Open AccessNo difference in pain reduction after epidural steroid injections in diabetic versus nondiabetic patients: A retrospective cohort study
Author(s) -
Francis Wong,
Bahram Namdari,
Suzanne Dupler,
Mario Farias Kovac,
Natalya Makarova,
Jarrod E. Dalton,
Alparslan Turan
Publication year - 2016
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.173334
Subject(s) - medicine , diabetes mellitus , retrospective cohort study , hyperalgesia , epidural steroid injection , cohort , chronic pain , anesthesia , low back pain , physical therapy , endocrinology , nociception , pathology , alternative medicine , receptor
Diabetes affects peripheral and central neurons causing paresthesia, allodynia, hyperalgesia, and spontaneous pain. However, the effect of diabetes on response to epidural steroid injection (ESI) remains unknown. We hypothesized that diabetic patients receiving ESI will have different pain scores compared to nondiabetic patients. We tested a secondary hypothesis that pain reduction differs at different levels of hemoglobin A1c (HbA1c) for patients with diabetes.