Abstract            Volume:4  Issue-8  Year-2016         Original Research Articles

Online ISSN : 2347 - 3215 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcret@gmail.com

Lumbar pain is the most common skeletal and muscular complaint requiring medical care, which causes many complications and economic and social damages to the society and the fifth reason for visiting medical centers, especially for men. The aim of this study was to compare the effect of epidural injection of methylprednisolone, Bupivacaine and normal saline in chronic lumbar pain due to discal herniation. In a single-blind randomized-clinical trial performed in the Department of Anesthesia of Tabriz University of Medical Sciences on patients with chronic lumbar pain, the effect of epidural injections of methylprednisolone, Bupivacaine and normal saline in treatment of chronic lumbar pain due to discal herniation were studied. In this study, 84 patients with lumbar pain were treated and the effect of epidural injections of methylprednisolone, Bupivacaine and normal saline in treatment of chronic lumbar pain due to discal herniation were studied. The mean ages of patients in the methylprednisolone group, Bupivacaine group and normal saline group were 42.3 ± 12.20, 45.57 ± 11.59 and 42.64 ± 12.21 years respectively (P=0.503). In this study, the mean times to return to daily activities in patients in methylprednisolone group, Bupivacaine group and normal saline group were 56.00 ± 14.88, 55.11 ± 11.16 and 73.71 ± 35.13 hours respectively and the mean time to return to daily activities in patients in normal saline group was significantly higher (P=0.005). In this study, evaluating the therapeutic outcomes of epidural injection of methylprednisolone, Bupivacaine and normal saline were studied in patients with chronic lumbar pain due to discal herniation and the results show that epidural injections of methylprednisolone and Bupivacaine are more effective than placebo injection (normal saline) in these patients.

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