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Caudal Analgesia & Anticoagulated Patient

This study is investigating a specific type of pain relief injection called caudal analgesia, often used for long-term lower back pain. However, many people with ongoing pain also take blood-thinning medications for other health conditions. These medications usually make procedures like caudal analgesia riskier due to the chance of bleeding around the spinal cord. Traditionally, patients might have to stop their blood thinners temporarily, which can be dangerous for some. This research aims to find out if caudal analgesia can be a safe and effective option for these patients without them having to interrupt their vital blood-thinning treatment. It's looking at existing patient data to understand the outcomes and any potential problems.

At a glance

Status
Recruiting
Sponsor
Salem Anaesthesia Pain Clinic
Enrolment target
100
Start
02 Jan 2008
Estimated completion
31 Dec 2025

What is this study about?

If you suffer from ongoing lower back pain, you might have heard of or even considered a treatment called caudal analgesia. This is a type of injection designed to help reduce pain in your lower back and legs.

However, some people who experience chronic pain also take medications that thin their blood. These 'blood thinners' are very important for treating conditions where there's a risk of blood clots. The concern with blood thinners and injections like caudal analgesia is the increased risk of bleeding, particularly in an area around the spinal cord called the epidural space. This has traditionally made it difficult for people on blood thinners to receive this type of pain relief.

This study is looking into whether caudal analgesia can be safely and effectively given to patients who are also taking blood thinners. Instead of conducting new experiments, researchers are carefully reviewing information from patients who have already had this treatment. They are examining the results to see everyone's experience, how much pain relief they got, and if any problems came up. The goal is to understand if this valuable pain treatment can be made more widely available to people who also rely on blood-thinning medication.

Key takeaways

  • This study is about pain relief for lower back pain.
  • It focuses on patients who also take blood-thinning medications.
  • The study reviews existing patient data to see if a certain injection (caudal analgesia) is safe and effective.
  • It aims to reduce bleeding risks for people on blood thinners needing this treatment.
  • The findings could lead to more pain relief options for these patients.
  • No new patients are being recruited for treatment in this particular study.

Who may be eligible?

This study is looking at information from adults who have already received caudal analgesia for their long-term pain.

To be included, the person must be an adult who has experienced ongoing pain and undergone caudal analgesia. There are no other specific health conditions required, but the focus is on those who may also have been taking blood thinners.

People who were offered caudal analgesia but chose not to have it would not be included in the information being reviewed for this study.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you an adult aged 20-99?
  2. Have you experienced long-term pain?
  3. Have you previously had a caudal analgesia injection?
  4. Did you take blood-thinning medication at the time of your injection (or was this a consideration)?
  5. Did you *not* refuse the caudal analgesia procedure when it was offered?
Answer every question to see your result.

What does participation involve?

This study is a bit different because it's not asking people to take part in new treatments or tests. Instead, researchers are looking at existing medical records and information from patients who have already received caudal analgesia. Therefore, if you are a patient whose information is being reviewed, you wouldn't need to attend extra appointments, take any special medication, or have additional follow-up visits specifically for this study. Your participation simply involves the use of your anonymised medical data from a previous procedure.

Potential risks and benefits

There are no direct risks to individuals whose data is being reviewed for this study, as no new procedures or treatments are being performed. The main potential benefit of this research is that it could help doctors understand if caudal analgesia is a safe and effective treatment option for more people, especially those who also take blood-thinning medications. This could lead to better pain management for many in the future. As this study involves looking at past, anonymised records, there is no right to withdraw your personal participation once your data has been included, as it's part of a historical medical review.

Locations (1)

  • Salem Anaesthesia Pain Clinic
    Verified postcode
    Surrey, Canada· Recruiting

Common questions

What is caudal analgesia?

Caudal analgesia is an injection used to help relieve pain in your lower back and legs.

What are blood thinners?

Blood thinners are medications that help prevent blood clots and are important for various health conditions.

Why is it usually a problem to have this injection when on blood thinners?

Blood thinners can increase the risk of bleeding, especially around the nerves in your spine, which can be serious.

Will I have to do anything if my information is part of this study?

No, this study is reviewing existing patient records, so you won't need to do anything extra.

What is the main goal of this research?

The goal is to find out if caudal analgesia can be a safe and helpful pain treatment for people who also take blood thinners.

How to find out more

Olu Bamgbade, MD,FRCPC

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "Caudal Analgesia & Anticoagulated Patient…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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