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

Kurupati, Ranganatha Babu; Kumar, Vanka Ashok; Sadalagi, Dr. Prajwal Shankar; Lokesh, BV; Sujai, S

doi:10.22271/ortho.2020.v6.i3d.2207

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 With the advent of epidural analgesia by Corning in 1885, from around 90 years epidural medication has been a modality for pain relief. 5 Drugs like procaine, cocaine, normal saline were used. Steroid administration has a history of four decades in use for management of prolapsed intervertebral disc.…”

Section: Introductionmentioning

confidence: 99%

Outcome of transforaminal nerve root block using posterolateral approach in patients with low back ache due to PIVD in a tertiary care centre of North India

Raina

Gupta

Kour³

et al. 2021

Int J Res Med Sci

View full text Add to dashboard Cite

Background: Back ache has become a common phenomenon in our society, reason being our sedentary and unhealthy lifestyle. Transforaminal administration of steroid and analgesia is an important modality in the conservative management of prolapsed lumbar disc. The aim of this study is to assess functional outcome of transforaminal epidural analgesic injection in cases of chronic back pain due to prolapsed intervertebral disc.Methods: 152 patients who fulfilled the inclusion and exclusion criterias were given the block and were compared pre and post injection using ODI score.Results: Most patients in study were in fourth or fifth decade and had complained of pain for more than a year. L4-L5 was found to be the most common level involved. Post injection 129 patients out of 152 reported minimal pain and most of the patients reported improvement in pain post block.Conclusions: We concluded that tranforaminal block is an effective method of achieving pain relief in most patients for some duration and can help in delaying and in some cases avoiding the need for surgery.

show abstract

Section: Introductionmentioning

confidence: 99%

Outcome of transforaminal nerve root block using posterolateral approach in patients with low back ache due to PIVD in a tertiary care centre of North India

Raina

Gupta

Kour³

et al. 2021

Int J Res Med Sci

View full text Add to dashboard Cite

show abstract

Correlation Between Direction of Prolapsed Intervertebral Disc (PIVD) And Lumbar Vertebral Alignment

Jain,

Shinde,

Jain

2024

International Journal of Disabilities Sports and Health Sciences

View full text Add to dashboard Cite

Abstract Low back pain results from a deviation from the spine's neutral position. The lumbar spine experiences the highest mechanical and weight bearing loads due to its close proximity to the centre of gravity in the human body. Low back discomfort is frequently brought on by herniated lumbar discs. Complete disc prolapse can be caused by a number of things, including severe injury, persistent strain, and weak core muscles. The study's objective was to establish a link between direction of a prolapsed intervertebral disc (PIVD) and lumbar vertebral alignment.This cross-sectional study included 102 participants with prolapsed intervertebral discs in the lumbar segment and lumbar vertebral mal-alignment of both sexes between the ages of 30 and 50 who had undergone MRI and X-ray for the lumbo-sacral spine. The Numerical Pain Rating Scale (NPRS) was used to assess outcome, MRI scans were used to determine the direction and amount of PIVD, and lumbar spinal alignment was assessed using X-rays in the AP and lateral views. SPSS version 23.0 was used for statistical analysis. The study found that 47% of 102 people aged 46-50 with PIVD were affected, with 68.62% at the L4-5 level and 42.2% at the L5-S1 level, with posterocentral and biforaminal locations being most common. The findings suggest that there was a significant relationship between the direction of prolapsed intervertebral disc (PIVD) and lumbar vertebral alignment.

show abstract

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

Cited by 2 publications

References 4 publications

Outcome of transforaminal nerve root block using posterolateral approach in patients with low back ache due to PIVD in a tertiary care centre of North India

Outcome of transforaminal nerve root block using posterolateral approach in patients with low back ache due to PIVD in a tertiary care centre of North India

Correlation Between Direction of Prolapsed Intervertebral Disc (PIVD) And Lumbar Vertebral Alignment

Contact Info

Product

Resources

About