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Volume 8 Issue 2 (February, 2020)

Original Articles

Assessment of Transforaminal and Caudal epidural steroid injections for radiating low back pain: A comparative study
Anil Gupta, Burhan Bhat

Background: The present study was undertaken for assessing and comparing the efficacy of Transforaminal and Caudal Epidural Steroid Injections Outcome for the treatment of Lumbar Radiculitis. Materials & methods: A total of 40 patients with history of radiating low back pain were enrolled and were broadly divided into two study groups as follows: Group A: Patients who were treated with Transforaminal epidural steroid injection, and Group B: Patients who were treated with causal epidural steroid injection. With all aseptic precautions, patients were placed in the prone position and the X ray projection was focused on the epiphyseal plate of the upper and lower vertebral body. All the patients in both the study groups were treated according to their respective study groups. Pain relief after the epidural steroid injection was assessed using Visual analogue scale (VAS) and Oswestry Disability index (ODI). All the results were summarized in Microsoft excel sheet and were analyzed by SPSS software. Results: While comparing the mean VAS among the patients of both the study groups, it was observed that mean VAS was significantly lower among patients of group A in comparison to patients of Group B. While comparing the mean ODI among the patients of both the study groups, it was observed that mean ODI was significantly lower among patients of group A in comparison to patients of Group B. Conclusion: In treating patients with chronic low back pain, Transforaminal approach exhibits superior efficacy in comparison to caudal approach and hence; should be performed with increasing frequency. Key words: Caudal, Transforaminal, Epidural, Steroid

 
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