Outcome of transforaminal nerve root block using posterolateral approach in patients with low back ache due to PIVD in a tertiary care centre of North India

Authors

  • Gagandeep Singh Raina Department of Orthopaedics, 3Department of Anaesthesia, Government Medical College, Jammu, Jammu and Kashmir, India
  • Sanjeev Gupta Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India
  • Bhavneet Kour Department of Pathology, ASCOMS, Jammu, Jammu and Kashmir, India
  • Zubair A. Lone Department of Orthopaedics, Government Medical College, Jammu, Jammu and Kashmir, India
  • Anita Kour Department of Anaesthesia, Government Medical College, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20211414

Keywords:

Back ache, PIVD, Transforaminal, Nerve root block, TFESI

Abstract

Background: Back ache has become a common phenomenon in our society, reason being our sedentary and unhealthy lifestyle. Transforaminal administration of steroid and analgesia is an important modality in the conservative management of prolapsed lumbar disc. The aim of this study is to assess functional outcome of transforaminal epidural analgesic injection in cases of chronic back pain due to prolapsed intervertebral disc.

Methods: 152 patients who fulfilled the inclusion and exclusion criterias were given the block and were compared pre and post injection using ODI score.

Results: Most patients in study were in fourth or fifth decade and had complained of pain for more than a year. L4-L5 was found to be the most common level involved. Post injection 129 patients out of 152 reported minimal pain and most of the patients reported improvement in pain post block.

Conclusions: We concluded that tranforaminal block is an effective method of achieving pain relief in most patients for some duration and can help in delaying and in some cases avoiding the need for surgery.

Author Biography

Gagandeep Singh Raina, Department of Orthopaedics, 3Department of Anaesthesia, Government Medical College, Jammu, Jammu and Kashmir, India

pg resident in orthopedics

References

Rivera CE. Lumbar epidural steroid injections. Phys Med Rehabil Clin N Am. 2018;29(1):73-92.

VanTulder M, Koes B, Bombardier C. Low back pain. Best Pract Res Clin Rheumatol. 2002;16(5):761-75.

Tore KS, Oystein PN, Kristin S, Dag H, Tor I. The risk of “getting worse” after lumbar microdiscectomy. Eur Spine J. 2005;14(1):49-54.

Corning JL. Spinal anaesthesia and local medication of the spinal cord. New York Med J. 1885;31:483-5.

Kurupati RB, Kumar VA, Sadalagi PS, Lokesh BV, Sujai S. Functional outcome of chronic low back ache due to a prolapsed inter-vertebral disc treated with caudal epidural steroid injection: a prospective study. Int J Orthop Sci. 2020;6(3):237-40.

Karppinen J, Malmivaara A, Kurunlahti M, Kyllonen E, Pienimaki T, Nieminen P, et al. Periradicular infifiltration for sciatica: a randomized controlled trial. Spine. 2001;26(9):1059-67.

Schaufele MK, Hatch L, Jones W. Interlaminar versus transforaminal epidural injections for the treatment of symptomatic lumbar intervertebral disc herniations. Pain Physician. 2006;9(4):361-6.

Ghai B, Bansal D, Kay JP, Vadaje KS, Wig J. Transforaminal versus parasagittal interlaminar epidural steroid injection in low back pain with radicular pain: a randomized, double-blind, activecontrol trial. Pain Physician. 2014;17(4):277-90.

Leung SM, Chau WW, Law SW, Fung KY. Clinical value of transforaminal epidural steroid injection in lumbar radiculopathy. Hong Kong Med J. 2015; 21(5):394-400.

Ghahreman A, Ferch R, Bogduk N. The efficacy of transforaminal injection of steroids for the treatment of lumbar radicular pain. Pain Med. 2010;11:1149 68.

Rosenberg SK, Grabinsky A, Kooser C, Boswell MV. Effectiveness of transforaminal epidural steroid injections in low back pain: A one year experience. Pain Physician. 2002;5:266 70

Parasuraman M, Karunakaran J, Duvvuru A, Shanmugam N. Role of transforaminal epidural steroid injection in chronic disc pain. J Orthop Spine. 2020;8:12-5.

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Published

2021-04-28

How to Cite

Raina, G. S., Gupta, S., Kour, B., Lone, Z. A., & Kour, A. (2021). Outcome of transforaminal nerve root block using posterolateral approach in patients with low back ache due to PIVD in a tertiary care centre of North India. International Journal of Research in Medical Sciences, 9(5), 1394–1397. https://doi.org/10.18203/2320-6012.ijrms20211414

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Original Research Articles