Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Lower back pain constitutes over 50% of orthopedic clinical presentations. Initial management typically involves a combination of rest, analgesics and physiotherapy. Epidural steroid injection (ESI) is increasingly being recognized as a reliable and effective modality for the management of chronic low back pain in orthopedic practice globally. This preliminary report presents findings from an ongoing prospective study on the use of ESI in the treatment of low back pain in patients admitted to the Department of Orthopedics at Tagore Medical College and Hospital, Chennai. A prospective clinical trial was conducted on patients presenting with chronic low back pain unresponsive to conventional conservative management. Clinical assessments were performed pre‐and post‐intervention using the Japanese Orthopaedic Association (JOA) Score. Pain severity, improvement in clinical signs and functional outcomes, including the ability to perform activities of daily living (ADLs), were systematically evaluated and documented. A total of 20 patients were prospectively observed over an average follow‐up period of one year. The mean duration of symptoms prior to intervention was six months. Following administration of an epidural steroid injection, 85% of patients reported significant pain relief within 24 hours, although some exhibited a delayed onset of analgesic effect. The mean duration of sustained pain relief was approximately 20 days. At the three‐month follow‐up, clinical outcomes were stratified as excellent in 45% of patients, good in 40%, fair in 10% and poor in 5%, based on functional and symptomatic improvement. Overall, 95% of patients demonstrated the ability to perform activities of daily living (ADLs) independently. No major adverse events, including neurovascular complications, dural puncture, or infectious sequella, were reported throughout the study period. Epidural steroid injection (ESI) is a well‐established and efficacious interventional therapy for the management of chronic low back pain. It facilitates a temporary pain‐free interval, enabling patients to participate in physiotherapeutic rehabilitation, thereby promoting functional recovery and enhancing overall treatment outcomes.
How to cite this article:
Sathish Balaji, B. Balaji, Radhakrishnan and Mohnish Sudhan. A Prospective Study on Effectiveness of Therapeutic Trans Kambin Block in Management of Lumbar Radiculopathy.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.2.308.313
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.2.308.313