Indian Journal of Pain

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 30  |  Issue : 2  |  Page : 127--131

Study of nerve root block procedure as a diagnostic and therapeutic aid in lumbosacral radiculopathy


Rahul Madhukar Salunkhe, Tushar Pisal, Yuvraj Singh Hira, Ashutosh Singh, Jay Janakbhai Patel, Sunny Sajitsing Goud 
 Department of Orthopaedics, Dr. D. Y. Patil Medical College and Research Center, Pune, Maharashtra, India

Correspondence Address:
Rahul Madhukar Salunkhe
Department of Orthopaedics, Dr. D. Y. Patil Medical College and Research Center, Pimpri, Pune - 411 018, Maharashtra
India

Introduction: Backache and sciatic pain are routinely seen in day-to-day practice. In all urban settings with changed lifestyle, lack of exercise, bad posture, excessive use of vehicles, and disturbed nutrition; problem of discogenic backache and sciatica is on the rise. The treatment modalities vary from conservative to surgical methods, but they predominantly provide relief to leg pain and not back pain. Nerve root block acts at these inflammatory processes, by the action of the steroid and thus decreasing the chemical irritation to the nerve roots. Furthermore, there is a decrease in sensitization of dorsal horn neurons by bupivacaine. Aims and Objectives: To evaluate diagnostic and therapeutic efficacy of root block procedure. To study relief in terms of pain alleviation, activities of daily living, and straight leg raising (SLR) restriction. Materials and Methods: Retrospective study of fifty patients of sciatic radiculopathy between the ages of 20 and 60 years were evaluated under this study at Dr. D. Y. Patil Medical College and Research Centre, Pune. All the patients of different age and sex had radicular pain with or without back pain, restricted spinal mobility, positive active and passive SLR test, and other nerve tension signs. Results: Out of fifty patients selected after thorough clinical and radiological examination, 45 (90%) had enjoyed complete pain relief and 31 (62%) of which were completely symptom-free at the end of 1 year. Conclusion: Spinal nerve root block may provide lasting therapeutic benefit, allowing the patient to participate in physical therapy and early  return to routine activities saving working manpower hours.


How to cite this article:
Salunkhe RM, Pisal T, Hira YS, Singh A, Patel JJ, Goud SS. Study of nerve root block procedure as a diagnostic and therapeutic aid in lumbosacral radiculopathy.Indian J Pain 2016;30:127-131


How to cite this URL:
Salunkhe RM, Pisal T, Hira YS, Singh A, Patel JJ, Goud SS. Study of nerve root block procedure as a diagnostic and therapeutic aid in lumbosacral radiculopathy. Indian J Pain [serial online] 2016 [cited 2020 Jul 3 ];30:127-131
Available from: http://www.indianjpain.org/article.asp?issn=0970-5333;year=2016;volume=30;issue=2;spage=127;epage=131;aulast=Salunkhe;type=0