Epidural corticosteroid injection for radicular back pain: An unaswered question
|IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:84
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013, India [Click for Full details]
Authors: Kumar S, Jamil J, Sajid I
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Introduction: Low back pain and lumbar radicular pain are leading cause of morbidity worldwide. Therapeutic approaches to lumbar radicular pain, including sciatica, are diverse. Epidural corticosteroid injections have a role in managing radicular pain, but well-designed studies have yet to validate their use. The aim of this study is to provide us with a clear, documented idea of when, where and how to use corticosteroid injections in patients with radicular back pain.
Methods: 113 patients with newly exacerbated lumbar radicular pain were chosen who had undergone conservative management until now in the form of bed rest and physiotherapy without any improvement. A control group with similar complains and consisting of 89 patients with same age and sex profile were managed with bed rest and physiotherapy alone. For both groups the pain in the second week, and every month thereafter was assessed using a numerical rating scale (NRS). Patient morbidity level was assessed by Oswestry low back pain score.
Results: Remarkable improvement in one month NRS, occurred in 96 patients treated with epidural steroid injections (85%) compared with those in control group (39 patients, 44%). Patients in group treated with epidural steroid injections also showed marked improvement in their Oswestry low back pain score as compared with patients of control group.
Conclusion: In case of lumbar radicular pain with wisely chosen patient, epidural steroid injection is an effective modality of treatment.
|How to Cite this Abstract|
|Kumar S, Jamil J, Sajid I. Epidural corticosteroid injection for radicular back pain: An unaswered question . International Journal of Conference Proceedings 2015;(2015):84|