Article Sidebar

PDF (Tiếng Việt)
Published: 2024-10-30
Abstract Views: 32
Views PDF (Tiếng Việt): 50
DOI: https://doi.org/10.52163/yhc.v65iCD10.1602
Issue
Vol. 65 No. CĐ10 - Bệnh viện Thống Nhất
Section
Articles
How to Cite
Kiên, T. T., Tiến, L. V., & Nguyễn, N. C. (2024). 17. EVALUATION OF THE EFFECTIVENESS OF TREATING CHRONIC LUMBAR RADICULOPATHY WITH STEROID EPIDURAL BLOCKAGE. Vietnam Journal of Community Medicine, 65(CĐ10 - Bệnh viện Thống Nhất). https://doi.org/10.52163/yhc.v65iCD10.1602

17. EVALUATION OF THE EFFECTIVENESS OF TREATING CHRONIC LUMBAR RADICULOPATHY WITH STEROID EPIDURAL BLOCKAGE

Tran Trung Kien1, Luu Vinh Tien1, Nguyen Chi Nguyen1
1 Thong Nhat Hospital

Main Article Content

Abstract

Objective: To evaluate the treatment outcomes of chronic lumbar radiculopathy using steroid epidural nerve block.


Subjects and Methods: A non-controlled interventional study involving patients with chronic radiculopathy treated with steroid epidural nerve block at Thong Nhat Hospital, Ho Chi Minh City, from June 2023 to January 2024.


Results: The VAS scores after intervention at 1 week, 1 month, and 3 months were 4.3 ± 0.78, 3.2 ± 0.9, and 3.2 ± 0.9, respectively, showing a significant reduction compared to the pre-intervention VAS score of 7.3 ± 0.3. One case of transient exacerbation of pain was noted.


Conclusion: The application of steroid epidural nerve block is a preliminary method that demonstrates effectiveness and safety.

Article Details

Keywords

chronic lumbar radiculopathy, steroid, epidural blockage

References

[1] Kalichman L, Suri P, Guermazi A, Li L, Hunter DJ (2009) Facet orientation and tropism: Associations with facet joint osteoarthritis and degenerative spondylolisthesis. Spine (Phila Pa 1976): 34(16): 579-585.
[2] Leclaire R, Fortin L, Lambert R, Bergeron YM, Rossignol M (2001) Radiofrequency facet joint denervation in the treatment of low back pain: A placebo-controlled clinical trial to assess efficacy. Spine (Phila Pa 1976) 26(13): 1411-1416; discussion 1417.
[3] Martin WJ, Ashton-James CE, Skorpil NE, Heymans MW, Forouzanfar T (2013) What constitutes a clinically important pain reduction in patients after third molar surgery? Pain Research & Management, 18(6): 319-322.
[4] Nath S, Nath CA, Pettersson K (2008) Percutaneous lumbar zygapophysial (Facet) joint neurotomy using radiofrequency current, in
the management of chronic low back pain: A randomized double-blind trial. Spine (Phila Pa 1976) 33(12): 1291-1297.
[5] Ghaly RF, Zouki T, Pynadath A, Candido KD, Knezevic NN (2018) Transforaminal epidural steroid injection can result in further neurological injury in a patient with severe foraminal stenosis and nerve impingement. Surg Neurol Int 9: 159.
[6] Vanneste T, Van Lantschoot A, Van Boxem K & Van Zundert J (2017) Pulsed radiofrequency in chronic pain. Current opinion in anaesthesiology 30(5): 577-582. https://doi.org/10.1097/ACO.0000000000000502.
[7] Ameet S. Nagpal ,*, To-Nhu Vu , Benjamin Gill, Aaron Conger , Zachary L. McCormick , Belinda Duszynski , Brian T. Boies (2022) Systematic review of the effectiveness of caudal epidural steroid injections in the treatment of chronic low back or radicular pain
[8] Caraköse Çalışkan D, Akesen S, Türker YG & Gurbet A (2021) The effect of combined pulsed radiofrequency treatment to dorsal root ganglion with transforaminal epidural steroid injection on pain. Agri: Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology 33(4): 223-231. https://doi.org/10.14744/agri.2021.9482