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Volume 12 Issue 2 ( April- June) 2023

Original Articles

Therapeutic efficacy of epidural bupivacaine with or without corticosteroid in intervertebral disc prolapse: A randomised controlled study
Dr.Deepak HR, Dr.Somashekar D, Dr.Sowrabh Kulkarni

The role of local anaesthetics or saline in epidural injections is emerging. There have been contradicting opinions regarding whether steroids produce superior clinical effects compared with local anaesthetics or saline. A meta-analysis stated that epidural injections with only local anaesthetics obtained comparable clinical benefits to those with mixture of local anaesthetics and steroids. Some studies have reported that local anaesthetics and steroids are equally effective in pain control and functional improvements in patients with low back pain or stenosis, and that it is not necessary to use epidural injections of steroids in such cases. MeanODIat12thweekwas16.34+12.304ingroupSBwhichwas significantly lower compared to group Bwhich was 29.22+12.189. Mean VAS score at 12thweek was 1.98+1.525 which was significantly lower compared to group B in which it was 3.46+1.614. Mean VAS score at 12thweek was 1.98+1.525 which was significantly lower compared to group B in which it was 3.46+1.614. There was significant difference in repeated need for analgesics between the groups with higher need in B(bupivacaine only) group. In conclusion, the present study found that interlaminar epidural steroid injections are efficient in decreasing VAS and ODI scores at 3 month follow-upinpatientswithchroniclowbackpainwithradicularpainwhowere diagnosed with intervertebral disc.

 
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