Comments on the article “Selective nerve root blocks vs. caudal epidural injection for single level prolapsed lumbar intervertebral disc – A prospective randomized study”

Sadiq, Mohammed; Hussain, Syed Azher

doi:10.1016/j.jcot.2019.01.015

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…They found that caudal steroid produced better results compared to SNRB. This study had numerous loop holes s pointed out by Mohammed Sadiq et al [17] . They used three doses of caudal steroid compared to only one dose of SNRB.…”

Section: Discussionmentioning

confidence: 77%

Efficacy of selective nerve root block in the management of lumbar radicular leg pain: A prospective study in Indian population

Hussain¹,

Sadiq²,

Nayeemuddin³

2019

Nat. J. Clin. Orthop.

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Lumbar rdiculopathy is a very common problem encountered in day to day practice of every orthopaedic surgeon. Management of this problem varies from only conservative management to complete surgical decompression. Spinal steroid injections also play a role in the management of low to moderate grade of disc disease. Selective nerve root block (SNRB) is a form of directed steroid injection around a particular nerve root. In this study we have evaluated the efficacy of SNRB in a single level disc disease. We found that SNRB is an effective intermediate form of treatment between conservative management and Surgery. Though it produces a significant improvement in pain and disability scores initially, after three months there are chances of recurrence for which surgical management would be required.

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Section: Discussionmentioning

confidence: 77%

Efficacy of selective nerve root block in the management of lumbar radicular leg pain: A prospective study in Indian population

Hussain¹,

Sadiq²,

Nayeemuddin³

2019

Nat. J. Clin. Orthop.

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“…If the contrast agent can be seen in the epidural space as confirmed by X-ray imaging, the needle is correctly placed. A mixture consisting of 80 mg of triamcinolone acetonide and 2 ml of 1% lidocaine is injected [ 22 – 24 ].…”

Section: Methodsmentioning

confidence: 99%

Caudal epidural steroid injections versus selective nerve root blocks for single-level lumbar spinal stenosis: a study protocol for a randomized controlled trial

Osman

Jianhua-Sun

et al. 2021

Trials

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Background Lumbar spinal stenosis (LSS) is a common degenerative condition associated with old age. Its incidence continues to increase with the rapidly aging population in China. Treatment for LSS usually begins with conservative treatments, as some patients refuse surgical procedures or have surgery contraindications. Caudal epidural steroid injections (CESIs) and selective nerve root blocks (SNRBs) are two commonly used conservative treatments for LSS, which have proven to be effective at relieving LSS symptoms in many studies. However, there are no randomized controlled trials comparing these two procedures. We planned the first study to assess which one of these two procedures is more effective in treating LSS. We will compare the efficacy of these two treatment methods in terms of duration of symptom relief and recurrence rate. We hope our findings will help clinicians choose an optimal treatment for LSS patients. Methods/design We plan to conduct a 1-year randomized controlled trial that will include a total of 76 subjects. They will be randomly divided into two groups: group A (patients will receive CESIs) and group B (patients will receive SNRBs). Two days before the procedure, we will assess these patients using the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale, Oswestry Disability Index (ODI), and numeric rating scale (NRS) for pain. One day, 2 weeks, 3 months, 6 months, and 1 year after the procedure, we will assess the condition of these patients again with the NRS and ODI. Discussion We hope our findings will lay the foundation for the design of further comprehensive studies and help clinicians make a choice between CESIs and SNRBs for LSS patients. Trial registration Chinese Clinical Trial Registry ChiCTR1900028038. Registered on 8 December 2019

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Comments on the article “Selective nerve root blocks vs. caudal epidural injection for single level prolapsed lumbar intervertebral disc – A prospective randomized study”

Cited by 2 publications

References 2 publications

Efficacy of selective nerve root block in the management of lumbar radicular leg pain: A prospective study in Indian population

Efficacy of selective nerve root block in the management of lumbar radicular leg pain: A prospective study in Indian population

Caudal epidural steroid injections versus selective nerve root blocks for single-level lumbar spinal stenosis: a study protocol for a randomized controlled trial

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