A prospective clinical assessment of the role of caudal epidural steroid injections in the management of chronic low backache
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 5, Pages 281-286
AbstractAims: The aim of this study was to find Role of caudal epidural steroid injections in the management of chronic low backache.
Materials and Methods: A prospective study was conducted in the Department of Orthopaedics, Shri Shankaracharya Institute of Medical Sciences, Bhilai, Chhattisgarh, India for the period of 1 year. Total 80 Patients with chronic low back pain and sensory symptoms not responding to conservative management were include in this study. They were evaluated clinically before and after epidural steroid on the basis of pain, unrestricted activities of day to day life and work performance on the basis of visual analogue scale and oswestry disability index.
Results: Total 120 ESI were given to 80 patients. 50 patients were given single injection, while 20 had two and 10 received three ESI doses. We included total 80 cases in this study, 35 were males and 45 females with chronic LBP.Out of 80 cases of LBP, Lumbar disc herniation was seen in 26, lumbar canal stenosis in 8 and degenerative disc disease in 14 cases while 32 cases had non-specific LBP. Follow up was done at one week, one month and then every three months up to twelve months of treatment (post third ESI 9 months).Mean pre ESI, VAS was 7.06 while it was 4.75 at one year of treatment. Mean pre ESI, ODI score was 58.88 while after twelve months of treatment with ESI it was 44.74 at one year. We obtained excellent results in 26.75 percent, good in 37.5 percent, fair in 22.5 percent while poor in 13.75 percent patients.
Conclusion: ESIs are very effective and significantly reduce pain in patients with chronic function-limiting LBP.
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