The Effect of Caudal Epidural Injection for the Pseudoclaudication of Spinal Stenosis.
- Author:
Cheol Ho SON
1
;
Bong Gu KANG
;
Yang Gyun LEE
Author Information
1. Department of Rehabilitation Medicine, College of Medicine, Soonchunhyang University.
- Publication Type:Original Article
- Keywords:
Spinal stenosis;
Pseudoclaudication;
Caudal epidural injection;
Treadmill
- MeSH:
Architectural Accessibility;
Exercise Tolerance;
Humans;
Injections, Epidural*;
Lidocaine;
Spinal Stenosis*;
Triamcinolone;
Weights and Measures
- From:Journal of the Korean Academy of Rehabilitation Medicine
1998;22(3):582-586
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The goal of this study was to determine the efficacy of caudal epidural injection in relieving pseudoclaudication of patients with lumbar spinal stenosis. METHOD: Fifteen patients with a spinal stenosis which was confirmed by the magnetic resonance imaging(MRI) studies, received a caudal epidural steroid injection of triamcinolone acetate 120 mg, in a solution mixed with 2 ml of 1% lidocaine, and 15 ml of normal saline. RESULTS: The visual analogue scales checked at 1 hour prior to injection, 1 hour postinjection, and 1 month postinjection were 8.1+/-0.8, 3.7+/-1.7, and 6.4+/-1.9, respectively. The exercise tolerance on the treadmill with 0o ramp inclination and 1.8 km/h speed was measured at 1 hour prior to injection, 1 hour postinjection, and 1 month postinjection. The time intervals to the first symptom of the pseudoclaudication were 2.3+/-0.8 minutes, 6.5+/-0.7 minutes, and 4.6+/-1.9 minutes, respectively. CONCLUSION: In our study, the caudal epidural injection offered a significant short-term relief for the pseudoclaudication. Also it appeared to be a reasonable therapeutic option among patients with lumbar spinal stenosis after 1 month postinjection.
