The article explores the use of caudal preemptive analgesia to alleviate surgical and muscle-related pain early after lumbar disc operations. The study involved 120 patients with single-level lumbar disc herniation who received a caudal epidural injection before surgery. The patients were divided into three groups and their pain levels were assessed using a visual analog scale. The results showed significant differences in post-operative pain between the groups, with the preemptive bupivacaine or combined with methylprednisolone caudal injection proving to be an effective and safe method for reducing post-operative pain and improving functional capacity in the treatment of lumbar disc herniation. The study highlights the importance of preemptive analgesia in improving patient outcomes after surgery
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : top spine clinic in London
Published article
The preemptive bupivacaine or in combination with methylprednisolone caudal injection is an effective and safe method to reduce post-operative pain and ameliorate functional capacity for the treatment of lumbar disc herniation.
Spine Epidural Lumbar Caudal transforaminal Expert. Best Spinal Surgeon UK
Abstract in English, Spanish Objective: In this randomized and prospective research, we aimed to relieve surgical and muscle-related pain early after lumbar disc operations with caudal preemptive analgesia. Materials and methods: A total of 120 patients with single-level lumbar disc herniation were included in this study. The caudal epidural injection was performed for all patients,
Abstract
Objective: In this randomized and prospective research, we aimed to relieve surgical and muscle-related pain early after lumbar disc operations with caudal preemptive analgesia.
Materials and methods: A total of 120 patients with single-level lumbar disc herniation were included in this study. The caudal epidural injection was performed for all patients 20 min before surgery. The patients were divided into three groups. Non-steroidal anti-inflammatory drugs or tramadol use were recorded. Pre-operative and post-operative pain was interpreted through a visual analog scale.
Results: There was a difference between the groups in all post-operative measurements (p < 0.05), between Group 1 and Group 3, and between Group 2 and Group 3. A statistical significance has been achieved between the groups at the 1st h, 2nd h, 4th h, and 24th h (p < 0.05). The difference between the pain intensities of the patients at the 24th h and the 1st week was statistically significant in Groups 1 and 2 (p < 0.05). Evaluation of the effects of medical treatments reduced the severity of back pain and foot pain.
The preemptive bupivacaine or in combination with methylprednisolone caudal injection is an effective and safe method to reduce post-operative pain and ameliorate functional capacity for the treatment of lumbar disc herniation.
Aim: In this prospective randomized investigation, we aimed to relieve early surgical and muscle pain after lumbar disc operations with caudal preemptive analgesia.
Materials and methods: A total of 120 patients with single-level lumbar disc herniation were included in this study. Caudal epidural injection was performed for all patients 20 minutes before surgery. The patients were divided into three groups. The use of NSAIDs or tramadol was recorded. Preoperative and postoperative pain was interpreted using a visual analogue scale.
Results: There was a difference between the groups in all postoperative measurements (p < 0.05), between group 1 and group 3, and between group 2 and group 3. Statistical significance was achieved between the groups at 1a hour, 2a hour, 4 and 24 hours (p < 0.05). The difference between the patients' pain intensities at hour 24 and the first week was statistically significant in Groups 1 and 2 (p < 0.05). Evaluating the effects of medical treatments reduced the severity of back and foot pain.
Preventive bupivacaine, or in combination with caudal injection of methylprednisolone, is an effective and safe method to reduce postoperative pain and improve functional capacity for the treatment of lumbar disc herniation.
Keywords: Preventive analgesia; Flow injection; Postoperative pain; visual analogue scale; lumbar disc herniation; Caudal injection; Lumbar disc hernia; Post-operative pain; Preemptive analgesia; Visual analog scale.
The London Spine Unit : top spine clinic in London
Read the original publication:
Preemptive caudal anesthesia on back pain after lumbar discectomy: a randomized and controlled study
