To study the effect of Triamcinolone injection for low back pain due to lumbar disc herniation

  • Tashi Wangchuk Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan.
  • Kuenzang P. Wangmo Department of Anaesthesiology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.
  • Thinley Norbu Department of Anaesthesiology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.
Keywords: Bhutan; Epidural Steroid Injection; Low back pain.

Abstract

Introduction: Low back pain is one of the most common complaints in the general population which represents a significant public health problem. Epidural Steroid Injection is being considered as a simple, effective and minimally invasive treatment modality for lumbar disc herniation. However, most studies only find a short-term benefit. In Bhutan, till date, no study has been done in Bhutan on this subject. The objective of our study was to find the effect of epidural steroid injection for low back pain due to lumbar disc herniation.

Methods: An observational one-year-period study completed in Jigme Dorji Wangchuck National Referral Hospital. Symptomatic and positive Magnetic Resonance Imaging patients with lumbar disc herniation were included in our study. Pain scores were collected using Numeric Rating Scale at three different points of study. We also included patients’ age, weight and trauma history as some of the independent variables to study their associations with pain scores. The data obtained were analyzed using the Stata software program. One way repeated measures ANOVA was used to assess the significant difference in pain score.

Results: Out of 100 participants recruited for the study, 91 of them completed demographic data and only 81 patients completed follow-up till 4 weeks post-treatment for demographic analysis and analytical analysis, respectively. There was a significant difference in pain scores in all three different points of study (p <0.01). No significant difference was observed in the pain scores amongst different age groups, gender, occupation and trauma history (p >0.05) at all three points of study.

Conclusion: Our study observed a significant short-term benefit from epidural Triamcinolone injection for symptomatic lumbar disc herniation.

Published
2018-08-17
Section
Original Article