ABSTRACT

Aim: To assess the improvement in pain and daily life style in patients with spinal stenosis managed with lumbar interlaminar epidural steroid injection using visual analogue pain score (VAS) and Oswestry Disability index (ODI). Methods: The study was conducted from June 2017 to February 2018 at Orthopedic Department, Mayo Hospital Lahore. Results: A total of 178 patients fulfilling inclusion criteria with spinal stenosis confirmed on MRI were included. 120 mg of Methylprednisolone along with Lignocaine 2% (2ml) was injected at L2 – L3 epidural space. Final follow-up was done at three months. The improvement (>40) in ODI was seen in 157 (88.20%) patients while the change in pain score of more than 50% was seen in 89.3% (159) patients. So it was concluded that interlaminar lumbar epidural injection of steroid is effective and shows good results in daily activities in treating patient with spinal stenosis. Conclusion: Interlaminar Lumbar epidural injections are effective in treating pain and radiculopathy due to lumbar spinal stenosis in terms of reduction in pain and improvement in Oswestry disability index. Keywords: Lumbar Interlaminar epidural injection, Oswestry Disability Index, Spinal Stenosis.