Actively Recruiting
Comparison of Lumbar Erector Spinae Plane Block and Lumbar Interlaminar Epidural Steroid Injection for Lumbar Disc Herniation
Led by Diskapi Teaching and Research Hospital · Updated on 2025-09-25
80
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to compare the effectiveness of two interventional procedures for patients with lumbar disc herniation causing chronic low back and leg pain. It focuses on patients who have failed conservative treatments like medication and physical therapy and have undergone either fluoroscopy-guided lumbar interlaminar epidural steroid injection (LESI) or ultrasound-guided lumbar erector spinae plane block (LESP). The study assesses pain relief and functionality over time in a real clinical setting without altering the treatment plans. Participants will have received routine LESI or LESP procedures in the clinic. During LESP, ultrasound guides the needle to block nerves near the erector spinae muscles, while LESI involves fluoroscopy to place steroids and anesthetics into the epidural space of the lumbar spine. Both procedures aim to relieve pain and improve function. The study follows patients at 2, 6, and 12 weeks after treatment to compare outcomes. Patients will be monitored through pain scales including the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) before the procedure and at follow-up visits. Baseline pain and disability scores are gathered from patient files and direct assessment before follow-up starts. The study tracks changes in pain and disability at multiple time points to evaluate how well each treatment works, without affecting standard care or requiring new group assignments.
CONDITIONS
Brief Title
Lumbar Disc Hernia, Erector Spinae Plane Block, Ilesi
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients with chronic low back pain caused by L4-L5 and L5-S1 lumbar disc herniation confirmed by MRI
- Patients with low back pain above 5 on the Visual Analog Scale lasting more than 6 weeks
- Patients who have not achieved pain relief with conservative treatments such as analgesics and physical therapy
You will not qualify if you...
- Patients who have had previous lumbar surgery
- Patients with spinal deformity or spinal stenosis
- Patients with uncontrolled diabetes
- Patients allergic to the drugs used in the procedures
- Patients with psychiatric comorbidities
- Patients with local or systemic infections
- Patients with blood clotting disorders
- Patients with rheumatological diseases
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Single treatment visit with follow-up lasting up to 12 weeks
Participants receive either an ultrasound-guided erector spinae plane block or a fluoroscopy-guided lumbar interlaminar epidural steroid injection to treat lumbar disc herniation.
1 treatment visit and 3 follow-up visits at 2, 6, and 12 weeks after treatment
Trial Site Locations
Total: 1 location
1
Etlik City Hospital
Ankara, Turkey (Türkiye)
Actively Recruiting
Research Team
E
EMINE YUKSEL
G
GOKHAN YILDIZ
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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