Comparison of the Effects of Steroid and Local Anesthetic Combination versus Local Anesthetic alone on Pain in Transforaminal Epidural Injection Applied Simultaneously with Dorsal Root Ganglion Pulse Radiofrequency Dorsal Kök Ganglion Pulse Radyofrekans ile Eş Zamanli Uygulanan Transforaminal Epidural Enjeksiyonda Steroid ve Lokal Anestezik Kombinasyonu ile Tek Başina Lokal Anesteziǧin Aǧri Üzerine Etkilerinin Karşilaştirilmasi

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Sabuncu U., Dadali S., Babaoglu G., AKÇABOY E. Y., ŞAHİN Ş., Celik S., ...Daha Fazla

Anestezi Dergisi, cilt.31, sa.4, ss.304-309, 2023 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 4
  • Basım Tarihi: 2023
  • Doi Numarası: 10.54875/jarss.2023.37039
  • Dergi Adı: Anestezi Dergisi
  • Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.304-309
  • Anahtar Kelimeler: Chronic pain, local anesthetics, pulsed radiofrequency treatment, radiculopathy, steroids
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: The aim of this study is to compare the effects of steroid and local anesthetic (LA) combination versus LA alone on pain in patients with lumbar radicular pain in transforaminal injection (TFESI) performed before dorsal root ganglion pulsed radiofrequency (DRG-PRF) treatment. Methods: One hundred twenty-four patients were included in the study. Following routine pre-procedure preparations, Group S (steroid injection group) (n=62) was administered TFESI with 5 mL of a solution containing 8 mg dexamethasone and 0.25% bupivacaine before DRG-PRF. Group NS (no-steroid injection group) (n=62) was administered TFESI with only 5 mL of 0.25% bupivacaine. Then, DRG-PRF was administered at 42°C and 4 minutes for both groups. The Visual Analog Scale (VAS) scores before the procedure and after the procedure at 3rd, 6thweek, and 3rdmonth were recorded. Results: The pre-procedural VAS scores, demographic data, and procedure level were similar in both groups. While VAS values at the 3rd, 6thweeks, and 3rdmonths were significantly different from the baseline in Group NS, they were similar to each other (p<0.001, p>0.05). In Group S, the VAS values at the 3rdweek and 3rdmonth were significantly different (p=0.034). When more than 50% reduction in VAS was considered significant pain control in both groups, there was no difference at the 3rd, 6thweeks and 3rdmonths (p=0.353, p=0.360, and p=0.276, respectively). Conclusion: Dorsal root ganglion pulsed radiofrequency application is effective in the treatment of lumbar radicular pain. The effect of DRG-PRF lasts longer in the group without steroid administration during TFESI.