Epidural Steroid Injection in the Management of Patients with Subacute or Chronic Low Back Ache with Radiculopathy due to Herniated Disc
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 6
Abstract
Introduction: Low back ache is the most common problem seen in orthopedic clinic. Low backache with lumbosacral radiculopathy remains the most challenging musculoskeletal problem for its therapeutic management. In around 90% patients, the cause of low back with radiculopathy is a prolapsed disc. Epidural steroid injections are used in the management of patients with subacute or chronic low backache with radiculopathy, not responding to conservative treatment. The aim of study was to check the efficacy of epidural steroid injection in patients of subacute or chronic low backache with radiculopathy due to herniated disc. Material and Methods: The study was conducted over 100 patients reporting to our OPD with chief complaints of LBA with radiculopathy, not responding to conservative treatment. Maximum of three epidural steroid injections were given with two weeks of interval in between. The patients were assessed before and after the procedure and assessment was done using VAS scoring system. Results: In our study, 80% patients got a significant improvement in symptoms according to VAS scoring system. Out of them, 70% improved with only a single dose of ESI, 20% with the second dose and the remaining 10% after third dose. Also the procedure was found to be more effective in treating patients of subacute low backache with radiculopathy rather than the chronic one. Conclusion: ESI is a safe, cost effective and minimally invasive method of treating patients of subacute or chronic LBA with radiculopathy due to herniated disc. The procedure decreases analgesic use and allows early return to work.
Authors and Affiliations
Irfan Andleeb Gul, Tabish Tahir Kirmani, Mohammad Shahid Bhat, Zahid Andleeb Gull
Keywords
Related Articles
- EP ID EP431131
- DOI -
- Views 134
- Downloads 0
Biohemical Parameter of Liver in Congestive Cardiac Failure
Introduction: Liver dysfunctions associated with heart failure are mild in nature and discovered accidently during routine biochemical investigations. The aim of the present study was to determine the importance of liver...
A Comparison between Treatment Outcome of DHS and DCS Fixation in Hip Fracture and its Associated Medical Complications; An Observational Study
Introduction: Trochanteric fractures are devastating injuries that commonly affect the elderly and have a tremendous impact on the health care system and society in general. Fracture are often associated with varies comp...
A New Concept in the Treatment of Oral Venous Malformation using Sclerotherapy
Introduction: Vascular malformations accounts for approximately 7% of all benign tumors, the majority are seen in the head and neck region. Vascular malformations (VM) are a general term used to describe a group of lesio...
Osteosynthesis of un-displaced Femoral Neck Fractures Using Two Canullated Screws. A Study from a Tertiary Care referral institution in India
Introduction: Canullated screws are now universally used for the fixation of femoral neck fractures either by open or closed reduction in younger patients. It is not only difficult to achieve a proper triangular configur...
Hellp Syndrome - A Study from a Tertiary Centre in India
Introduction: HELLP Syndrome is a life threatening obstetric complication usually considered to be variant/complication of pre-eclampsia. National Institute of Health estimates that one in every four pregnant patient dev...