Epidural Infiltration of Steroids in the Treatment of Root Pain in the Occupation Context

Revista Cubana de Ortopedia y Traumatología

Varillas Delgado, David¹  García de Lucas, Fernando¹  Contreras Citores, Yolanda¹  Sánchez Hidalgo, Ricardo¹  Asenjo Siguero, Juan José¹  Ruíz Córdoba, Gabriel¹  de Quirós Ramos, Silvia Bernaldo¹ 

[1] Hospital FREMAP, Madrid, España

关键词: sciatic pain;    epidural steroidinfiltrations;    herniated disc.;   

DOI  :  

学科分类：生理学

来源: SciELO

【 摘 要 】

Introduction:Sciatic pain is a typeof pain in the lower extremity that usually follows a specific metameric distribution.The compression or irritation of the sciatic nerve is often the cause, commonlydue to lumbar disc herniation. It is one of the most common reasons for consultationin spinal surgery units. Objective: Determine if epidural steroid infiltrations can improvesymptoms in patients with a herniated disc, thus avoiding surgery, which allowsthem to return to work soon. Method:We recruited 71 patientswith a herniated disc, with a history of sciatic pain of at least 3 months.Patients received a maximum of three epidural infiltrations of steroids given2 weeks apart, followed by a rehabilitation program. Results:Out of the 71 patients,71.8% had L5-S1 disc hernia, 87% were men, mean age was 40.2 years and 57.7%had jobs associated with high functional demands. The average number of weeksoff from work was 16.63. At one year, 63.4%of patients were discharged and 36.6% required surgery because of persistentpain despite treatment with epidural steroid injections. The Oswestry disabilityindex and Visual Analog Scale (VAS) reflected a statistically significantimprovement (p <0.001) after infiltrations in most cases. Conclusions:In our context,the administration of epidural steroid infiltrations in patients with secondaryradicular pain with a herniated disc is a minimally invasive and effectiveprocedure that alleviates pain, reduces disability and allows a quick returnto work activity.

【 授权许可】

CC BY-NC-SA