and S1 transforaminal epidural steroid injection) for the treatment of unilateral S1 radiculopathy.
Epidural steroid injections are commonly performed for the treatment of radicular pain resulting from a disc herniation. There are 3 different methods to deliver steroids to epidural area which are caudal, interlaminar and transforaminal routes. Lower lumbar and sacral radiculopathies can be managed with caudal epidural steroid injection which is generally quite easier to perform in comparison to transforaminal injection. Transforaminal epidural injection provides injectate to reach anterior epidural area and is the most target specific technique among others. In the present study investigators aim is to compare the success rates of these two different procedures regarding unilateral S1 radiculopathy. The patients referring to the pain medicine outpatient clinic of a university hospital for unilateral radicular pain and diagnosed S1 radiculopathy were planned to be randomized into these two different intervention groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
Fluoroscopy-guided transforaminal epidural injection for radicular pain resulting from a disc herniation.
Fluoroscopy-guided caudal epidural injection for radicular pain resulting from a disc herniation.
Marmara University School of Medicine
Istanbul, Pendik, Turkey (Türkiye)
RECRUITING50 percent pain relief
Number of patients having at least 50 percent pain relief
Time frame: 3 months
Oswestry Disability Index
Improvement in disability scores, 0 is the best, 100 is the worst score.
Time frame: 3 months
Procedure time
The overall ease of application regarding procedure time.
Time frame: during procedure
Radiation exposure
The exposed radiation dose during the procedures
Time frame: during procedure
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