CT Guided Injection for Low Back Radiculopathy: A Randomized Clinical Trial

A Randomized Trial of CT-guided Perineural Injection With a Corticosteroid Plus a Long Acting Local Anesthetic Versus Standard Medical Management in Patients With Acute Lumbar Radiculopathy and a Corresponding Disc Herniation

Herniated disc sometimes cause back pain radiating down to a leg. This pain can be so severe that it is functionally disabling. The purpose of this randomized clinical trial is to determine if corticosteroid medication, delivered directly to the area near the herniated disc, can improve the pain and functional disability associated with a herniated disc.

Inclusion Criteria:

• Adults <60y
• < 1m of symptoms
• Symptoms consistent with herniated disc
• MRI demonstrates corresponding disc
• Back pain resulting in functional disability

Exclusion Criteria:

• Chronic pain
• Daily pain medication
• Frequent back pain
• On the job injury