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35532

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

Article

Last updated: 04 Jan 2025

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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  

DOI

10.21608/smj.2017.35532

Keywords

Pulsed Radiofrequency Treatment, Transforaminal Epidural Steroid Injection, Radicular Pain

Authors

First Name

Ahemed

Last Name

Abd El Rahman

MiddleName

-

Affiliation

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

Email

ahmed_abdelrahman@med.sohag.edu.eg

City

sohag

Orcid

-

First Name

Ahmed

Last Name

Abou Elsoud

MiddleName

-

Affiliation

Department , of Anesthesiology , Faculty of Medicine, Cairo University

Email

-

City

cairo

Orcid

-

First Name

Ekramy

Last Name

Abdelghafar

MiddleName

Mansour

Affiliation

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

Email

-

City

cairo

Orcid

-

First Name

Ayman

Last Name

Abd Elkareem

MiddleName

Mohamed

Affiliation

Department , of Anesthesiology, Faculty of Medicine, Sohag University

Email

ayman_abdelkareem@med.sohag.edu.eg

City

sohg

Orcid

-

Volume

21

Article Issue

3

Related Issue

4803

Issue Date

2017-10-01

Receive Date

2017-09-11

Publish Date

2017-10-01

Page Start

67

Page End

75

Print ISSN

1687-8353

Online ISSN

2682-4159

Link

https://smj.journals.ekb.eg/article_35532.html

Detail API

https://smj.journals.ekb.eg/service?article_code=35532

Order

8

Type

Original Article

Type Code

785

Publication Type

Journal

Publication Title

Sohag Medical Journal

Publication Link

https://smj.journals.ekb.eg/

MainTitle

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

Details

Type

Article

Created At

22 Jan 2023