Ultrasound-guided Transgluteal Sciatic Nerve Hydrodissection for the Treatment of Sciatica in the Emergency Department

Part of paid clinical trials in San Diego, California.

Sponsor
Kaiser Permanente
Study ID
NCT07588126
Status
Completed

Conditions

  • Sciatica Acute
  • Sciatica Pain

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Ultrasound guided transgluteal sciatic nerve hydrodissection — PROCEDURE
    Injection of dextrose in water solution (D5W) under ultrasound guidance into the tissue plane that encloses the sciatic nerve between its two neighboring muscles.

Study Details

The goal of this observational study is to see whether it would be feasible to treat patients who come to the emergency department with pain related to sciatica using an ultrasound guided injection of dextrose in water solution ("sugar water") into the tissue that surrounds the sciatic nerve in the gluteal region. THe study will looks at a few things: * Is the treatment feasible within the setting of the emergency department * Is the treatment safe in the short term (up to 72 hours after the injection) * Is the treatment good for lowering patients' pain from sciatica in the short term (immediate and up to 72 hours' follow up) * How does the treatment compare to current standard medicines given to patients for sciatica in the emergency department in terms of lowering pain Patients who came to the emergency department and had the injection as part of their care for sciatica will answer some questions about their symptoms during a phone call follow up 72 hours after leaving the emergency department.

Key Dates

Start date
Jan 12, 2024
Status verified
Jan 2024
Primary completion
Feb 21, 2025
Completion
Feb 21, 2025

Study Design

Enrollment
69 participants (actual)
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • No Intervention: Comparison group
    These are patients who received current usual or standard treatment for their sciatic pain, such as oral pills and/or intravenous or intramuscular injections with various medications in the emergency department. These patients are followed contemporaneously as a comparison to the patients who received the hydrodissection injection.
  • Other: transgluteal sciatic nerve hydrodissection
    These patients received the transgluteal sciatic nerve hydrodissection injection procedure when a study investigator was present to administer it.

Primary Outcome Measure

Rate of Successful Transgluteal Sciatic Nerve Hydrodissection (TSNH) Procedure Completion Among Eligible Emergency Department Patients [ Time Frame: From enrollment to 72-hour follow-up completion ]

Locations (1)

FacilityCityStateZIPSite coordinators
Kaiser PermanenteSan DiegoCalifornia92123-

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