Journal LogoEpidural steroid injection is a low-risk alternative to surgical intervention in the treatment of lumbar disc herniation. The objective of this study was to determine the efficacy of epidural steroid injection in the treatment of patients with a large, symptomatic lumbar herniated nucleus pulposus who are surgical candidates. One hundred patients who had no improvement after a minimum of six weeks of noninvasive treatment were enrolled in a prospective, non-blinded study and were randomly assigned to testosterone sale either epidural steroid injection effectiveness of epidural steroid injection for the management of symptomatic herniated lumbar disc discectomy. Evaluation was performed with the use of outcomes scales and neurological examination. Those who did not obtain relief from the injection had a subsequent tren e dosage, and their outcomes did not appear to have been adversely affected by the delay in surgery resulting from the trial of epidural steroid injection. Epidural steroid injection was not as effective as discectomy with regard to reducing symptoms and disability associated with a large herniation of the lumbar disc.
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Low-back pain is a common clinical presentation of herniated lumbar disc. This is the most common presenting complain of the young adults. The incidence of low back pain is high in our part of the world. The reason may be hilly terrain, difficult working and living environment.
The initial treatment of low back pain is conservative. Epidural steroid injection ESI is being slowly established as a simple, effective and minimally invasive treatment modality.
The aim of this study is to assess the effectiveness of epidural steroid injection for low back and radicular pain. This is a Prospective observational study. It was carried out on the patients presenting with the complain of low back and radicular pain due to herniated lumbar disc not responding to conservative treatment. Injection Methyl prednisolone 80 mg and 2 ml of 0. The functional status of the patient and the severity of pain were evaluated before injection and after injection during the follow-up period by using Ostrewy disability index and visual analogue score.
Sixty two patients received the epidural steroid injections, but only fifty patients came for regular follow up till six months. Among the fifty patients, 26 were male and 24 were female. No major complications were encountered. The ESI is a simple, safe, effective and minimally invasive modality for the management of symptomatic herniated discs.