Trans-foraminal Lumbar Epidural Injection of Dexmedetomidine Against Magnesium Sulfate When Combined With Dexamethasone in Uni-lateral Lower Limb Radicular Pain. Multi-centeric Comparative Study

Trans-foraminal Lumbar Epidural Injection of Dexmedetomidine Against Magnesium Sulfate When Combined With Dexamethasone in Uni-lateral Lower Limb Radicular Pain. Multi-centeric Comparative Study

Transforaminal injection of chronic radicular lower limb injection by either dexmedetomdine or magnesuim sulfate

Inclusion Criteria:

• Age group. 25-75ys old
• Both sex.
• Lumber disc protrusion at one or two segments on MRI.
• Chronic lumbar radiculer pain for more than 6 weeks refractory to
• medical treatment for at least 4 weeks. .
• Positve leg rising test at 30-70 degrees.

Exclusion Criteria:

• Diabetic candidates ( type Ior II).
• Patient refusal.
• MRI with disc sequestration.
• Neurological examination revealed foot drop, neuropathic ulcers
• Myelopathic or scoliotic patients, .
• Coagulopathic patients ( cirrhotic patients, on anti-coagulation )