Single shot epidural injection for cervical and XXXX : a preliminary study.

@entity1667 @entity1 @entity1340 @entity390 @entity391 @entity551 @entity134 @entity158 @entity1798 @entity614
BACKGROUND: Epidural @entity134 injection is an established treatment modality for @entity1798 leading to @entity614 . In cases where two levels of @entity614 are present, two separate injections are warranted. Herein, we present our experience of management of such cases with a single epidural injection of local anaesthetic, @entity1340 and @entity1667 , and table tilt for management of both @entity614 . METHODS: 50 @entity1 of either sex aged between 35-65 years presenting with features of cervical and lumbar radiculopathic @entity158 were included and were subjected to single lumbar epidural injection of local anaesthetic, @entity1340 and @entity1667 , in the lateral position. The table was then tilted in the trendelberg position with a tilt of 25 degrees, and @entity1 were maintained for 10 minutes before being turned supine. All @entity1 were administered 3 such injections with an interval of 2 weeks between subsequent injections, and @entity158 relief was assessed with a visual analogue scale. Immediate complications after the block were assessed. RESULTS: Immediate and post procedural complications observed were @entity390 and @entity391 (20%), painful injection site (4%), @entity551 (10%) and high block (4%). @entity158 relief was assessed after the three injections by three grades: 37 (74%) had complete resolution of symptoms; 18% had partial relief and 8% did not benefit from the procedure. CONCLUSIONS: This technique may be used as an alternative technique for @entity158 relief in @entity1 with unilateral cervical and lumbar @entity614 .
