Abstract
Selective nerve root block (SNRB) is an approved procedure in management of lumbar radicular pain. The aim was to
study the determinants that inuence the therapeutic effectiveness of selective nerve root injection in treatment of patients
with Lumbar radicular pain. 28 patients between July 2020 o May 2022 with lumbar radi Materials & Methods: cular pain underwent SNRB . All
Selective Nerve Root Blocks were performed as inpatient procedures without premedication. Pain severity was evaluated using various
assessment scales (visual analogue scale, Rolland – Morris scale,) and results are analyzed both pre procedure and post procedure. Various
parameters like age, sex, nature of work, duration of symptom, amount of pain relief, ability to return back to their regular activities were assessed.
Results: In our study we found that selective nerve root block was more effective in patients presenting with acute symptoms, who are moderately
built, with MSU 2AB grading and who were engaged in moderate level of physical occupation with maximum VAS & RMDQ score at the time of
presentation. SNRB was less effective in obese patient of more than 80 kgs, BMI of < 28. Nerve Root Block is an effective Conclusion:
therapeutic tool for Lumbar Radicular pain and should be recommended as the initial treatment of choice for this condition. Various
constitutional, environmental and behavioral factors inuence the outcome.
Subject
Public Administration,Sociology and Political Science,Public Health, Environmental and Occupational Health,Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Family Practice,Public Health, Environmental and Occupational Health,Sociology and Political Science,Soil Science,Environmental Chemistry,Statistics and Probability,Mechanical Engineering,Mechanics of Materials,Civil and Structural Engineering,Literature and Literary Theory,Linguistics and Language,Language and Linguistics,Pulmonary and Respiratory Medicine,Physiology