scholarly journals Functional outcome of chronic low back ache due to a prolapsed inter-vertebral disc treated with caudal epidural steroid injection – a prospective study

2020 ◽  
Vol 6 (3) ◽  
pp. 237-240
Author(s):  
Dr. Ranganatha Babu Kurupati ◽  
Dr. Vanka Ashok Kumar ◽  
Dr. Prajwal Shankar Sadalagi ◽  
Dr. B. V Lokesh ◽  
Dr. Sujai S
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Low Back ◽  
Vertebral Disc ◽  
Back Ache ◽  
Epidural Steroid ◽  
A Prospective Study ◽  
Caudal Epidural

scholarly journals Factors Affecting Radiation Exposure during Lumbar Epidural Steroid Injection: A Prospective Study in 759 Patients

2016 ◽  
Vol 17 (3) ◽  
pp. 405 ◽  
Author(s):  
Suyoung Kim ◽  
Joon-Ho Shin ◽  
Joon Woo Lee ◽  
Heung Sik Kang ◽  
Guen Young Lee ◽  
...  
Keyword(s):  
Prospective Study ◽  
Radiation Exposure ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Factors Affecting ◽  
Epidural Steroid ◽  
A Prospective Study

scholarly journals Caudal Epidural Steroid Injection under Fluoroscopy in Management of Chronic Low Back Pain with or without Radiculopathy

2020 ◽  
Vol 9 (1) ◽  
pp. 3-7
Author(s):  
Rupak Bhattarai ◽  
Bandana Paudel ◽  
Sangeeta Subba ◽  
Kumud Pyakurel ◽  
Bijay K. C. ◽  
...  
Keyword(s):  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Pain Clinic ◽  
Low Back ◽  
Steroid Injections ◽  
Epidural Steroid Injections ◽  
Vas Score ◽  
Epidural Steroid ◽  
Caudal Epidural

Background: Low back pain with or without radiculopathy is most common presentations of chronic pain. Caudal epidural steroid injection is one of the treatment modalities of this type of pain syndromes. Materials and Methods: The study was conducted in 100 patient who presented in our pain clinic. These patients were given caudal epidural steroid injections under fluoroscopy guidance with 60 mg depo-methylprednisolone added to 0.5% lignocaine making a volume of 10 ml. All these patients were asked to follow up at pain clinic at 1 month, 3 months & 6 months to assess the visual analogue scale (VAS) score, Oswestry disability index (ODI), Straight leg Raise test (SLRT) & Patient satisfaction scale. Results: There was significant reduction in VAS score in one month, three months and six months follow up after caudal epidural steroid injection. The 50% reduction in pain was seen in 72 patients, 69 patients and 62 patients in one month, three months and six months respectively. The mean VAS score were 7.84 before pre-injection, 4.32 at one hour, 4.06 at one month, 4.18 at 3 months and 4.64 at 6 months after the procedure.The mean ODI were 35.16 before pre-injection, 32.12 at one hour, 28.14 at one month, 28.57 at 3 months and 28.68 at 6 months after the procedure. Conclusion: Caudal epidural steroid injections causes significant relief in pain symptoms of backache with or without radiculopathy and increases the quality of life.  

scholarly journals Study of role of caudal epidural steroid in management of low back pain in Malayalam patients

2019 ◽  
Vol 5 (6) ◽  
pp. 1098
Author(s):  
Jayakrishnan Rajasekharan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Leg Pain ◽  
Lumbar Region ◽  
Low Back ◽  
Visual Analogue Scale Scale ◽  
Epidural Steroid ◽  
Caudal Epidural

<p class="abstract"><strong>Background:</strong> 85 patients of different age groups were treated with caudal epidural steroid injection for the management of low back pain. As low back pain is quite common in adults.</p><p class="abstract"><strong>Methods:</strong> X-ray, MRI of the lumbar region was studied. Degree of the pain was assessed by VAS (visual analogue scale) scale, study of Lumbo-sacral joint was studied to know the causes of low back pain (LBP).<strong></strong></p><p class="abstract"><strong>Results:</strong> As per the MRI study classification LBP was classified as, 16 (16.3%) had Acute back pain without any cause, 14 (14.2%) had spondylolithesis having symptoms of claudication with low back pain. 26 (26.5%) had stenosis of Lumbar canal with symptoms of claudication 42 (42.8%) had disc degeneration with or without root radiation having complaint of back pain and leg pain. The improvement as per VAS scale was from 1 week to 3 months in the management of LBP.</p><p align="center"><strong>Conclusions:</strong> This pragmatic approach to various causes of low back pain managed with epidural steroid injection will be useful to orthopedic surgeon to treat such pain efficiently because back pain becomes common factor as age advances due to resorption or degenerative factors andcurvatures of vertebral column becomes less pronounceds. </p>

Efficacy and safety of ultrasound-guided caudal epidural steroid injection in patients with low back pain and sciatica

2021 ◽  
pp. 1-6
Author(s):  
Kasisin Klunklin ◽  
Apiruk Sangsin ◽  
Taninnit Leerapun
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Conservative Treatment ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Post Injection ◽  
Low Back ◽  
Ultrasound Guided ◽  
Epidural Steroid ◽  
Caudal Epidural

BACKGROUND: Fluoroscopy-guided caudal epidural steroid injection (EDSI) is an option for conservative treatment of low back pain and sciatica; however, repeated exposure to radiation is a concern. With the blind technique, the needle misplacement rate is 30%; hence, ultrasound-guided caudal EDSI is a favored option. OBJECTIVE: To determine the efficacy of ultrasound-guided EDSI for low back pain and sciatica. METHODS: One hundred and ten patients with low back pain and sciatica who were unresponsive to conservative treatment, were prospectively recruited. Ultrasound-guided caudal EDSI was administered at 0, 3, and 6 weeks. Visual Analog Scale (VAS) score was recorded at 0, 2, 4, 12, and 24 weeks. Patients completed the Roland-Morris Disability Questionnaire (RMDQ) at pre-injection and 24 weeks post-injection. RESULTS: VAS was significantly reduced at 2, 4, 12, and 24 weeks (p< 0.01). At 2, 4, 12, and 24 weeks after injection, 20%, 26%, 74%, and 83% of patients displayed > 50% VAS reduction, respectively. The mean pre-injection RMDQ score was 15 and that post-injection at 24 weeks was 7 (p< 0.01). The majority of patients had > 50% reduction in the RMDQ score. CONCLUSIONS: Ultrasound-guided EDSI was safe and efficacious for low back pain and sciatica treatment at the intermediate follow-up.

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