Mechanical Diagnosis and Treatment and/or Steroid Injections for Lumbar Radiculopathy
Status:
Unknown status
Trial end date:
2018-04-30
Target enrollment:
Participant gender:
Summary
Aim 1: The primary aim of this study is to test the feasibility of Mechanical Diagnosis and
Treatment (MDT) +/- transforaminal epidural steroid injections (TESI) on pain and disability
in patients awaiting physiatry consult for lumbar radiculopathy secondary to lumbar disc
herniation, compared to usual care within the current healthcare system in Calgary, Alberta,
Canada.
Hypothesis: the investigators hypothesise that centralisers treated with MDT and
non-centralisers receiving TESIs + MDT will have demonstrate reductions in self-reported pain
and disability, compared to usual care controls.
Aim 2: the investigators will also describe the potential impact on healthcare resources by
tracking surgical rates and self-reported healthcare utilisation during the study period.
Hypothesis: based on predicted reductions in pain and disability, the investigators
hypothesise that there will be a trend toward overall less healthcare utilisation (including
surgery) in the MDT guided group compared to the surgical wait list group.
Phase:
Phase 1
Details
Lead Sponsor:
University of Alberta
Collaborators:
Alberta College and Association of Phyiotherapists University of Calgary