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Objective Discogenic low back pain is a widespread disorder around the world. Numerous methods have been developed and continue to be developed in the treatment of discogenic low back pain. In this study, we aimed to examine the effect of epidural steroid administration (ESI) on disc bulging and disc protrusion in patients with discogenic low back pain. Materials and Methods The prospective randomized study reviewed medical records of 71 patients with discogenic low back pain who were radiologically proven as disc bulging and disc protrusion with or without radicular pain and did not require surgery at Neurosurgery Department between June 2021 and June 2022. All the patients underwent ESI and attended regular follow-up visits for a period of 6 months. Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) scores were assessed before the procedure, one week after the procedure, one month after the procedure, and six months after the procedure. Results There was no significant difference between patients with disc bulging and disc protrusion in terms of demographic characteristics. In both groups, both VAS and ODI scores showed a significant decrease in the post-procedure period compared to the pre-procedure period. However, there was no significant difference between the two groups with regard to the reduction rate between post-procedure 1st week VAS scores and pre-procedure VAS scores. Conclusion The results indicated that lumbar interlaminar steroid injection is an effective treatment for disc bulging and discogenic pain due to protrusion and that both groups benefited from ESI administration. Additionally, except for the first week of injection, relief due to the use of epidural steroids was observed to be greater in the Disc Protrusion group compared to the Disc Bulging group.

DOI: 10.4328/JCAM.655 Received: 23.03.2011 Accepted: 24.03.2011 Printed: 01.05.2013 J Clin Anal Med 2013;4(3): 230-2 Corresponding Author: Suleyman Coskun, Ataturk Universitesi Tip Fakultesi Beyin ve Sinir Cerrahisi Klinigi, Erzurum, Turkiye. T.: +905326223515 F.: +904422361228 E-Mail: dr.scoskun@hotmail.com Ozet 45 yasinda erkek hasta 5 aydir devam eden bel agrisi ve sol siyatalji yakinmasi ile basvurdu. 7 ay once L4-5 disk hernisi nedeniyle ameliyat olmustu. Bilgisayarli tomografi (CT) ve manyetik rezonans goruntulemede (MRI) sol posterior paravertebral bolgede lokalize abse olusumunu andiran tezat bir kitle lezyon tespit edildi. Paravertebral abse tanisi kondu ve lokal anestezi altinda ultrasonografi rehberliginde aspirasyon planlandi. Mudahale sirasinda, igne kavite icerisinde olmasina ragmen yeterince materyal aspire edilemedi. Boylece, cerrahi planlandi ve sol paraspinal bolgede spongeoma bulundu ve total cikarildi. Hasta sorunsuz iyilesti.