Drug consumption copmparison after transforaminal epidural steroid injection versus radiofrequency application in patients with lumbosacral radicular pain

Document Type : Original Article

Authors

1 Department of Anesthesiology and Center Care , Faculty of Midicine , Sohag University.

2 Department , of Anesthesiology , Faculty of Medicine, Cairo University

3 Department,of Neurosurgery and Spine Institute of Oncology , Cairo , University

4 Department , of Anesthesiology, Faculty of Medicine, Sohag University

Abstract

Objectives: This study aims to investigate the efficacy of transforaminal epidural steroid injection (TFESI) versus radiofrequency application on drug consumption for lumbosacral radicular pain relief .
Patients and methods: The study, which was conducted between September 2012 and September 2014, included 40 patients with lumbosacral radicular pain. All injections were applied under C-arm fluoroscopy guidance, using a mix of bucaine and lidocaine.  patient’s intake of analgesic medication was measured at the baseline before the intervention, and again after the intervention by one week ,after 1 month and after three months , to determine the effect of intervention on analgesic drug consumption , amount of drug consumption measured in mgs per day. 
Results: There was statistically significant difference in the NSAIDs  consumption post procedure between the two groups, steroid group had a decrease in  NSAIDs (Ibuprofen)  consumption more then the PRF group (P-value<0.05), There was statistically significant difference in the tramadol  consumption post procedure between the two groups specially after one week and one month, steroid group had a decrease in  tramadol  consumption more then the PRF group (P-value<0.05) , There was no statistically significant difference in the pregabaline  consumption post procedure between the two groups, but  steroid group had a decrease in  pregabaline   consumption more then the PRF group (P-value < 0.05).
Conclusion: In this follow-up study, transforaminal epidural steroid injection was found to be effective in both the early period and in the mid-term, And improve the drug consumption more than the radiofrequency application  

Keywords

References

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Sohag Medical Journal
Volume 21, Issue 3
October 2017
Pages 67-75

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