Can a Virtual Reality Modality Substitute for Procedural Sedation and Improve Tolerance in Patients Receiving Epidural Steroid Injections for Pain? A Randomized Controlled Trial.
Are you eligible to participate in this study?
You may be eligible for this study if you meet the following criteria:
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Conditions: Back Pain,covid-19
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Age: Between 18 years - 105 years
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Gender: Male or Female
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Other Inclusion Criteria:
- Provision of signed and dated informed consent form.
- Stated willingness to comply with all study procedures and lifestyle considerations and availability for the duration of the study.
- Lumbosacral radicular pain, with duration of pain greater than 6 weeks and no previous lumbar spine surgery.
- Documented diagnosis of radicular pain caused by herniated disc, central stenosis, foraminal stenosis, degenerative disk disease.
- Willingness to adhere to undergo ESI with either sedation (Midazolam and/or fentanyl) or with virtual reality.
- Able to appear for a follow up visit between 24-40 days following the performed intervention.
You may not be eligible for this study if the following are true:
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- MRI findings discordant with symptoms.
- Previous lumbosacral spine surgery at the area affected.
- Prior ESI within the past 6 months.
- Allergy to contrast dye.
- Poorly controlled psychiatric conditions that could affect outcomes (e.g. active substance abuse) or impose a barrier to participation (e.g. anxiety disorder requiring procedural sedation).
- Morbid obesity.
- Anticoagulation therapy that cannot be stopped and could warrant a different treatment approach.
- Local infection over the needle insertion site or systemic infection.
If you are registered as a volunteer, please log in to contact the study team/express interest in this study.