DOI: 10.36347/sjams.2016.v04i12.018

Pages: 4266-4271

Low back pain is most common reason for a patient visit to any pain clinic. It is most common reason for absence from work in young population. Among many treatment modalities available low back pain with intervention pain procedures have promising results. We designed a study to see the effectiveness of trans foraminal epidural steroid injection (TFESI) in rural medical college for patients having low back pain with radiculopathy. Study population was divided into two groups with 30 patients in each group. Group A had patients with disc herniation or central canal stenosis while Group B had patients with previous back surgery and spondolisthesis. TFESI was given in both the groups and quality assessment and improvement in pain score as well as patient satisfaction index were recorded in one year follow up at intervals of 4 wks, 8 wks, 12 wks, 24 wks and 48 wks TFESI offered significant improvement in Group A, with 33% of patients at 4 wks and 40% of patients at 8 wks having pain score 2-4.While in group B 13 % of patients at 4 wks and 26% of patients at 8 wks had pain score of 2-4.40% of patients at 4 wks. And 46% of patients at 8 wks. We’re having pain score 5-7.So improvement in pain score was appreciably higher in group A. Patient satisfaction score was measured in terms of goal of treatment achieved from patient’s perspective. In group A 40% of patients had good pain relief with good sleep and no pain while in group B 50 % of patients had relief at rest but increase pain while walking.