Efficacy of Cervical Epidural Injection and Selective Nerve Root Block

Diskapi Teaching and Research Hospital

Status: Completed

Conditions: Cervical Radiculopathy

Treatments: Procedure: Interlaminar cervical epidural injection; Procedure: Cervical selective nerve root block

Study type: Interventional

Funder types: Other

Identifiers

NCT05340179

131/10

Details and patient eligibility

About

Cervical epidural steroid injections are an accepted treatment modality for radicular pain secondary to disc pathology. With the developing ultrasound technology, ultrasound guided cervical selective nerve root block has been successfully used in the treatment of cervical radiculopathy. We aimed to compare the efficacy of cervical interlaminar epidural injections and cervical selective nerve root block.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Cervical radicular pain based on history and physical exam
• NRS pain score > 3

Exclusion criteria

• Previous spine surgery
• Allergic reactions to drugs used in procedure
• Epidural steroid injection within past 2 years
• Radiculopathy not resulting from disc pathology (e.g. foraminal stenosis or tumor)
• Untreated coagulopathy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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60 participants in 2 patient groups

Interlaminar cervical epidural steroid injection

Active Comparator group

Treatment:

Procedure: Interlaminar cervical epidural injection

Cervical selective nerve root block

Experimental group

Treatment:

Procedure: Cervical selective nerve root block