European Journal of Molecular & Clinical Medicine

Low back pain is the most common problem among chronic pain disorders in middle aged population. Epidural Steroid Injection (ESI) is one of the most commonly performed non-surgical interventions 1. Objective of study is to compare the efficacy of epidural steroid injection with & without Bupivacaine for low backache patients.
Materials and Method: Two groups of 12 selected patients with chronic low backache were randomized for midline Inter laminar Epidural injection with 80 mg Methylprednisolone acetate with saline and Methylprednisolone acetate 80mg with 0.25% Bupivacaine. All patients received 3 injections at intervals of 2 weeks. They were assessed for degree and duration of analgesia (VAS) and any adverse effects.
Results: Onset of pain relief was less in adjuvant group when compared to non-adjuvant group after ESI. VAS at the end of 6 weeks in both groups was almost same in both groups. There were no significant adverse effects.
Conclusion: Epidural Steroid Injections significantly reduce radicular pain more with Bupivacaine.

Back pain is one of the common symptoms during pregnancy. In some women, it ’s
starts early pregnancy and remains throughout the end of pregnancy. In other women it
worsens and continuous to hinder even after the baby born. As the uterus expands, it
weakens the abdominal muscles and alters center of gravity. They also affect the posture
and lead to pressure on back, presses a nerve, the back begins to ache. During pregnancy,
the ligament in the body naturally become softer and stretch to prepare for labor. This can
put a strain on the joints of the lower back and pelvis, which can cause backache. Recent
studies reported an average duration of 6.5 weeks of sick leave as a result of moderate
lumbar pain, approximately 70% of women will report low backache at some points. The
incidence of low back pain is 50-80% during antenatal period.