NCT04212845

Erector Spinae Plane Block vs Transforaminal Epidural Injection

Erector Spinae Plane Block Versus Transforaminal Epidural Injection in Chronic Discogenic Low Back Pain

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (estimated)
• Sponsor: Ataturk University · Academic / Other
• Sex: All
• Age: 18 Years – 60 Years
• Healthy volunteers: Not accepted

Summary

Lumbar disc herniation is the main cause of low back pain and radicular leg pain. Steroids administered to the epidural area reduce the inflammatory response and pain by inhibiting the synthesis of proinflammatory agents. Epidural steroid injections are used in the treatment of lumbosacral radicular pain with various techniques including fluoroscopy-guided transforaminal and interlaminar injection. Ultrasound-guided erector spina plan block (ESPB) was first described in 2016 and has been used for postoperative analgesia in many surgeries including thoracic and lumbar dermatomes. The distribution of local anesthesia in the ESPB from the paravertebral area to the transforaminal and epidural space has been shown in studies. The aim of this study was to compare the efficacy of ultrasound-guided ESPB and fluoroscopic guided transforaminal epidural steroid injection in chronic discogenic low back pain.

Conditions

• Discogenic Low Back Pain

Interventions

Type	Name	Description
DRUG	Bupivacaine;Dexamethasone Solution for Injection	8 mg Dexamethasone and %0.25 bupivacaine
DEVICE	Fluoroscopy	Fluoroscopy-guided transforaminal injection
DEVICE	Ultrasound	Ultrasound-guided erector spinae plane block

Timeline

• Start date: 2020-01-02
• Primary completion: 2020-06-01
• Completion: 2020-09-01
• First posted: 2019-12-30
• Last updated: 2020-01-07

Locations

1 site across 1 country: Turkey (Türkiye)