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Spinal Canal Stenosis Case Study

Satisfactory Essays
Background: one of the most common causes of low back pain and disability is Spinal canal stenosis . Its management varies from surgical to conservative, and the indications for ideal management are not clearly determined.

Objectives: This study was convoyed to evaluate the effect of mixing calcitonin to local anesthetic and corticosteroid in epidural injection for patients complaning from degenerative lumbar spinal canal stenosis.

Study Design: Randomized double-blind clinical trial.

Setting: Hospital outpatient clinic setting.

way of study: One hundred thirty-two patients with degenerative stenosis of spinal canal were randomly allocated into 2 groups. Group I received under C-arm epidural injection
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These beneficial effects continued in calcitonin group for one year.

Limitations: The present study patients would be graded as having mild or at worst moderate stenosis. So, the present study did not examine the efficacy of epidural calcitonin in severe spinal canal stenosis and did not stratify the results according to degree of stenosis which would also have been useful in determining the validity of calcitonin in different degrees of stenosis. Conclusion: mixing calcitonin to epidural local anesthetic and steroid injection looks to be more effective than epidural steroid and local anesthesia alone in treatment of spinal canal stenosis regarding better Oswestry scale increased, walking distance and decreased pain intensity and feeling of paresthesia, and less analgesic use, all the above mentioned benefits continued to up one year. So, epidural calcitonin is considered as a new modalitity therapeutic way in the management of pain in spinal canal
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