PT  - JOURNAL ARTICLE
AU  - Waheed, Hamza
TI  - P235 Comparative pain satisfaction with transforaminal epidural steroid injection plus caudal epidural steroid injection with catheter versus transforaminal epidural steroid injection plus lumbar interlaminar epidural steroid injection in patients having low b
AID  - 10.1136/rapm-2024-ESRA.316
DP  - 2024 Sep 01
TA  - Regional Anesthesia & Pain Medicine
PG  - A219--A220
VI  - 49
IP  - Suppl 1
4099  - http://rapm.bmj.com/content/49/Suppl_1/A219.short
4100  - http://rapm.bmj.com/content/49/Suppl_1/A219.full
SO  - Reg Anesth Pain Med2024 Sep 01; 49
AB  - Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionBackground and Aims This study was conducted to assess the efficacy of combining transforaminal epidural steroid injection (TFESI) with caudal epidural steroid injection (CESI) versus TFESI with interlaminar epidural steroid injection (ILESI) on patient pain, anxiety, and disability status in individuals suffering from radicular painMethods A cross-sectional study was conducted in the National Hospital & Medical Centre Lahore from September 2022 to September 2023. Eighty patients with low backache and radicular pain who met the inclusion criteria were enrolled. The patients were randomly divided into Group A (TFESI + CESI, n=40) and Group B (TFESI + ILESI).Results The mean age of the patients in Group A was 59.4 ± 10.2 years, while in Group B, it was 57.6 ± 11.1 years. Most patients were females, accounting for 58 (72.5%) of the study population. There was a significant decrease in the mean NRS score at 2, 4, and 12 weeks compared to the baseline value in Group B (p=0.01). Similarly, the mean Hamilton Anxiety Score and Oswestry Disability Score were significantly reduced after the intervention in Group B (p=0.04, p=0.01, respectively). Comparable findings were observed in Group A, with significant decreases in the mean NRS score at 2, 4, and 12 weeks (p=0.02) and substantial reductions in the Hamilton Anxiety Score and Oswestry Disability Score (p=0.001, p=0.03, respectively).Conclusions This study found that combining CESI and TFESI with catheter offered a slightly more effective pain reduction than TFESI and ILESI after 12 weeks.