A Comparison Study Between Contrast Spread and Loss of Resistance Techniques

Completed · Not applicable

Conditions studied: Cervical Radiculopathy, Neck Pain, Disc Prolapse With Radiculopathy

In brief

Early epidural space identification is critical to the efficacy and safety of cervical epidural steroid injections (CESI) \[1\]. Currently, the accepted method for epidural space recognition is the loss of resistance technique (LORT). I perform CESIs with fluoroscopy only \[2\]. I hypothesized that the contrast spread technique (CST) might recognize epidural space concurrently with or sooner than LORT. I also suggested that smaller needles might be employed with CST but not with LORT. To test my hypotheses, I conducted a comparison study.

Key facts

Study ID

NCT05260294

Run by

Yakov Perper, MD

People needed

45

Starts

2019-08-19

Expected to finish

2019-10-08

Last updated by the study team

2022-03-02

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Clinical and recent MRI findings confirming the diagnosis of cervical radiculitis
• Inadequate pain relief with conservative care for more than 3 months
• Signed informed consent
• The procedure was covered by medical insurance

You may not qualify if…

• Bleeding disorder or anticoagulants therapy
• Serious comorbidities such as congestive heart failure
• Pregnancy
• Uncontrolled diabetes mellitus
• Refusal to participate in the study

Where it is running

• Astoria Pain Management — Astoria, New York, United States

Full record on ClinicalTrials.gov

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