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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(1):108-116.
Evaluation of Epidural Injection with Modified Dallas Pain Questionnaire in Patients with Low Back Pain.
Kim, Jong Chul , Kim, Hyun Bae , Kim, Mi Jung , Lee, Sang Gun
Department of Physical Medicine & Rehabilitation, College of Medicine, Hanyang University.
요통환자에서 경막외 주사 효과의 평가 ⁣Modified Dallas Pain Questionnaire를 중심으로⁣
김종철, 김현배, 김미정, 이상건
한양대학교 의과대학 재활의학과교실
Abstract

Objective
To evaluate the efficacy of epidural injections of steroid and local anesthetics with the modified Dallas pain questionnaire in the low back pain patients.


Method
Before and after epidural injections with triamcinolone and local anesthetics, we examined the patients with modified Dallas pain questionnaire. The efficacy was assessed by paired t test to compare the results of this questionnaire.


Results
Four aspects of the patient's life (daily activity, work and leisure activity, anxiety- depression, and social interest) were significantly improved after epidural injection in low back pain patients. And their improvements were more definite in patients diagnosed with herniatied lumbar disc, relatively acute onset of symptom, and more serious findings in MRI.


Conclusion
Epdiural injections of steroid and local anesthetics are effective for patients with low back pain, espercially for improving life quality of patients such as daily activity and work-leisure activity. It also decreases anxiety and increases social interest in some patients. However, validity of modified Dallas pain questionnaire must be proved in the future.

Key Words: Modified Dallas pain questionnaire, Epidural injection, Low back pain


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