Chronic Low Back Pain in a Young Patient

2018 ◽  
Author(s):  
Nebojsa Nick Knezevic ◽  
Teresa M. Kusper ◽  
Kenneth D. Candido
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Correct Diagnosis ◽  
Age Groups ◽  
Health Care Expenditures ◽  
Health Concern ◽  
Low Back ◽  
Epidural Steroid Injections ◽  
Epidural Steroid

Chronic low back pain (CLBP) in young adults is a great public health concern. CLBP affects individuals across all age groups with varying frequency, and it is associated with significant disability and morbidity, missed school or work, loss of productivity, and substantial health care expenditures. It can occur suddenly as a result of injury, or develop gradually due to degenerative changes in the spine. Correct diagnosis and proper management, usually involving a multidisciplinary approach, are paramount for optimal pain management. Usually, combinations of conservative management (pharmacologic and nonpharmacologic) with epidural steroid injections can achieve long-term pain relief and relapse prevention.

scholarly journals Evaluation of therapeutic efficacy of epidural steroid injections in lumbar spine with patients of chronic low back pain

2017 ◽  
Vol 3 (6) ◽  
pp. 1218
Author(s):  
Saket Jati ◽  
Mohammad Danish ◽  
Tanveer Sheikh ◽  
Ajay Varun
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Intervertebral Disc ◽  
Disc Herniation ◽  
Chronic Low Back Pain ◽  
Therapeutic Efficacy ◽  
Low Back ◽  
Steroid Injections ◽  
Epidural Steroid Injections ◽  
Epidural Steroid

<p class="abstract"><strong>Background:</strong> Intervertebral disc herniation, spinal stenosis, intervertebral disc degeneration without disc herniation, and post lumbar surgery syndrome are the most common diagnoses of chronic persistent low back and lower extremity symptoms, resulting in significant economic, societal, and health care impact. Epidural injections are one of the most commonly performed interventions in managing chronic low back pain (LBP) along with surgical intervention. Cost effectiveness and affordability has become the cornerstone of evidence-based medicine, and has an influence on coverage decisions, especially in developing countries such as India. LBP is a common problem. The aim of this study was to find the therapeutic efficacy of epidural steroid injections (ESIs) in chronic LBP.</p><p class="abstract"><strong>Methods:</strong> 50 patients presenting with LBP with or without radiculopathy treated with ESIs were prospectively followed for average duration of 12 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Fifty patients were included in this study with average age 51.02±7.1, out of these 26 (52%) were males and 24 (48%) females. Significant pain relief (&gt;50%) was demonstrated in 43 (71%) of patients and functional status improvement was demonstrated by a reduction of 40% in Oswestry disability index (ODI) score in 49 (81%) patients.</p><p><strong>Conclusions:</strong> ESIs are very effective and significantly reduce pain in patients with chronic function-limiting LBP.</p>

scholarly journals Comparison of Transforaminal and Parasagittal Epidural Steroid Injections in Patients With Radicular Low Back Pain

2015 ◽  
Vol 5 (3) ◽  
Author(s):  
Masoud Hashemi ◽  
Mohamad Reza Aryani ◽  
Sirus Momenzadeh ◽  
Seyed Sajad Razavi ◽  
Gholamreza Mohseni ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Steroid Injections ◽  
Epidural Steroid Injections ◽  
Epidural Steroid
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