BACKGROUND CONTEXT: Epidural steroid injection is widely used in the management of spinal pain, and the management of nerve root pain. Although there are a number of studies which demonstrate an advantage for epidural steroid injection over simple steroid injection or placebo injection, there is no study which tells us whether there is any long term advantage for the patients. PURPOSE: To assess whether epidural steroid injection (ESI) is effective in the treatment of nerve root pathology caused by compression in the lumbar spine secondary to either spinal stenosis or disc prolapse. STUDY DESIGN/SETTING: Design The trial was a prospective randomised controlled trial, patients were randomised either to ESI or intramuscular steroid injection, with minimum two year follow-up. Setting National Health Service Hospital Orthopaedic and Anaesthetic departments. PATIENT SAMPLE: Participants Ninety two patients with symptoms, signs and radiological findings consistent with lumbar nerve root compression suitable for surgical decompression. OUTCOME MEASURES: Main outcome measures The main outcome measures were the Oxford Pain Chart over the first month, Oswestry Disability Index, and the need for surgery. METHODS: Patients completed the Oxford Pain Questionnaire over a thirty five day period to assess the level of apin and the use of
The Spine Journal – Elsevier
Published: Sep 10, 2004
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