Open AccessCAUDAL EPIDURAL STEROIDS
Author(s) -
Malik Yasin Awan,
Mohammad Amjad
Publication year - 2015
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2015.22.09.1051
Subject(s) - medicine , surgery , anesthesia , incidence (geometry) , lumbar , pain relief , optics , physics
About 85% of the population experience low back pain duringadulthood and annual incidence is 5 to 15% with no gender discrimination. Design: Quasiintervention experimental study. Setting: DHQ teaching Hospital & at Fazil Memorial HospitalGujranwala. Period: November 2010 to November 2012 (two years). Material & Methods:Hundred patient fulfilling the inclusion criteria with SYMPTOMATIC LUMBER DISC herniationwere selected. Efficacy was determined by improvement in Denis Pain scale and Mcnab’sfunctional criteria. Safety was determined by absence / rareness of complications i.e spinalanesthesia, transient hypotension, and paresthesia, difficulty in voiding, infection andmeningitis. Follow up was weekly for 6 weeks Results: Out of hundred cases 53 were gentsand 47 were ladies. Mean age was 37.56 (22-50 yrs). Maximum cases 72% were in third decadeof life. Maximum pain relief was noted after three weeks of first injection, 72% of the cases wereeither having no or mild pain. Functional recovery was excellent in 44% and good in 40% of thepatients. Complications were fewer and mild, Spinal anesthesia in 2%, transient hypotensionin 3%. Paresthesia in 8% and 10% of the patient developed supra pubic fullness but only oneneeded catheterization. Infection and meningitis was not observed in any case. Conclusions:Caudal epidural steroids injection is safe & effective mode of treating lumbar disc herniation.