The effectiveness of transforaminal epidural steroid injections on radicular pain, functionality, psychological status and sleep quality in patients with lumbar disc herniation

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dc.contributor.authorSariyildiz, Mustafa Akif
dc.contributor.authorBatmaz, Ibrahim
dc.contributor.authorYazmalar, Levent
dc.contributor.authorGunes, Mehmet
dc.contributor.authorTuran, Yahya
dc.date.accessioned2024-04-24T17:20:40Z
dc.date.available2024-04-24T17:20:40Z
dc.date.issued2017
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND: The significance of fluoroscopy-guided transforaminal epidural steroid injections (TFESI) in the treatment of lumbar disc herniation (LDH) is well known. The aim of our study is to investigate the effectiveness of TFESI on radicular pain, functionality, psychological status, and sleep quality in patients with LDH. METHODS: Seventy-five LDH patients (36 males, 39 females) were enrolled in the study. All patients received a fluoroscopically guided TFESI (betamethasone 40 mg, lidocaine 2%). Also all patients were evaluated according to (with the visual analogue scale) radicular pain, Oswestry disability index (ODI), hospital axiety and depression scale, and Pittsburgh sleep quality index (PSQI) at baseline, at two weeks, and 12 months post injections. RESULTS: Mean age was 46.4 +/- 12.5. When compared to baseline measurements there were significant improvements in radicular pain, ODI, modified schober, Laseque angle, finger to floor distance, depressive symptoms and PSQI scores at two weeks and 12 months after injection. Improvement of at least 50% in radicular pain relief, ODI score and sleep quality index was detected at two weeks 83%, 71%, 69% respectively. This rate showed regression at 12 months of 73%, 65% and 62% respectively. Duration of symptoms was significantly negatively correlated with changes in scores of radicular pain, ODI, depressive symptoms, and PSQI. There were no significant correlations with symptom duration and anxious symptoms. CONCLUSION: Fluoroscopy guided TFESI had positive effects on radicular pain, functionality, depressive symptoms and sleep quality in management of LDH.en_US
dc.identifier.doi10.3233/BMR-150438
dc.identifier.endpage270en_US
dc.identifier.issn1053-8127
dc.identifier.issn1878-6324
dc.identifier.issue2en_US
dc.identifier.pmid27858682
dc.identifier.scopus2-s2.0-85015043031
dc.identifier.scopusqualityQ2
dc.identifier.startpage265en_US
dc.identifier.urihttps://doi.org/10.3233/BMR-150438
dc.identifier.urihttps://hdl.handle.net/11468/19194
dc.identifier.volume30en_US
dc.identifier.wosWOS:000396266900011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherIos Pressen_US
dc.relation.ispartofJournal of Back and Musculoskeletal Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTfesien_US
dc.subjectLumbar Disc Herniationen_US
dc.subjectRadicular Painen_US
dc.subjectFunctionalityen_US
dc.subjectSleep Qualityen_US
dc.subjectDepressive Symptomsen_US
dc.titleThe effectiveness of transforaminal epidural steroid injections on radicular pain, functionality, psychological status and sleep quality in patients with lumbar disc herniationen_US
dc.titleThe effectiveness of transforaminal epidural steroid injections on radicular pain, functionality, psychological status and sleep quality in patients with lumbar disc herniation
dc.typeArticleen_US

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