Drug consumption copmparison after transforaminal epidural steroid injection versus radiofrequency application in patients with lumbosacral radicular pain
Abd El Rahman, A., Abou Elsoud, A., Abdelghafar, E., Abd Elkareem, A. (2017). Drug consumption copmparison after transforaminal epidural steroid injection versus radiofrequency application in patients with lumbosacral radicular pain. EKB Journal Management System, 21(3), 67-75. doi: 10.21608/smj.2017.35532
Ahemed Abd El Rahman; Ahmed Abou Elsoud; Ekramy Mansour Abdelghafar; Ayman Mohamed Abd Elkareem. "Drug consumption copmparison after transforaminal epidural steroid injection versus radiofrequency application in patients with lumbosacral radicular pain". EKB Journal Management System, 21, 3, 2017, 67-75. doi: 10.21608/smj.2017.35532
Abd El Rahman, A., Abou Elsoud, A., Abdelghafar, E., Abd Elkareem, A. (2017). 'Drug consumption copmparison after transforaminal epidural steroid injection versus radiofrequency application in patients with lumbosacral radicular pain', EKB Journal Management System, 21(3), pp. 67-75. doi: 10.21608/smj.2017.35532
Abd El Rahman, A., Abou Elsoud, A., Abdelghafar, E., Abd Elkareem, A. Drug consumption copmparison after transforaminal epidural steroid injection versus radiofrequency application in patients with lumbosacral radicular pain. EKB Journal Management System, 2017; 21(3): 67-75. doi: 10.21608/smj.2017.35532

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

Sohag Medical Journal
Article 8, Volume 21, Issue 3, October 2017, Page 67-75  XML PDF (195.28 K)
Document Type: Original Article
DOI: 10.21608/smj.2017.35532
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Authors
Ahemed Abd El Rahman1; Ahmed Abou Elsoud2; Ekramy Mansour Abdelghafar3; Ayman Mohamed Abd Elkareem4
1Department of Anesthesiology and Center Care , Faculty of Midicine , Sohag University.
2Department , of Anesthesiology , Faculty of Medicine, Cairo University
3Department,of Neurosurgery and Spine Institute of Oncology , Cairo , University
4Department , 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
Pulsed Radiofrequency Treatment; Transforaminal Epidural Steroid Injection; Radicular Pain
Supplementary Files
References
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