Comparative analysis of Treatment for low back pain after delivery in patients with epidural analgesia and those without epidural analgesia.

Dr. Vijay Vasant Nemade; Dr. Pramod Vasant Lokhande; Dr. Dattatray Manohar Bhakare

Volume : VII, Issue : VIII, August - 2018

Comparative analysis of Treatment for low back pain after delivery in patients with epidural analgesia and those without epidural analgesia.

Dr. Vijay Vasant Nemade, Dr. Pramod Vasant Lokhande, Dr. Dattatray Manohar Bhakare

Abstract :

Background: Epidural Analgesia is considered as one of the cause of low back pain after delivery. Literature does not reveal epidural analgesia is the cause for low back pain after delivery. The incidence of low back pain after delivery in female patients not receiving epidural analgesia is same as that in patients who receive Epidural Analgesia. Aim of this study is to find out response of standard modality of treatment in female patients who has received epidural analgesia duringlabor and presented with low back pain after delivery.

Methods:This study involved retrospective analysis of female patients presenting with low back pain after delivery. All patients treated at our Institute between May 2017 and April 2018 were studied. Patients of age between 22 to 45 Years presented with low back pain after delivery with no history of trauma, fever and no positive clinical findings were included in the study. Patients with neurologic signs, spondylolisthesis, and history of trauma, fever, patients who had previous back surgery and patients who underwent caesarean section were excluded from the study. Patients with low back pain who received Epidural Anaesthesia were labelled as Group A. Patients who did not received Epidural Anaesthesia were labelled as Group B. Both Group patients received same standard modality of treatment in the form of short term Non Steroidal Anti–inflammatory agents, Vitamin D3, Calcium and Multivitamin preparations along with physiotherapy. Data on outcomes were collected during follow–up in outpatient department or on telephone.

Results: 154 Patients who fulfilled inclusion criteria were included in the study. 79 Patients complaining of low back pain after delivery and who received epidural analgesia were labelled as Group A. 75 Patients complaining of low back pain and who did not received epidural analgesia were labelled as Group B. Both Groups have comparable patient characteristics with respect to age, weight, height and obstetric history.There was no significant statistical difference in pain score and functional recovery between the two groups at the end of 2^nd, 4^th week, 2^nd month and 3^rd month after completion of treatment.

Conclusion: Our results demonstrated equal response to standard modality of treatment with short term Non Steroidal Anti–inflammatory agents, Vitamin D3, Calcium, Multivitamin preparations and Physiotherapy. Hence we can counsel our patients that there is no increased risk for low back pain after delivery with the use of epidural analgesia for labour pain and when it occurs response to the treatment is equally good as in those patients who did not receive epidural analgesia.