Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
140
Views
14
Downloads
Abstract
Sodium channel blockers and steroids are known to play a vital role in establishing pain relief in neuropathic pain. This is usually achieved by reducing inflammation of the involved nerve roots as well as by desensitizing them. In our study, we aim to establish the effectiveness of cocktail injections comprising of a combination of lignocaine 2%, Distill water and Triamcinolone acetate 40 mg for radiculopathy caused by Intervertebral Disc Prolapse. We conducted a mixed cohort study (prospective and retrospective) on 90 patients between the age groups of 18‐60 years. attending the Out Patient Department of Orthopaedics, Kokrajhar Medical College and Hospital, Assam. These patients were diagnosed with Prolapsed Intervertebral Disc (PIVD) with lower limb radiculopathy with MRI findings of Disc prolapse at L4‐L5 or L5‐S1levels. The cocktail injection was injected into both the tarsal tunnel and superior tibio‐fibular joint respectively in two divided doses in the affected lower limb. Patients were examined and evaluated clinically for VAS pain score, SLRT, sensory and motor examinations on Day 2, Day 7 and 1 month respectively. The mean pre‐VAS score was 7.1 followed by the mean VAS score on Day 2 was 2.1 the mean VAS score was 2.7 on day 7 and 3.1 on day 30. There was a statistically significant difference in the mean VAS score (p<0.001). The use of distal sodium channel blockers injections could be cost effective, efficient and a game changer in the management of PIVD patients associated with lower limb radiculopathy.
How to cite this article:
Nathanael Sungte, Gautam Choudhury and Pranjal Kalita. The role of Distal Sodium Channel Blockers in the Management of Prolapsed Intervertebral Disc with Radiculopathy: A Mixed Cohort Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.240.243
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.240.243