J Korean Acad Rehabil Med Search

CLOSE


Journal of the Korean Academy of Rehabilitation Medicine 2006;30(6):590-594.
The Change of Blood Glucose and Cortisol Levels after Three Consecutive Epidural Steroid Injections.
Kim, Dong Gun , An, Hyun Mee , Jung, Kyu Young
Department of Physical Medicine and Rehabilitation, Busan Paik Hospital, Inje University College of Medicine, Korea. merrygoo@hanmail.net
3회의 연속된 경막외 스테로이드 주사 후 혈청 혈당치와 코티졸치의 변화
김동건, 안현미, 정규영
인제대학교 의과대학 부산백병원 재활의학과
Abstract
Objective
To investigate the change of blood glucose and cortisol levels after three consecutive epidural steroid injections
Method
Fifteen patients with low back pain and radiating pain were included. Three consecutive epidural injections were performed weekly. The serum glucose, insulin and cortisol levels were measured 30 minutes before the 1st injection and at 24 hours and l week after each injection.
Results
There were significant changes in the result of glucose and insulin levels at 24 hours after each injection (p<0.05), but no signigicant changes at 1 week compared with pre-injection level. The cortisol level significantly decreased at 24 hours after 1st injection and did not return to pre-injection level at 1 week after 1st injection (p<0.05). There were no further increases in the glucose and insulin levels and no further decrease in the cortisol level after each of the three consecutive injections.
Conclusion
Three consecutive epidural injections at 1 week interval seems to be as safe procedure. But significant suppression of cortisol kept on for 1 week, so it should be taken into account when patients with previous epidural injection undergo major stress. (J Korean Acad Rehab Med 2006; 30: 590-594)
Key Words: Epidural steroid injection, Glucose, Insulin, Cortisol, Triamcinolone


ABOUT
ARTICLE TYPES

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2024 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer