Elissa Wolf
Effectiveness of Epidural Steroid Injections on Patients with Low Back Pain

SchoolCharles F. Brush High School


ProgramNursing


MentorCarla Van Pelt, RN


DepartmentPain Management at Euclid Hospital


Research
Effectiveness of Epidural Steroid Injections on Patients with Low Back Pain
Hypothesis
Epidural steroid injections effectively decrease pain levels in patients with chronic lower back pain.
Methodology
This is a retrospective, observational study. Data are paired to compare pre- and post-procedure pain levels. A sample of 70 patients of Pasha Saeed, MD, from May 20, 2009, forward was used. The sample included all genders, ages and races, and both transforaminal and lumbar injections. Patients were asked to rate their pain on a 1-10 scale before their injection. Patients were called at least 24 hours after the injection and asked to rate their pain again. Pain differences, found by subtracting initial pain level from final pain level, were graphed and analyzed using a paired T-Test. The test showed that the average pain level did decrease. The mean and median pain difference were both -2 (pain decreased by 2 on pain scale).
Outcomes
Although the average pain level decreased, results are not conclusive because 33 patients received follow-up calls only 24 hours after their procedures, and the injections may take up to 48 hours to take effect. An experiment with a placebo must be done to determine effectiveness.

Interpretations

Just A Little Prick by Raymond Bondad