Evaluation of Erector Spina Plane Block(ESPB)'s Effectiveness on Patients With Lumbar Radiculopathy

• Status: Recruiting
• Trial end date: 2022-11-30
• Target enrollment: 0
• Participant gender: All

Summary

A new regional anaesthetic block technique is described in this issue of Anaesthesia by Chin et al. whereby local anaesthetic is injected within a plane beneath the erector spinae muscle to achieve analgesia for abdominal surgery. After this the block has been used successfully for many implications such as post-herpetic neuralgia, thoracic and abdominal chronic or acute pain management, rib fractures, breast surgery, chronic cancer pain and etc. Cadaveric and radiologic data showed that contrast injected into the tissue plane deep to erector spinae muscle and superficial to the transverse processes and intertransverse connective tissues penetrates anteriorly to anesthetize the spinal nerves. And some cadeveric studies resulted with where both the dorsal and ventral rami of the thoracic spinal nerves were marked with dye after ESPB. Some studies even showed that dye reached to the epidural space. In this manner we we hypothesize that ESPB could be effective with radiculopathy pain.

• Phase: Early Phase 1
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Bezmialem Vakif University
• Treatments: Analgesics; Anti-Inflammatory Agents

Criteria

Inclusion Criteria:

• Aged between 18 and 75

• MRI proven radiculopathy

• Pain level on NRS should be at least 4 and above

Exclusion Criteria:

• Congenital or acquired musculospinal deformities

• Pregnancy or lactation

• Systemic inflammatory or infectious diseases

• Patients with high risk of bleeding(usage of coumadin etc)

• Malignancy

• Neuromuscular diseases

• Unstable psychiatric condition

• Patient get any kind of intervention(transforaminal or epidural injections, radiofrequency treatment etc) to the pain source