The Role of Caudal Epidural Steroid Injections in Diabetic Lumbosacral Radiculoplexus Neuropathy: A Case Report
Joseph Roys1, Marissa Catalanatto1, Christian Vangeison2
1Baylor College of Medicine, One Baylor Plaza, Houston, TX.
Background:
Diabetic lumbosacral radiculoplexus neuropathy (DLSRPN) or diabetic amyotrophy, although relatively uncommon and typically self-resolving, often leads to a period of severe compromise in quality of life.
Case Report:
We present the case of a 46-year-old woman with 6 months of bilateral lower extremity weakness and neuropathic pain, diagnosed with diabetic lumbosacral plexopathy. Her recovery course was significantly improved by receiving a caudal epidural steroid injection (ESI) to address her pain and decreased function that was not sufficiently controlled by neuropathic agents and oral opioids.
Conclusions:
Caudal ESI may have a beneficial role treatment of DLSRPN to facilitate participation in a functional rehabilitation program.
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