Comparing Ultrasound-Guided Transgluteal Nerve Block to Standard Care

Phase

N/A

Condition

Sciatica

Radiculopathy

Treatment

nerve block with ropivacaine

Standard medical treatment

Clinical Study ID

NCT07397117

25-44506

Ages > 18
All Genders

Study Summary

The goal of this clinical trial is to compare transgluteal sciatic nerve block to standard of care to treat sciatic back pain in adult patients who present to the emergency department.

The main question it aims to answer is: Is a transgluteal sciatic nerve block better than standard of care in improving pain in ER patients with sciatic back pain?

If there is a comparison group: Researchers will compare patients who receive transgluteal sciatic nerve blocks to patients who receive standard of care to see if pain scores improve in ER patients with sciatic back pain.

Participants will be randomized into the transgluteal sciatic nerve block group or the control group (standard of care). Participants will be asked to answer questions about their pain and will be asked to walk a timed short distance.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Adults aged 18 years and older
Presentation to ED with:
Acute or acute-on-chronic pain consistent with sciatica, defined as unilaterallumbosacral radicular pain radiating from the lower back or gluteal region to theposterior leg, may extend distal to the knee.
Pain score ≥ 5/10 on Numeric Rating Scale (NRS)

Exclusion

Exclusion Criteria:

Known allergy to study medications (e.g., local anesthetics)
Coagulopathy or current anticoagulation therapy
Suspected or confirmed spinal infection, or tumor
Neurological deficits (bowel or bladder dysfunction, leg weakness)
Inability to provide informed consent

Study Design