Status:

COMPLETED

The Efficacy of Oral Steroids in the Treatment of Acute Sciatica

Lead Sponsor:

Kaiser Permanente

Conditions:

Sciatica

Eligibility:

All Genders

20-60 years

Phase:

PHASE3

Brief Summary

Sciatica (lumbosacral radiculopathy) is a common diagnosis in primary care, occurring in approximately one percent of all patients with acute low back pain. (1, 2) Traditional treatment generally invo...

Detailed Description

Inclusion Criteria To be included in this study patients had to have a diagnosis of acute sciatica as determined by the principle investigator based on the following criteria: unilateral leg pain ext...

Eligibility Criteria

Inclusion

  • A diagnosis of acute sciatica as determined by the principle investigator based on the following criteria:
  • unilateral leg pain extending below the knee (with or without strength, sensory, or reflex changes); and
  • a positive straight leg raising sign (defined as as pain radiating from the buttock to below the knee with elevation of the leg between zero and sixty degrees)
  • recruited into the study within one week of the onset of symptoms

Exclusion

  • Current pregnancy
  • A history of:
  • diabetes renal failure upper gastro-intestinal bleed major psychiatric disease
  • Presence of any 'red flag' symptoms suggestive of more serious underlying disease as defined by the United States Agency for Healthcare Policy Research document: "Acute Low Back Problems In Adults" (11) including:
  • a history of cancer
  • unexplained weight loss
  • fever or chills
  • night sweats
  • a history of intravenous drug use, saddle anesthesia, bowel or bladder incontinence, bone pathology, or a Neurologic emergency.
  • Any condition that the principle investigator thought might jeopardize the patient's safety

Key Trial Info

Start Date :

February 1 2002

Trial Type :

INTERVENTIONAL

End Date :

April 1 2004

Estimated Enrollment :

160 Patients enrolled

Trial Details

Trial ID

NCT00317447

Start Date

February 1 2002

End Date

April 1 2004

Last Update

April 24 2006

Active Locations (1)

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1

Kaiser-Permanente

Santa Rosa, California, United States, 95403