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Interlaminar Lumbar Epidural Steroid Injections for Pain Relief in Cases of Low Backache due to Disc Prolapse and Canal Stenosis

Volume 7 | Issue 1 | Jan – April 2019 | Page: 19-23 | Sreedhara K Doddery, Nishanth Ampar.


Authors: Sreedhara K Doddery [1], Nishanth Ampar [2].

[1] Department of Orthopaedics, Prime Medical Centre, Bur Dubai, Dubai

[2] Department of Orthopaedics, Kasturba Medical College, Manipal-Manipal Academy of Higher Education

Address of Correspondence
Dr.Nishanth Ampar
Department of Orthopaedics
Kasturba Medical College,Manipal-MAHE
Email: ortho.dr.nishanth@gmail.com


Abstract

Introduction: Low back pain with or without radicular pain is a common problem with a significant impact on the economic and health status of patients. Various treatment modalities are in use with variable outcome. Epidural injections are one of the most commonly performed interventions to provide early pain relief for low backache with radicular pain. However, the evidence is highly variable with regard to the outcome following the interlaminar epidural steroid injections.

Aim: This study was undertaken to assess the efficacy of epidural steroid injection for providing pain relief in cases of low backache with radiculopathy, due to intervertebral disc prolapse prolapsed intervertebral disc (PID) and canal stenosis.

Methods: Among 77 patients, 61 patients completed the follow-up and were included in the final analysis (48 in PID group and 21 in canal stenosis group). Verbal numeric rating scale (VNRS) and Modified North American Spine Society (NASS) patient satisfaction scores were among the parameters used to evaluate the patients.

Results: The patients from both the groups demonstrated significant improvement in post-injection VNRS scores and showed very good satisfaction based on the NASS patient satisfaction scores, with favorable outcome in terms of pain relief.

Conclusions: Interlaminar lumbar epidural steroid injection is a useful, effective, and safe treatment modality for low back pain with radiculopathy due to lumbar intervertebral disc prolapse and/or canal stenosis.

Keywords: Epidural steroid injection, intervertebral disc prolapse, lumbar canal stenosis.


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How to Cite this article: Doddery SK, Ampar N. Interlaminar Lumbar Epidural Steroid Injections for Pain Relief in Cases of Low Backache due to Disc Prolapse and Canal Stenosis. J Kar Orth Assoc. Jan-April 2019; 7(1): 19-23.

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