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Transforaminal injection of chronic radicular lower limb injection by either dexmedetomdine or magnesuim sulfate
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | Other | Dexamethasone 4 mg (1ml) plus 40 mg ( 2ml) lidocaine 2% plus 1ml sterile saline |
|
| Magnesuim group | Active Comparator | . 200 mg Mg sulfate (1ml) plus 4 mg dexamethasone(1ml) plus 40mg lidocaine 2% (2ml) |
|
| Dexmedetomidine group | Active Comparator | Dexmedetmodine 50mic (0.5ml) ,4 mg dexamethasone (1ml), 40 mg lidocaine 2% (2ml) added to 4ml total volume with sterile saline . |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| epidural transforaminal injection of magnesuim sulfate | Drug | transforaminal fluroscopic guided |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain score | visual analogue pain score. pain value of (0 cm) equals no pain , and value of (10 cm) equals worst pain | up to 6 months post-injection |
| Measure | Description | Time Frame |
|---|---|---|
| functional disability | Modified Oswestry Disability Questionnaire....0% to 20%: minimal disability:....21%-40%: moderate disability: 41%-60%: severe disability...61%-80%: crippled | up to 6 months post injection |
| acute complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Minia University | Minya | Minia University Hospital | 6115 | Egypt |
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| epidural transforaminal injection of dexmedtemodine | Drug | transforaminal fluroscopic guided |
|
|
| transforaminal epidural injection of dexamethasone | Drug | transforaminal fluroscopic guided |
|
|
number of patients developed epidural hematoma by magnetic resonance imaging
| 6 hours post-injection |
| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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