Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Low back pain is a common disease in all ages and it effects seriously quality of life. Medical treatment,interventional methods and surgery are the treatment options. Transforaminal epidural steroid injections (TFSI) is one of the interventional method for radiculopathy with low back pain. Michigan State University(MSU) classification is a MRI based disc herniation classification. It helps to classified disc herniation in types, places and sizes.
The aim of this study to evaluate the pain and oswestry disability index in patients who have radiculopathy with low back pain, undergone TFSI according to MSU classification.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MSU Classification 1A | Experimental | Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 1A |
|
| MSU Classification 1B | Experimental | Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 1B |
|
| MSU Classification 1C | Experimental | Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 1C |
|
| MSU Classification 2A | Experimental | Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 2A |
|
| MSU Classification 2B | Experimental | Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 2B |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transforaminal Epidural Steroid Injection | Procedure | Epidural injections have been used since about 1900 for the treatment of low back and lower extremity pain, with steroids added to local anesthetics in about 1950. The epidural space can be entered by 3 approaches: caudal, interlaminar, and transforaminal. Transforaminal Epidural Steroid Injections: After the patient is monitored in pron position and asepsis is ensured, the epidural space is entered with the appropriate needle through the transforaminal space by giving the necessary angles to the fluoroscopy. Then the location is confirmed with radiopaque agent and steroid injection is performed. The procedure takes 15-20 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| Change of the pain severity score | Pain severity is assessed by using "Numeric Rating Scale" (NRS). Patients give score of their pain between 0 (no pain) and 10 (worst possible pain). The change in NRS scores between the ten groups will be compared. | Pre-intervention, post-intervention 1th month and post-intervention 3rd month |
| Change of the disability score | Disability conditions of the patients are assessed by using "Oswestry Disability Index" (ODI). ODI is a patient completed questionnaire which gives a percentage score of disability. The ODI is comprised of 10 items and enquires about functional limitations in various activities of daily living with the index score ranging from 1 (best) to 100 (worst). The change in ODI scores between the ten groups will be compared. | Pre-intervention, post-intervention 1th month and post-intervention 3rd month |
Not provided
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Tuba Tanyel Saraçoğlu, MD | Başakşehir Çam & Sakura City Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Başakşehir Çam and Sakura City Hospital | Istanbul | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40172933 | Derived | Tanyel Saracoglu T, Erken B. Impact of transforaminal epidural steroid injection on pain and disability outcomes by lumbar intervertebral disc herniation class: a prospective study. Pain Med. 2025 Aug 1;26(8):440-450. doi: 10.1093/pm/pnaf040. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| MSU Classification 2C |
| Experimental |
Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 2C |
|
| MSU Classification 3A | Experimental | Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 3A |
|
| MSU Classification 3B | Experimental | Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 3B |
|
| MSU Classification 2AB | Experimental | Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 2AB |
|
| MSU Classification 3AB | Experimental | Transforaminal Epidural Steroid Injection, MSU classification according to MRI images 3AB |
|
|
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D007405 | Intervertebral Disc Displacement |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
Not provided
Not provided