Epidural corticosteroid injection in lumbar discal hernia: possible therapeutic and diagnostic value

Author(s): Preiswerk, G., Jöhr, M.

Journal/Book: Physikalische Medizin Rehabilitationsmedizin Kurortmedizin. 1993; 3/1: 1-6.

Abstract: Epidural administration of corticosteroids with longterm effect and bupivacaine by translumbar approach in 164 patients suffering from acute low back pain and sciatica caused an immediate, persistent pain relief and a more prompt regression of nerve root compression in comparison with a historical control group of 66 patients. The direct and persistent response an epidural corticosteroid injection may be regarded as a prognostic benign sign. Furthermore, the shortening of strict bed rest of several days and the reduction of hospitalisation in those patients treated successfully are a significant improvement in conservative treatment of acute low back pain when discal hernia is suspected.

Keyword(s): Lumbale Periduralanästhesie

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