To Determine the Impact of Caudal Epidural Steroid Injection (CESI) on the Condition of Backache Sciatica Syndrome: a Retrospective Study

Description

Abstract (English)

Abstract
Aim: To determine the impact of Caudal Epidural Steroid Injection (CESI) on the condition of Backache Sciatica
Syndrome.
Material and Methods: This study was done in the Department of PMR, ANMMCH, Gaya. A total of 120
individuals with chronic LBA and symptoms who had not responded to therapy or other non-invasive, nonsurgical conservative treatment options were included in the study. The patients underwent cervical epidural
steroid injection (CESI) under sterile conditions in the OT with fluoroscopic guidance. The study evaluated the
results of the caudal epidural steroid injections by measuring ache scores on the Oswestry disability index (ODI)
and visual analog scale (VAS).
Results: Of the 120 cases, 37 had lumbar disc herniation, 11 had lumbar canal stenosis, 22 had degenerative disc
disease, and 50 had non-specific LBA. This passage describes a study in which patients were treated with a
procedure called CESI, and their pain levels were measured before the procedure (mean VAS of 7.11) and at
various follow-up intervals, including 1 week, 1 month, and 3 months up to 1 year after the procedure. At 1 year,
the mean VAS was 4.82, indicating a decrease in pain from before the procedure. This passage discusses the
results of a study that looked at the effectiveness of ESI treatment (presumably epidural steroid injection) on
patients’ scores on ODI before and after treatment. The study found that the mean ODI score before treatment
(was 59.12), and after 12 months of treatment with injection, it was 44.64. The study also reported that 27.5% of
patients had excellent results, 38.33% had good results, 21.67% had fair results, and 12.5% had poor results from
the treatment.
Conclusion: This study suggests epidural steroid injections significantly reduce pain for patients with chronic
function-limiting low back aches. This study may pave the way for further research in this area.