Randomized, Controlled, Double-Blind Trial of Fluoroscopic Caudal Epidural Injections in the Treatment of Lumbar Disc Herniation and Radiculitis

Pain Management


Chronic Pain Management


A Randomized, Controlled, Double-Blind Trial of Fluoroscopic Caudal Epidural Injections in the Treatment of Lumbar Disc Herniation and Radiculitis


Manchikanti L, Singh V, Cash KA, et al (Pain Management Ctr of Paducah, KY; Pain Diagnostics Associates, Niagara, WI; et al) Spine 36:1897-1905, 2011§



S.E. Abram, MD



Evidence Ranking


• A



Expert Rating


• 1



Abstract



Study Design


A randomized, controlled, double-blind trial.



Objective


To assess the effectiveness of fluoroscopically directed caudal epidural injections in managing chronic low back and lower extremity pain in patients with disc herniation and radiculitis with local anesthetic with or without steroids.



Summary of Background Data


The available literature on the effectiveness of epidural injections in managing chronic low back pain secondary to disc herniation is highly variable.



Methods


One hundred twenty patients suffering with low back and lower extremity pain with disc herniation and radiculitis were randomized to one of the two groups: group I received caudal epidural injections with an injection of local anesthetic, lidocaine 0.5%, 10 mL; group II patients received caudal epidural injections with 0.5% lidocaine, 9 mL, mixed with 1 mL of steroid.


The Numeric Rating Scale (NRS), the Oswestry Disability Index 2.0 (ODI), employment status, and opioid intake were utilized with assessment at 3, 6, and 12 months posttreatment.

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Jan 28, 2017 | Posted by in ANESTHESIA | Comments Off on Randomized, Controlled, Double-Blind Trial of Fluoroscopic Caudal Epidural Injections in the Treatment of Lumbar Disc Herniation and Radiculitis

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