A Study Comparison of Clinical Outcome After Different Rate of Infusion in Caudal Epidural Steroid Injection
A Prospective Study Comparison of Clinical Outcome After Different Rate Infusion in Caudal Epidural Steroid Injection
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Bangkok
-
Dusit, Bangkok, Thailand, 10300
- Navamindradhiraj University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- lumbosacral spinal stenosis with radiculopathy
- no improvement after conservative treatment for 6 weeks
Exclusion Criteria:
- previous CESI or spinal surgery
- skin infection at injection site
- uncontrolled diabetes mellitus
- abnormal coagulogram
- vertebral fracture
- previous history of allergy to steroid or anesthetic agent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Group 1: 40 ml/min
Triamcinolone acetonide (80 mg)/2 ml and normal saline solution 18 ml infusion in 0.5 min
|
80 mg/2 ml Triamcinolone Acetonide and 18 ml normal saline solution
|
|
Experimental: Group 2: 20 ml/min
Triamcinolone acetonide (80 mg)/2 ml and normal saline solution 18 ml infusion in 1 min
|
80 mg/2 ml Triamcinolone Acetonide and 18 ml normal saline solution
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline Visual Analogue Scale at 2, 6, 12 weeks
Time Frame: 2, 6, 12 weeks
|
2, 6, 12 weeks
|
|
Change from baseline Roland 5-point pain scale at 2, 6, 12 weeks
Time Frame: 2, 6, 12 weeks
|
2, 6, 12 weeks
|
|
Change from baseline Standing tolerance test at 2, 6, 12 weeks
Time Frame: 2, 6, 12 weeks
|
2, 6, 12 weeks
|
|
Change from baseline Walking tolerance test at 2, 6, 12 weeks
Time Frame: 2, 6, 12 weeks
|
2, 6, 12 weeks
|
|
Change from baseline Patient satisfaction scale at 2, 6, 12 weeks
Time Frame: 2, 6, 12 weeks
|
2, 6, 12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Complication of Caudal Epidural Steroid Injection
Time Frame: 2, 6, 12 weeks
|
2, 6, 12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Satit Thiengwittayaporn, M.D., Navamindradhiraj University
Publications and helpful links
General Publications
- Watts RW, Silagy CA. A meta-analysis on the efficacy of epidural corticosteroids in the treatment of sciatica. Anaesth Intensive Care. 1995 Oct;23(5):564-9. doi: 10.1177/0310057X9502300506.
- Botwin KP, Gruber RD, Bouchlas CG, Torres-Ramos FM, Sanelli JT, Freeman ED, Slaten WK, Rao S. Fluoroscopically guided lumbar transformational epidural steroid injections in degenerative lumbar stenosis: an outcome study. Am J Phys Med Rehabil. 2002 Dec;81(12):898-905. doi: 10.1097/00002060-200212000-00003.
- Kraiwattanapong C, Wechmongkolgorn S, Chatriyanuyok B, Woratanarat P, Udomsubpayakul U, Chanplakorn P, Keorochana G, Wajanavisit W. Outcomes of fluoroscopically guided lumbar transforaminal epidural steroid injections in degenerative lumbar spondylolisthesis patients. Asian Spine J. 2014 Apr;8(2):119-28. doi: 10.4184/asj.2014.8.2.119. Epub 2014 Apr 8.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Musculoskeletal Diseases
- Neuromuscular Diseases
- Peripheral Nervous System Diseases
- Spinal Diseases
- Bone Diseases
- Radiculopathy
- Spinal Stenosis
- Spondylosis
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Anti-Inflammatory Agents
- Immunosuppressive Agents
- Immunologic Factors
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Triamcinolone
- Triamcinolone Acetonide
- Triamcinolone hexacetonide
- Triamcinolone diacetate
Other Study ID Numbers
Other Study ID Numbers
- COA 74/2559
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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