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CO-RELATION, STRATEGIES AND MANAGEMENT PROTOCOLS OF INTERVENTIONAL SPINAL BLOCKS IN TREATMENT OF LOW BACK PAIN DISORDERS. - http://jocponline.com

CO-RELATION, STRATEGIES AND MANAGEMENT PROTOCOLS OF INTERVENTIONAL SPINAL BLOCKS IN TREATMENT OF LOW BACK PAIN DISORDERS.

jocpadmin April 8, 2015 CO-RELATION, STRATEGIES AND MANAGEMENT PROTOCOLS OF INTERVENTIONAL SPINAL BLOCKS IN TREATMENT OF LOW BACK PAIN DISORDERS.2015-04-08T15:22:06+00:00 IJOCP – Volume 2015 – Issue March 2015, Uncategorized

Authors: Dr. Shailesh Hadgaonkar, Dr. Sameer Ruparel, Dr.Ketan Khurjekar, Dr.Ajay Kothari, Dr.Ashok Shyam, Dr.Parag Sancheti

Authors Affiliations: Sancheti Institute for Orthopaedics & Rehabilitation, Pune. India

Address of correspondence: ruparelsameer@gmail.com

Abstract

Purpose of study: To study the efficacy of management protocol devised based on clinico- radiological correlation for treatment of low back pain disorders by interventional spinal blocks.

Methods: A prospective study of 227 patients who underwent the procedure based on the designed management protocol was done. Patients were analysed pre operatively and at 6 months on the basis of VAS, SF 36 and Modified Oswestry Disability Index scores.

Results: The average MODI pre op was 51.13 [SD= 11.7722] which reduced to 29.88 [SD= 15.5607]. The average PCS and MCS pre operatively for SF 36 were 24.08 [SD= 5.9655] and 54.11 [SD= 4.5511] respectively and the post op values were 39.27 [SD= 10.5573] and 52.21 [SD= 5.5587]. Average pre-op VAS score was 5.05 [SD= 0.9344] and post op was 2.83 [SD= 1.5476]. All the above values were statistically significant. [P value < 0.05] when compared with paired t test. The results were considered efficacious in 59.91% with post op VAS score less than or equal to 3.

Conclusion: Appropriate selection criteria, clinical severity of pain and disability are the important parameters in decision making .We suggest an algorithm based on our clinical experience in management of low back pain disorders.

How to Cite this Abstract

Hadgaonkar S. CO-RELATION, STRATEGIES AND MANAGEMENT PROTOCOLS OF INTERVENTIONAL SPINAL BLOCKS IN TREATMENT OF LOW BACK PAIN DISORDERS. International Journal of Conference Proceedings. March 2015;(2015):25