A Comparative study to evaluate the effectiveness of lumbar epidural local anaesthetic injection with or without corticosteroid in managing chronic low back pain
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
The aim was to compare and evaluate the effectiveness of lumbar epidural local anaesthetic injections with and without corticosteroids in managing low back pain. We studied a 100 patients to assess effectiveness of epidural injections with local anaesthetics (bupivacaine 0.25%) with or without steroids with regards to subjective outcomes as per pain relief by using VAS (visual analogue scale) and McGill Pain Questionnaire and objective outcomes (assessed by Straight Leg Raising test [SLR]) at the same time points - baseline prior to treatment, 3 hours after epidural injection, at 6 weeks, at 3 months. The adverse effects or complications of epidural injection, if any were noted. We concluded that the inclusion of steroids did not provide any additional benefit compared with injection of local anesthetic alone. However epidural steroid should be considered before surgical intervention. After early adequate pain control, rehabilitation can be effective and function can be restored.
Authors and Affiliations
Dr. Sandeep Ingle, Dr. Sanjay Bharti
Keywords
Related Articles
- EP ID EP488046
- DOI 10.22271/ortho.2018.v4.i4g.64
- Views 80
- Downloads 0
Is PHILOS as good as it sounds to be? Analysis of complications and functional outcome of PHILOS plating
Aim: Proximal humeral fractures have posed a challenge for internal fixation. Among several methods, most recently, PHILOS (Proximal humeral Internal Locking system) plates have been promoted as most effective method to...
Prospective study of unstable distal radius fractures treated with external fixation in Indian rural set-up
Aim: Distal radius fracture is common fracture in daily orthopaedic practice accounting for 1/6th of all the fractures. Conventionally the fractures were treated with closed reduction and immobilization with casts. Even...
Cemented modular bipolar hemiarthroplasty of hip in treatment of unstable intertrochanteric fractures in elderly patients
Aim: The aim of this study is to find out this treatment option can lead to the best clinical and functional outcomes. Patients and Methods: Twenty patients admitted to Hospital between Jan 2013 and Dec 2015 with a diagn...
Different surgical methods to manage avascular necrosis of head of femur
A prospective study was carried out on 30 patients who underwent core decompression, bipolar hemiarthroplasty, cemented/uncemented Total Hip Replacement in Department of Orthopaedics, NRI Institute of Medical Sciences. T...
Arthroscopic fixation of anterior cruciate ligament tibial avulsion fractures using fibre wire with endobutton
Purpose: Most tibial eminence fractures are avulsion fractures of the anterior cruciate ligament (ACL) from its tibial insertion. The most common fixation techniques for tibial avulsion fractures of the anterior cruciate...