Abstract: Background: Chronic Low back pain has become a very common entity in Indian population and a prolapsed inter-vertebral disc [PIVD] is one of the most leading causes. The aim of the study is to treat chronic low back ache due to a Lumbar PIVD with a Caudal Epidural steroid injection.
Methodology: This is a prospective study conducted at Department of Orthopaedics, MVJ Medical College and research hospital from July 2018 to July 2019. Patients in the age group of 30-60 years with low back ache with or without radicular pain in lower limbs, not responding to oral medications and physiotherapy were included in the study. Caudal epidural block consisting of 80mg of Methyl Prednisolone, 1.5ml of bupivacaine 0.5%, 6.5ml of Distilled water is taken in a 10ml Syringe and given with 22G Spinal needle through sacral hiatus. Patients were evaluated prior to steroid infiltration and follow up at three weeks, three months and six months using the Numeric Pain Rating Scale (NPRS) and Disability using Oswestry Disability Index (ODI).
Results: The total the 60 patients in our study, 2 patients were lost in follow up. Of the remaining 58 patients who were followed for a period of 6 months, 45 patients [78%] had significant relief of pain and improvement in their ODI functional outcome.
Conclusion: Caudal epidural steroid injection is an effective modality of management in patients with chronic low back ache due to a Lumbar PIVD.
