Ultrasound-guided Caudal or Interlaminar Corticosteroid Epidural Injection for Sciatica (HiatUS)

Caen University Hospital

Status: Withdrawn

Conditions: Sciatica

Treatments: Procedure: ultrasound-guided; Procedure: interlaminar

Study type: Interventional

Funder types: Other

Identifiers

NCT02897336

2015-A01502-47

Details and patient eligibility

About

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.

Full description

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.

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

ultrasound-guided

Experimental group

Description:

ultrasound-guided caudal epidural corticosteroid injection

Treatment:

Procedure: ultrasound-guided

interlaminar

Active Comparator group

Description:

interlaminar epidural corticosteroid injection

Treatment:

Procedure: interlaminar