About this trial
This study aims to evaluate the diagnostic accuracy of the straight leg raise test in patients with suspected lumbosacral radicular pain. Lumbosacral radicular pain is often caused by lumbar disc herniation and may radiate from the lower back or buttock to the leg. Although the straight leg raise test is commonly used in clinical practice, its diagnostic performance has been reported to vary.
In this study, diagnostic transforaminal epidural steroid injection or selective nerve root block will be used as the reference standard. The sensitivity, specificity, likelihood ratios, and area under the curve of the straight leg raise test will be calculated. The findings may help guide clinicians in determining when the straight leg raise test is sufficient and when further diagnostic confirmation may be needed.
Eligibility criteria
Qualifiers
Age between 18 and 65 years.
Preliminary diagnosis of lumbar radicular pain based on medical history, physical examination, and lumbar magnetic resonance imaging.
Patients scheduled to undergo transforaminal epidural injection targeting the L4, L5, or S1 nerve root.
Disqualifiers
Inability to access clinical or procedural records in the hospital system.
Absence of available radiological records related to the target level, if required.
Inability to provide reliable NRS or straight leg raise test assessment due to cognitive impairment or language barrier.
Coagulopathy, defined as INR > 1.5 or platelet count < 80,000/mm³, or inability to discontinue anticoagulant or antiplatelet therapy when required.
Trial design
Treatments tested in this trial
- Not listed