The efficacy of transforaminal epidural steroid injections in lumbosacral radiculopathy

Roy, Chinmoy; Chatterjee, Nilay; Patro, Satya Narayan; Chakraborty, Amit; Kumar, G R Vijay; Sengupta, Robin

doi:10.4103/0028-3886.86541

Cited by 12 publications

(7 citation statements)

References 10 publications

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“…[3,4] A great majority of patients presenting with low back pain complaints benefit from conservative and noninvasive modes of treatment that include bed rest, oral medications, corsets and physical therapy but one-fourth of these patients are likely to reappear at the hospital within the same year due to a relapse of the condition.Ten percent of such patients become chronic cases and 10%-15% ultimately need surgery. [1,3,[5][6][7] Of patients undergoing surgery, 20% go through another surgical procedure due to continued pain. [8] This situation has led patients to consider more effective and minimally invasive treatment options.…”

Section: Introductionmentioning

confidence: 99%

Effect Of Transforaminal Anterior Epidural Steroid Injection On Neuropathic Pain, Quality Of Sleep And Life

Sarı

Aydın

Güleser

et al. 2015

Agri

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Özet Amaç: Bu çalışmada bel ağrısı dolayısı ile transforaminal anterior epidural steroid injeksiyonu (TAESİ SummaryObjectives: Transforaminal anterior steroid injections are frequently used for low back pain. In the current study, It was aimed to investigate the effects of transforaminal anterior epidural steroid injection (TAESI) in patients with low back pain in regards to quality of life and sleep, and neuropathic pain. Methods: Ethics committee approval and patient consent were obtained. Patients with low back pain scheduled to receive transforaminal epidural steroid injections between October 2011 and October 2012 were included into the study. Pittsburgh Sleep Quality Index (PSQI), Short form 12 (SF 12), DN4 tests and Visual Analog Scale Score (VAS) were measured prior to procedure and three months later. All the tests were compared with baseline evaluations prior to injections. Results: One hundred and two (female/male: 52/50) patients with a mean age of 53.3±1.4 were included. Primary diagnoses were lumbar disc herniation in eighty-seven patients, spinal stenosis in seven and failed back surgery syndrome in eight patients. Statistically significant improvement was seen in the total VAS, DN4 and PSQI scores (p=0.0001) of the patients at the third month follow-up. Sleep duration (p=0.0001), habitual sleep efficiency (p=0.0001), subjective sleep quality (p=0.003), sleep latency (p=0.014), sleep disturbances (p<0.001), sleep medication use (p=0.003), and day time dysfunction (p=0.015) showed a significant decrease in sub-components. There was no significant difference in SF 12 quality of life. Conclusion: It was determined in the study that transforaminal epidural steroid injection provided a substantial improvement in patients' pain and neuropathic pain and quality of sleep, but had no effect on the quality of life.

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Section: Introductionmentioning

confidence: 99%

Effect Of Transforaminal Anterior Epidural Steroid Injection On Neuropathic Pain, Quality Of Sleep And Life

Sarı

Aydın

Güleser

et al. 2015

Agri

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“…Also, Roy et al 22 found that transformational epidural steroid significantly reduced pain NRS and disability scores until 12 months after injection. Moreover, Turunen et al 23 examined the long-term outcome of lumbar transpedicular instrumented posterolateral fusion in patients with varied diagnoses and reported the greatest improvement in ODI and pain VAS values was in patients who had degenerative spondylolisthesis with spinal stenosis, followed by patients who had FBSS after one to three laminectomy operations, while the lowest was in patients who had adult isthmic spondylolisthesis, and they concluded that long-term outcomes of lumbar instrumented posterolateral fusion were satisfactory for > 80% of patients.…”

Section: Resultsmentioning

confidence: 99%

Management for failed back surgery syndrome: three-in-one procedure versus percutaneous spinal fixation alone

Mohamed

Salama

Salem

et al. 2017

Southern African Journal of Anaesthesia and Analgesia

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“…20 Roy et al, their overall success at 24 hours was 79%, at 1 month 60%, at 6 months 58.5% and at 1 year 59%. 21 There are several factors for varied results like patient selection, technique of injection, dosage of steroid and follow up. In our study, majority of the patients who were a failure with this technique, had long duration of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Correlation of functional results of caudal epidural steroid injections with duration of symptoms in PIVD

Singh

Bhavsar

et al. 2018

Int J Res Orthop

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Background: Low backache and sciatica is a common complaint signifying some underlying pathology; it may be a soft tissue strain or disc protrusion, or conditions such as neoplasm or ankylosing spondylitis besides others. We aim to assess the functional outcome of epidural steroid injection in patients with low backache and sciatica as well as the effect of pre operative duration of symptoms in Indian population presenting to our centre, on the post procedure outcome, if any.Methods: 50 patients were evaluated with complaints of low backache and radiculopathy. They were subjected to following questionnaires including the ODI and VAS, and the scores were evaluated before and after the intervention, and at every follow up.Results: Patients commonly affected were from 4th and 5th decade. The commonest intervertebral disc involved was L4-5 (44%) followed by L5-S1 (30%). Significant Functional status improvement according to ODI scoring was observed in all follow up visits. Similarly significant reduction in pain intensity according to VAS scoring was observed in all follow up visits. On comparing the improvement in functional status (ODI) and pain (VAS) between the 3 groups, it is seen that patients in group A had the highest rate of improvement, while patients in group C had the least improvement.Conclusions: Caudal epidural injections are safe, effective and less expensive modality of treatment without any significant complications. The lesser the duration of symptoms i.e. earlier the patient presents, better are the results with caudal epidural injection.

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The efficacy of transforaminal epidural steroid injections in lumbosacral radiculopathy

Cited by 12 publications

References 10 publications

Effect Of Transforaminal Anterior Epidural Steroid Injection On Neuropathic Pain, Quality Of Sleep And Life

Effect Of Transforaminal Anterior Epidural Steroid Injection On Neuropathic Pain, Quality Of Sleep And Life

Management for failed back surgery syndrome: three-in-one procedure versus percutaneous spinal fixation alone

Correlation of functional results of caudal epidural steroid injections with duration of symptoms in PIVD

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