lower back pain is one of the most common painful disorders with the lifetime prevalence of around 54‐80%. 25‐60% of patients have persisting low back pain with one year beyond initial episode. This condition often disrupts work, social activities and daily living. Majority of patients improve with rest, pharmacotherapy and physical therapy. Spinal injections are also used in conjunction with medication and physiotherapy to supplement the benefits in patients with radiculopathy. Commonly used spinal injections are transforaminal epidural steroid injection, caudal epidural steroid injection and inter laminar epidural steroid injection. Our study aimed to assess the functional outcome of caudal epidural steroid injection in patients of lower back pain with radiculopathy, focusing on pain relief and potential complications. A total of 30 individuals of low back pain with radiculopathy were selected and administered with caudal epidural steroid injection under fluoroscopy control. Follow‐up assessment was conducted at 1 hour post injection, 1 week, 4 weeks, 8 weeks and 12 weeks. Pain score was analysed with Visual Analog Scale score. Caudal epidural steroid injection exhibited excellent results in early follow‐ups with VAS score <3, transitioning to a moderate pain relief with VAS score of 4 at 8 weeks and VAS score of 5 by the 12‐weeks post procedure. No potential complications were noted with the procedure. Caudal epidural steroid injection proves to be the effective modality of pain relief in patients of low back ache with radiculopathy. It is safe, easy to administer, well‐tolerated, outpatient intervention and associated with fewer complications.
Adarsh U. Thuppad, Santosha , H.M. Naveena and R. Manjunatha. Evaluation of Functional Outcome of Caudal Epidural Steroid Injection in Patients of Chronic Low Back Ache with Radiculopathy.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.381.386
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.381.386