Racz Catheter Technique Versus Conventional Technique in Lumbar Epidural Steroid Injection for Management of Low Back Pain

Last updated: March 8, 2025
Sponsor: Tanta University
Overall Status: Completed

Phase

N/A

Condition

Chronic Pain

Treatment

Racz catheter

Conventional lumbar steroid injections

Clinical Study ID

NCT06599723
36264PR800/8/24
  • Ages 18-65
  • All Genders

Study Summary

The aim of this study is to compare Racz catheter technique and conventional technique in lumbar epidural steroid injection for the management of low back pain.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age from 18 to 65 years.

  • Both sexes.

  • Patients suffering from persistent lumbar pain, grade 1 spondylolisthesis, facetosteoarthropathy, and small disc on radiological findings.

Exclusion

Exclusion Criteria:

  • Uncooperative patients.

  • Contraindications to perform the proper technique e.g., coagulopathy and skininfection.

  • History of allergy to contrast medium.

  • Rupture disc.

  • Lumbar canal stenosis.

  • Previously operated traditional spine surgeries.

Study Design

Total Participants: 60
Treatment Group(s): 2
Primary Treatment: Racz catheter
Phase:
Study Start date:
September 17, 2024
Estimated Completion Date:
March 06, 2025

Study Description

Low back pain (LBP) is defined as a localized discomfort sensation below the costal margin and above the inferior gluteal folds, with or without leg pain. Conservative treatment for LBP is focused on delaying or preventing the need for surgery. Indeed, LBP can improve spontaneously or with non-surgical treatment. However, cases that fail to improve with conservative management may need to be considered for a surgical approach.

The epidural injection is a well-founded anesthetic and analgesic technique; moreover, nowadays, new technological devices can help anesthesiologists to learn and to administer it. One of these devices is Racz catheter epidural adhesiolysis. Racz catheter epidural adhesiolysis treatment addresses two issues, the injectate always reaches the area being targeted also the injections are likely to loosen fibrotic adhesions which may be the main cause of the pain in some cases.

Connect with a study center

  • Tanta University

    Tanta, El-Gharbia 31527
    Egypt

    Site Not Available

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