Patient-Reported Outcomes and Satisfaction after Cervical Epidural Steroid Injection for Cervical Radiculopathy

Authors

  • Ali Hosseinpoor Non-Communicable Disease Research Center, Fasa University of Medical Sciences, Fasa, Fars, Iran
  • Masoud Hashemi Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Payman Dadkhah Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Mehrdad Taheri Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Mahshid Ghasemi Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Mojtaba Farjam Non-Communicable Disease Research Center, Fasa University of Medical Sciences, Fasa, Fars, Iran

DOI:

https://doi.org/10.31661/gmj.v8i.1478

Keywords:

Radiculopathy, Neck Pain, Steroids, Injection, Epidural, Pain Management

Abstract

Background: Cervical radiculopathy caused by disc herniation is a frequent public health issue with economical and socio-professional impacts. The objective of the present study is to evaluate the patient-reported outcomes and satisfaction from cervical epidural steroid injection during a 2-year follow-up. Materials and Methods: Results based on patients’ reports from a previously performed intervention of cervical epidural steroid injection on patients with cervical radiculopathy due to cervical disc herniation are prospectively collected. Outcome measures are Neck Disability Index (NDI), numerical rating scale (NRS) for pain assessment, and 5-scale patient satisfaction questionnaire (PSQ) plus opioid medication for pain relief, additional injections, and progression to surgery. Results: Of total 37 cases, 34 were available for follow-up after 2-year postoperatively. The mean preoperative NDI was 21.17 and improved to 17.38, and the mean NRS was 7.7 and improved to 5.00; both were statistically significant. Mean patient satisfaction after 2 years was 3.17 out of 5. 11 cases needed additional injections, and 4 of patients proceeded to surgery. Conclusion: We showed that transforaminal cervical epidural steroid injection for cervical radiculopathy is an effective non-surgical treatment option, providing significant pain relief and functional improvement during 2-years follow-up along with higher-than-average patient satisfaction in most of our patients. [GMJ.2019;8:e1478] 

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Published

2019-11-03

How to Cite

Hosseinpoor, A., Hashemi, M., Dadkhah, P., Taheri, M., Ghasemi, M., & Farjam, M. (2019). Patient-Reported Outcomes and Satisfaction after Cervical Epidural Steroid Injection for Cervical Radiculopathy: . Galen Medical Journal, 8, e1478. https://doi.org/10.31661/gmj.v8i.1478

Issue

Vol. 8 (2019): 2019

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Original Article

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https://creativecommons.org/licenses/by/4.0/