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In discal sciatica, after failure of medical treatment, the investigators propose frequently a spinal infiltration of corticoids the most closer of disco-radicular conflict. Recently, some cases of paraplegia during lumbar foraminal infiltrations have induce a reduction of indications of this type of infiltration. An alternative would be to propose a lateral epidural infiltration on contact with conflict.The objective of this study is to compare, in 112 patients with a less than 6 months discal sciatica, the efficacy on pain of a non target posterior epidural space infiltration of corticoids done at L3-L4 stage on scan control versus an epidural infiltration of the same corticoid done in lateral on contact of disco radicular conflict on scan control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non target epidural infiltration at L3-L4 stage | Active Comparator | In this control arm, there are patients with a non target posterior epidural space infiltration of corticoids done at L3-L4 stage on scan control. These patients must have a discal hernia confirmed by scanner or RMI |
|
| Epidural infiltration on contact of disco radicular conflict | Experimental | In this experimental arm, there are patients with an epidural infiltration of corticoids done in lateral on contact of disco radicular conflict on scan control. These patients must have a discal hernia confirmed by scanner or RMI |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non target epidural infiltration done at L3-L4 stage | Procedure | For patients included in control arm, a non target posterior epidural space infiltration of corticoids will be done at L3-L4 stage on scan control |
| Measure | Description | Time Frame |
|---|---|---|
| Pain evolution on analogic visual scale (EVA) ay Day 30 | at Day 30 after infiltration |
| Measure | Description | Time Frame |
|---|---|---|
| Pain evolution on analogic visual scal (EVA) at Day 7 | at day 7 after infiltration | |
| Pain evolution on analogic visual scal (EVA) at month 3 | at month 3 after infiltration | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eric ET THOMAS, MD | Contact | +33 4 67 33 86 40 | e-thomas@chu-montpellier.fr |
| Name | Affiliation | Role |
|---|---|---|
| Eric ET THOMAS, MD | CHU de Montpellier | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Montpellier - Hôpital Lapeyronie | Recruiting | Montpellier | 34295 | France |
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| Epidural infiltration on contact of disco radicular conflict | Procedure | For patients included in experimental arm, an epidural infiltration of corticoids will be done in lateral on contact of disco radicular conflict on scan control. |
|
| Pain evolution on analogic visual scal (EVA) at month 6 |
| at month 6 after infiltration |
| Pain evolution on analogic visual scal (EVA) at month 12 | at month 12 after infiltration |
| drug consumption at day 7 | at day 7 after infiltration |
| drug consumption at month 3 | at month 3 after infiltration |
| drug consumption at month 6 | at month 6 after infiltration |
| drug consumption at month 12 | at month 12 after infiltration |
| functional handicap at Day 7 | functional handicap is assessed by auto-questionnary | at day 7 after infiltration |
| functional handicap at month 3 | functional handicap is assessed by auto-questionnary | at month 3 after infiltration |
| functional handicap at month 6 | functional handicap is assessed by auto-questionnary | at month 6 after infiltration |
| functional handicap at month 12 | functional handicap is assessed by auto-questionnary | at month 12 after infiltration |
| professional activity recovery at Day 7 | professional activity recovery is assessed by patient's interrogation: if recovery, conditions of recovery, date of recovery. If not recovery, for why? | at day 7 after infiltration |
| professional activity recovery at month 3 | professional activity recovery is assessed by patient's interrogation: if recovery, conditions of recovery, date of recovery. If not recovery, for why? | at month 3 after infiltration |
| professional activity recovery at month 6 | professional activity recovery is assessed by patient's interrogation: if recovery, conditions of recovery, date of recovery. If not recovery, for why? | at month 6 after infiltration |
| professional activity recovery at month 12 | professional activity recovery is assessed by patient's interrogation: if recovery, conditions of recovery, date of recovery. If not recovery, for why? | at month 12 after infiltration |
| new epidural infiltration or surgery of discal hernia at Day 7 | at day 7 after infiltration |
| new epidural infiltration or surgery of discal hernia at month 3 | at month 3 after infiltration |
| new epidural infiltration or surgery of discal hernia at month 6 | at month 6 after infiltration |
| new epidural infiltration or surgery of discal hernia at month 12 | at month 12 after infiltration |
| CHU Carémeau | Recruiting | Nîmes | 30000 | France |
|