Efficacy of CT Guided Perineural and Facet Joint Steroid Injection in Patients with Chronic Spinal Pain
Introduction: Image guided interventions are increasingly being used for the management of chronic low back ache. It has inherent advantages of confirming needle placement and thus increasing precision of these procedures. Aim: To assess the efficacy of pain relief provided by CT guided perineural a...
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JCDR Research and Publications Private Limited
2019-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/13140/42167_CE[Ra1]_F(KM)_PF1(TR_SHU)_PN(SL).pdf |
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| author | Deep Yadav Akhilesh Rao Aneesh Mohimen Neha Yadu Saikat Bhattacharjee Samaresh Sahu |
| author_facet | Deep Yadav Akhilesh Rao Aneesh Mohimen Neha Yadu Saikat Bhattacharjee Samaresh Sahu |
| author_sort | Deep Yadav |
| collection | DOAJ |
| description | Introduction: Image guided interventions are increasingly being used for the management of chronic low back ache. It has inherent advantages of confirming needle placement and thus increasing precision of these procedures. Aim: To assess the efficacy of pain relief provided by CT guided perineural and CT guided facet joint steroid injections respectively in patients with chronic spinal pain. Materials and Methods: A prospective study was performed to analyse the effect of image guided procedures in providing adequate pain relief. Patients were asked to grade pain on a Visual Analog Scale (VAS) for pain before the procedure as well as on subsequent reviews at 3 days, 30 days and 90 days. The pain score was used to calculate percentage of pain relief since previous follow-up and classified accordingly. Results: A total of 67 perineural injections and 20 facetal injections were administered. In present study, out of 67 perineural injections at least 31.5% reported very good pain relief as early as 3 days post-injection, while 28.3% continued to have very good pain relief at the end of 30 days but this fell to 10.4% at the end of 90 days. Out of 20 facet joint injections, none of the patients reported good pain relief during the follow-up. Conclusion: CT-guided perineural steroid injections for management of chronic low back ache are safe and effective interventions that can be incorporated into any existing interventional radiology practice. |
| first_indexed | 2024-04-12T04:16:00Z |
| format | Article |
| id | doaj.art-b2a33d4fcb02401b980320d861fc186e |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-12T04:16:00Z |
| publishDate | 2019-09-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-b2a33d4fcb02401b980320d861fc186e2022-12-22T03:48:24ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-09-01139TC01TC0410.7860/JCDR/2019/42167.13140Efficacy of CT Guided Perineural and Facet Joint Steroid Injection in Patients with Chronic Spinal PainDeep Yadav0Akhilesh Rao1Aneesh Mohimen2Neha Yadu3 Saikat Bhattacharjee4Samaresh Sahu5Associate Professor, Department of Radiology, Command Hospital Western Command, Chandimandir, Chandigarh, India.Associate Professor, Department of Radiology, Command Hospital Air Force, Bangalore, Karnataka, India.Assistant Professor, Department of Radiology, Command Hospital Air Force, Bangalore, Karnataka, India.Consultant, Department of Radiology, Charak Hospital and Research Centre, Lucknow, Uttar Pradesh, India.Assistant Professor, Department of Radiology, Military Hospital, Cardiothoracic Centre, Pune, Maharashtra, India.Professor and Head, Department of Radiology, Command Hospital Air Force, Bangalore, Karnataka, India.Introduction: Image guided interventions are increasingly being used for the management of chronic low back ache. It has inherent advantages of confirming needle placement and thus increasing precision of these procedures. Aim: To assess the efficacy of pain relief provided by CT guided perineural and CT guided facet joint steroid injections respectively in patients with chronic spinal pain. Materials and Methods: A prospective study was performed to analyse the effect of image guided procedures in providing adequate pain relief. Patients were asked to grade pain on a Visual Analog Scale (VAS) for pain before the procedure as well as on subsequent reviews at 3 days, 30 days and 90 days. The pain score was used to calculate percentage of pain relief since previous follow-up and classified accordingly. Results: A total of 67 perineural injections and 20 facetal injections were administered. In present study, out of 67 perineural injections at least 31.5% reported very good pain relief as early as 3 days post-injection, while 28.3% continued to have very good pain relief at the end of 30 days but this fell to 10.4% at the end of 90 days. Out of 20 facet joint injections, none of the patients reported good pain relief during the follow-up. Conclusion: CT-guided perineural steroid injections for management of chronic low back ache are safe and effective interventions that can be incorporated into any existing interventional radiology practice.https://jcdr.net/articles/PDF/13140/42167_CE[Ra1]_F(KM)_PF1(TR_SHU)_PN(SL).pdfimage guided interventionslumbo-sacral spinesciatica |
| spellingShingle | Deep Yadav Akhilesh Rao Aneesh Mohimen Neha Yadu Saikat Bhattacharjee Samaresh Sahu Efficacy of CT Guided Perineural and Facet Joint Steroid Injection in Patients with Chronic Spinal Pain Journal of Clinical and Diagnostic Research image guided interventions lumbo-sacral spine sciatica |
| title | Efficacy of CT Guided Perineural and Facet Joint Steroid Injection in Patients with Chronic Spinal Pain |
| title_full | Efficacy of CT Guided Perineural and Facet Joint Steroid Injection in Patients with Chronic Spinal Pain |
| title_fullStr | Efficacy of CT Guided Perineural and Facet Joint Steroid Injection in Patients with Chronic Spinal Pain |
| title_full_unstemmed | Efficacy of CT Guided Perineural and Facet Joint Steroid Injection in Patients with Chronic Spinal Pain |
| title_short | Efficacy of CT Guided Perineural and Facet Joint Steroid Injection in Patients with Chronic Spinal Pain |
| title_sort | efficacy of ct guided perineural and facet joint steroid injection in patients with chronic spinal pain |
| topic | image guided interventions lumbo-sacral spine sciatica |
| url | https://jcdr.net/articles/PDF/13140/42167_CE[Ra1]_F(KM)_PF1(TR_SHU)_PN(SL).pdf |
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