{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T07:50:24Z","timestamp":1773474624227,"version":"3.50.1"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJR|Open"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p>To assess the short-term efficacy of ultrasound-guided caudal epidural steroid injections (ESIs) in improving pain, and nerve function as measured by electrophysiological testing in chronic radicular low back pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>Patients diagnosed with chronic radicular low back pain were randomized into one of two groups. The injection group (n = 20) underwent a single ultrasound-guided Caudal ESI of 1\u2009ml of 40\u2009mg\u2009ml<jats:sup>\u22121<\/jats:sup>Triamcinolone Acetonide (Kenacort-A), with local anesthetic. The control group (n = 20) underwent a 12-session physiotherapy program. Both groups were evaluated before and 2 weeks after the intervention using visual analog scale for pain and electrophysiological testing comprising peroneal and tibial terminal motor latencies and F-response latencies and chronodispersion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Both groups showed significant pain reduction on the visual analog scale after the intervention. The injection group showed a significant reduction in F wave chronodispersion post-treatment (&lt;0.01). In the control group, there were no significant differences in F wave parameters pre- and post-treatment (p &gt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>Caudal ESIs were shown to provide short-term improvement of nerve function as evident by improvement in the electrophysiological parameters sensitive to radiculopathy. It was found to be superior to standard physical therapy in this regard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Advances in knowledge:<\/jats:title><jats:p>This work shows a novel electrophysiologic evidence of the short-term efficacy ultrasound-guided caudal ESI.<\/jats:p><\/jats:sec>","DOI":"10.1259\/bjro.20190006","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T17:50:52Z","timestamp":1576605052000},"page":"20190006","source":"Crossref","is-referenced-by-count":3,"title":["Ultrasound-guided caudal epidural steroid injection in chronic radicular low back pain: short-term electrophysiologic benefits"],"prefix":"10.1093","volume":"2","author":[{"given":"Maha Emad","family":"Ibrahim","sequence":"first","affiliation":[{"name":"Lecturer of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University. PhD in Physical Medicine, Rheumatology and Rehabilitation, Ismailia, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdy Ahmed","family":"Awadalla","sequence":"additional","affiliation":[{"name":"Professor of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University. PD in Physical Medicine, Rheumatology and Rehabilitation, Ismailia, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aziza Sayed","family":"Omar","sequence":"additional","affiliation":[{"name":"Professor of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University. 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