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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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COMPARISON OF DEXAMETHASONE AND TRIAMCINOLONE AS EPIDURAL STEROIDS IN LOW BACK PAIN
Harparam Singh Ghuman*, Hardayal Singh Ghuman, Sumera Rahim
Epidural steroids are used in the treatment of radicular and other spinal pain of an inflammatory origin emanating from the cervical, thoracic, and lumbar spine. The use of epidural administration of steroids is to produce higher local concentrations at an inflamed nerve root and other areas of inflammation in the spinal canal area. Different steroid preparations have dissimilar physico chemical properties and these may affect outcomes and side-effects. There is an ongoing debate with regard to the use of particulate and non-particulate steroids for epidural injections for chronic pain patients. Design. One hundred patients were randomized to receive lumbar transforaminal epidural steroid injections (N = 50) with either dexamethasone 7.5 mg, or with triamcinolone acetate 40 mg (N = 50). Measurement were taken before treatment and one month after treatment using ascale, short McGill pain questionnaire, and re vised Oswertry Back Disability Index Conclusion. In this study, dexamethasone and triamcinolone treatments were shown to have different effects on low back pain with sciatica, with triamcinolone being more effective than dexamethsone in lumbar radiculopathy.[Full Text Article] [Download Certificate]