Cervical Epidural Block With or Without Exercises for Chronic Neck Pain

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study compares three treatment approaches for chronic neck pain due to cervical disc pathology or degeneration. Participants receive a cervical epidural steroid injection alone, the injection plus a cervical stabilization exercise program, or the injection plus a physical therapy program. Outcomes include pain intensity, neck-related disability, and quality of life measured at baseline, 1, 3, and 6 months using the Numeric Rating Scale, Neck Disability Index, and the 12-Item Short Form Health Survey. The trial seeks to determine if adding structured exercise or therapy to the block provides additional benefit over the block alone. The study is conducted at Sakarya Training and Research Hospital in Sakarya, Turkey, with 18- to 55-year-old adults recruited based on specific chronic neck pain and radiculopathy criteria.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Aged 18 to 55 years
* Neck pain lasting longer than 3 months
* Diagnosis of cervical radiculopathy
* Numeric Rating Scale (NRS) pain score of 5 or higher

Exclusion Criteria:

* History of spinal surgery
* Cervical spondylolisthesis
* Spinal stenosis
* Presence of a neurological deficit
* History of psychiatric disease
* Polyneuropathy
* History of spinal fracture
* Pregnancy
* History of malignancy
* Known allergy to any medication used in the study
* Central sensitization
* Widespread pain
* Regional pain associated with a systemic disease

Where it's running

• Sakarya Training and Research Hospital
  Adapazarı, Sakarya, Turkey (Türkiye) Recruiting

Study contacts

• Principal investigator: KEMAL NAS, MD, Professor — Sakarya University Training and Research Hospital, Department of Algology
• Study coordinator: Yunus Türkyilmaz, Md
• Email: yunusturkyilmaz54@gmail.com
• Phone: +905415096040

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.