Epidural Contrast Flow Patterns of TESI Using the Inferior-Anterior Position as the Final Needle Tip Position.

George Washington University (GW)

Status: Terminated

Conditions: Lumbar Herniated Nucleus Pulposus; Lumbosacral Radiculopathy

Study type: Observational

Funder types: Other

Identifiers

NCT01836770

Kambin

Details and patient eligibility

About

The purpose of this study is to describe the contrast flow patterns in the epidural space using the inferior-anterior approach with continuous fluoroscopic guidance, and determine how well this approach correlates with appropriate contrast flow patterns and with analgesia at follow up. This knowledge may prove useful in guiding physician practice patterns in the non-surgical management of low back pain.

Hypothesis: The investigators hypothesize that there will be suitable (ventral/anterior) epidural contrast spread based on inferior-anterior needle-tip position, particularly with appropriate needle tip position.

Enrollment: 5 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 years of age or older
• History of lumbosacral radiculopathy or lumbar herniated nucleus pulposus
• Scheduled for TFESI at GW Spine and Pain Center

Exclusion criteria

• Pregnant or plan on becoming pregnant
• Have undergone TFESI in the past year
• Opioid habituation
• Lumbo-sacral stenosis
• Lumbar surgery
• Lumbar spondylolisthesis

Trial design

5 participants in 1 patient group

Transforaminal Epidural Steroid Injection

Description:

Patients with a history of lumbosacral radiculopathy or lumbar herniated nucleus pulposus, scheduled for Transforaminal Epidural Steroid Injection.