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KMID : 0384320030240030260
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Korean Journal of Family Medicine
2003 Volume.24 No. 3 p.260 ~ p.264
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Caudal Epidural Steroid Injections for the Treatment of Chronic Lower Back Pain
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Kim Dae-Young
Oh Seok-Gyoon
Park Jeong-Hoon
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Abstract
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Background: The purpose of this study was to evaluate the efficacy of caudal epidural steroid injection with local anesthetic for chronic lower back pain patients.
Methods: The 152 patients with lower back pain were selected for the study. The patients were treated with the caudal injections of steroid (triamcinolone acetate 40 ㎎) and local anesthetics (1% lidocaine 17 ㎖). The efficacy of caudal
injections was assessed with the visual analogue scale (VAS) before procedure and at 8 weeks following procedure.
Results: The VAS scores of ‘Before procedure’ group and ‘8 weeks after procedure’ group were 62±23 and 31±15, respectively. The caudal steroid injections provided effectiveness in treating various lower back pain diseases except
postlaminectomy syndrome.
Conclusion: We consider that caudal epidural injections of steroid and local anesthetics are effective for patients with chronic lower back pain in the short term.
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KEYWORD
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chronic lower back pain, caudal, epidural, steroid
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