Ann Geriatr Med Res Search

CLOSE


Ann Geriatr Med Res > Volume 20(3); 2016 > Article
Annals of Geriatric Medicine and Research 2016;20(3):137-141.
DOI: https://doi.org/10.4235/agmr.2016.20.3.137    Published online September 30, 2016.
Differences of Therapeutic Responses to Epidural Steroid Injection in Elderly Patients With Radiculopathy
Hyun Sik Park, Yu Ri Son, Kyung Hyo Choi
Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Abstract
BACKGROUND
Lumbar epidural steroid injections (ESI) administered in patients with radicular symptoms produce variable effects. Further, factors associated with improved outcomes are unclear. We investigated the effect of lumbar ESI not only on pain but also on depression and insomnia. Previous studies have only investigated the relationship between pain and magnetic resonance imaging (MRI) findings. Therefore, we aimed to determine the relationships between pain, MRI findings, sleep, and depression scores.
METHODS
Thirty-five patients with lumbar radiculopathy were recruited in the study. After excluding 15 patients, 20 were evaluated both before and after ESI. These patients were categorized into 3 groups according to lumbar MRI findings as disk herniation I (bulging and protrusion) and disk herniation II (extrusion and sequestration) and central canal stenosis group. We evaluated treatment outcomes using changes in the visual analogue scale. Additionally, patients completed the Beck Depression Inventory and the Insomnia Severity Index (ISI) before and after ESI.
RESULTS
After ESI, patients with disk herniation I showed improvement in pain, depression, and sleep; however, there were no significant differences between disk herniation I and the other 2 groups.
CONCLUSION
We believe that active treatment with ESI may alleviate pain, depression, and insomnia in patients with disk herniation I showing bulging and protrusion.
Key Words: Depression, Epidural steroid injection, Insomnia, Lumbar radiculopathy


ABOUT
ARTICLE & TOPICS
Article Category

Browse all articles >

TOPICS

Browse all articles >

BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
#401 Yuksam Hyundai Venturetel, 20, Teheran-ro 25-gil, Gangnam-gu, Seoul 06132, Korea
Tel: +82-2-2269-1039    Fax: +82-2-2269-1040    E-mail: agmr.editorial@gmail.com                

Copyright © 2020 by Korean Geriatrics Society. All rights reserved.

Developed in M2community

Close layer
prev next