At a glance
ClinicalIndex Comparison Record- ✓Age 18-80 years
- ✓Unilateral cervical radiculopathy C4-C8
- ✓MRI pathology consistent with symptoms
- ✓Pain severity NRS ≥4
- ✕Active infection
- ✕Bleeding disorders or current anticoagulant/antiplatelet use
- ✕Allergy to CESI medications
- ✕Pregnancy
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Prospective Randomized Comparative Trial of Targeted Injection Via a Transforaminal Approach With Dexamethasone Versus an Epidural Catheter Via an Interlaminar Approach With Particulate Steroid for the Treatment of Cervical Radicular Pain
In Brief
A Phase 4 clinical trial evaluating Transforaminal ESI with dexamethasone, Transforaminal catheter-targeted ESI with triamcinolone, and 3 other interventions for Cervical Radiculopathy. Completed, enrolled 120 participants across 1 site.
Detailed Summary
Do cervical epidural steroid injections done by transforaminal catheter targeted approach improve pain and function in patients with cervical radicular pain?
Study Details
Timeline
Interventions
Catheter-targeted ESI via interlaminar access at the C7-T1 level with dexamethasone sodium phosphate 1.5 mL (10 mg/mL) and 1 ml 1% lidocaine (total volume 2.5 mL).
Catheter-targeted ESI via interlaminar access at the C7-T1 level with triamcinolone acetonide 2 mL (40mg/mL) and 1 ml 1% lidocaine (total volume 3 mL).
Transforaminal ESI with dexamethasone 1.5 mL of dexamethasone sodium phosphate in group #1
1 mL of 1% lidocaine as diluent for the steroid in both group #1 and group #2
Transforaminal catheter-targeted ESI with triamcinolone acetonide 2 mL in group #2