Is it worth to give steroid in caudal epidural injections? A prospective randomized controlled study
Journal Title: Scientific Journal of Medical Science - Year 2014, Vol 3, Issue 7
Abstract
Background: Epidural injection, besides surgical decompression, is now one of the most common modality of treatment in lumbar disc herniation who doesn’t responds to conservative therapy. The main aim of our study was to evaluate the role of fluoroscopically guided caudal epidural injection with or without steroids in patients of one or two level lumbar disc herniation. Material and methods: Two groups were made group N and group S. Each patient in group S received 2ml (80 mg) of methyl prednisolone mixed with10ml of lignocaine (2%) and diluted in 18 ml of normal saline and group N received 10 ml of lignocaine (2%) with 20 ml of normal saline. A total of 3 caudal epidural injections were given to each patient at an interval of 3 weeks. All patients were prospectively assessed with examination of straight leg raising ,visual analogue scale pain scores and Oswestry Disability Scale at 1, 3 ,6,9,12 month interval. Results: No statistically significant differences were observed in the baseline scores between the 2 groups. At follow up, Pain scores, ODI and SLR changed significantly from baseline in both groups, with no significant differences between the two groups except at the 1 month where decrease in VAS and ODI SCORE was significantly more in group S. No patient reported any major immediate or late complication(s) following caudal epidural injection. Conclusion: Normal saline or saline mixed with steroid provides same benefit at long term but at one month steroid group patients showed more relief as compared to saline group.
Authors and Affiliations
S. Kumar| Department of Orthopaedics, Era's Lucknow Medical College, Lucknow, India., S. Singh| Department of Orthopaedics, Era's Lucknow Medical College, Lucknow, India., R. Verma| Department of Anaesthesiology, Era's Lucknow Medical College, Lucknow, India.
Keywords
Related Articles
- EP ID EP1271
- DOI 10.14196/sjms.v3.i7.1521
- Views 437
- Downloads 31
Undergraduate medical students ‘attitudes towards learning communication skills
Communication is an essential skill for establishing physician-patient relationships and for effective functioning among health care professionals. This skill can be learnt effectively during the under graduate medical s...
Incidence of malignancy in non toxic multi-nodular goiter an institutional experience
Objective: To determine the frequency of malignancy in multinodular goiter patients undergoing thyroid surgery in our institution. Place and duration of study: This is a prospective study was done on patients in t...
Carotid artery intima-media thickness is a marker for coronary artery disease
Although cardiac mortality has declined over the past four decades, coronary artery disease (CAD) remains the leading cause of mortality worldwide. Considering the importance of CAD and effectiveness of primary preventi...
Prevalence of asthma in the subjects attending multi specialty centre OPD, Ballimaran, Delhi
The burden of Asthma in developing countries such as India isof sufficient magnitude to warrant its recognition as a priority in governmenthealth strategies. Particular resources need to be provided to improve the careof...
Inverted eruption of supernumerary tooth in the anterior maxilla- report of a rare case
Inverted teeth have been reported in both maxilla and mandible and most of them are inverted impacted third molars and premolars. However, very few cases of intraoral inverted tooth eruption have been reported till date....