TY - JOUR AU - Iqbal, Muhammad Rashid AU - Ali, Liaquat AU - Shah, Syed Hamid Ali AU - Iqbal, Mudassar AU - Waseem, Syed Majid AU - Hamid, Shymla PY - 2020/01/27 Y2 - 2024/03/29 TI - COMPARISON OF ANALGESIC EFFICACY OF TRANSFORAMINAL VS CAUDAL EPIDURAL APPROACHES FOR UNILATERAL LUMBAR RADICULOPATHY JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 70 IS - Suppl-1 SE - Original Articles DO - UR - https://www.pafmj.org/PAFMJ/article/view/3810 SP - S135-39 AB - <p><strong>Objective:</strong> To compare the analgesic efficacy of transforaminal epidural vs. caudal epidural approaches for unilateral lumbar radiculopathy.</p><p><strong> Study Design:</strong> Quasi experimental study.</p><p><strong>Place and Duration of Study:</strong> Department of Pain Medicine, Combined Military Hospital (CMH) Rawalpindi, from Jul 2017 to Mar 2018.</p><p><strong>Methodology:</strong> Total 96 patients of unilateral radiculopathy were randomly assigned into two equal groups. Group A (n=48) received transforaminal epidural injection of local anesthetic 2.5ml of 0.125% bupivacaine with steroid triamcinolone 40mg and group B received caudal epidural injection Local anesthetic 25ml of 0.125% bupivacaine with triamcinolone 40mg. Pain score was assessed at 0 (PRe procedural baseline), 4, and 12 weeks intervals after intervention by using numerical rating scale and values at 0 and 12 weeks compared for analysis.</p><p><strong>Results:</strong> Mean numerical rating scale pain score in group A and group B were 7.5 ± 0.99 and 3.1 ± 1.6, 7 ± 1.10 and 5.55 ± 1.0 at 0 and 12 week respectively. There was a reduction in mean pain score from baseline to 12 week in both the groups with statistical significance more in group A compared to group B (p&lt;0.05).</p><p><strong>Conclusion:</strong> Pain relief score was found to be statistically significant in transforaminal epidural as compared to caudal epidural for unilateral radiculopathy at 12 weeks post procedure.</p> ER -