Korean J Pain.  2005 Dec;18(2):176-180. 10.3344/kjp.2005.18.2.176.

The Effect of Transforaminal Epidural Block with Hyaluronidase and Triamcinolone

• Jo DH
• Hong JH
• Kim MH

• KMID: 2277984
• DOI: http://doi.org/10.3344/kjp.2005.18.2.176

Abstract

BACKGROUND
Epidural steroid injections benefit certain patients with radicular pain, and often have only a limited duration. We compared the efficacy of hyaluronidase and triamcinolone and triamcinolone alone in patients with lumbar herniated disc disease treated with transforaminal epidural block. METHODS: Forty patients who had undergone a transforaminal epidural injection were retrospectively reviewed. The T group received triamcinolone and local anesthetics; whereas, the HT group received hyaluronidase, triamcinolone and local anesthetics. We evaluated the improvement as being good, moderate, mild or no improvement, and in those where the improvement was good or moderate, also evaluated the duration of pain relief. Data were collected from the medical records of patients or via phone calls, which were analyzed using Student t- and chi-squared tests. A value of P < 0.05 was considered significant. RESULTS: There were no significant differences in the degree of pain improvement or duration of pain relief between the two groups. CONCLUSIONS: A hyaluronidase and triamcinolone injection during transforaminal epidural block has on benefit with respect to the degree of pain improvement or its duration compared to a triamcinolone only injection.

Keyword

lumbar herniated disc; hyaluronidase; transforaminal epidural bloc

MeSH Terms

Anesthetics, Local
Humans
Hyaluronoglucosaminidase*
Injections, Epidural
Intervertebral Disc Displacement
Medical Records
Retrospective Studies
Triamcinolone*
Anesthetics, Local
Hyaluronoglucosaminidase
Triamcinolone