Status:
COMPLETED
Non-organic Signs to Predict Outcomes for Neck Pain
Lead Sponsor:
Johns Hopkins University
Collaborating Sponsors:
Washington DC VA Medical Center
Seoul National University
Conditions:
Cervical Radiculopathy
Cervical Radicular Pain
Eligibility:
All Genders
18-90 years
Brief Summary
Neck pain is the 4th leading cause of disability in the world, with approximately 50% being neuropathic in nature. Epidural steroid injections (ESI) are one of the most commonly used treatments for ce...
Detailed Description
Seventy-two patients with cervical radiculopathy undergoing an initial ESI for this pain episode will undergo a comprehensive history and physical examination that includes the presence of Spurling te...
Eligibility Criteria
Inclusion
- Age \> 18
- Cervical radicular pain based on history and physical exam (e.g. pain radiating into one or both extremities, sensory loss, muscle weakness, Spurling's test etc.)
- Pain duration \> 6 weeks
- Average NRS arm pain score \> 4
- MRI evidence of disc pathology consistent with symptoms
Exclusion
- Untreated coagulopathy
- Previous spine surgery
- No MRI study
- Epidural steroid injection within past 3 years
- Radiculopathy resulting from tumor or herpes zoster
- Signs or symptoms or myelopathy or spinal cord compression
- Allergic reactions to contrast allergy including macrocyclic gadolinium or depo-methylprednisolone
- Referrals from surgery for diagnostic injections for surgical evaluation
- Serious medical (e.g. congestive heart failure) condition that might preclude optimal outcome
- Pregnancy
Key Trial Info
Start Date :
June 15 2020
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
March 30 2022
Estimated Enrollment :
78 Patients enrolled
Trial Details
Trial ID
NCT04320836
Start Date
June 15 2020
End Date
March 30 2022
Last Update
June 10 2022
Active Locations (3)
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1
DC VA Medical Center
Washington D.C., District of Columbia, United States, 20422
2
Johns Hopkins
Baltimore, Maryland, United States, 21205
3
Seoul National University
Seoul, South Korea