J Korean Pain Soc.  1991 Nov;4(2):157-161.

Epidural Administration of Local Anesthetics and Steroids for Low Back Pain Management

• Roh SJ
• Goh JS
• Min BW

Abstract

Low back pain and/or lumbosacral radiculopathy have become one of the most common pain problems in our pain clinic center. There are several kinds of conservative management for low back pain and/or lumbosacral radiculopathy. We as pain clinicans, focused on epidural administration of local anesthetics and steroids, The rationale for epidural steroid administraion is to reduce inflammation and to inhibit the action of nociceptive agents. Eighty mg of methylprednisolone acetate in l0 ml of 0.25% bupivacaine was infected, into epidural space 3 times at one week intervals for 1 year, to 921 patients (male: 422, female; 499) seen in the period between March 1986 and December l989. The effectiveness was evaluated a month after the final injection. The results were as follows: Excellent pain relieved group l22 patients (13.25%) Good pain relieved group: 485 patients (52.66%) Fair pain relieved group. 184 patients (19.98%) No effect group' l30 patients (14.ll%) We recommand the epidurai steroid inject to the patients following failure of conservative management of discogenic pain.

MeSH Terms

Anesthetics, Local*
Bupivacaine
Epidural Space
Female
Humans
Inflammation
Low Back Pain*
Methylprednisolone
Pain Clinics
Radiculopathy
Steroids*
Anesthetics, Local
Bupivacaine
Methylprednisolone
Steroids