Caudal Epidural Steroid Application at Chronic Low Back and Leg Pain: Experience of Fifty Cases and the Analysis of Pain and Satisfaction of the Cases

Abstract

Background: In this article, we present the results of 50 patients whom we treated with epidural steroid injection, and our experience on the subject. Methods: Fifty patients who were followed in our clinic between January 2011 and August 2011 were assessed retrospectively. These were the patients who had chronic low back and leg pain due to lomber spinal degeneration and for whom operation was not recommended and lomber caudal epidural steroid was applied. Results: In our study, 50 patients having low back pain or leg pain or low back and leg pain together were assessed, and regression at rVAS score of 86% of the patients was detected for a short period after the intervention. VAS scores of 14% of the patients were not different. On long-term follow-up rVAS score analysis of the patients showed regression at 74% of the cases. Conclusion: Caudal steroid injection is a safe and efficient treatment method for the patients who have radicular pain, who do not respond to conservative treatment and for whom surgery is not recommended. Randomized double blind studies are needed to assess its superiority to other conservative methods. J Neurol Res. 2013;3(6):173-178 doi: http://dx.doi.org/10.4021/jnr212w