Abstract
Back pain is a major issue in our country and its effective management remains a challenge. Prolapsed intervertebral disc is one of the major cause of illness leading to low back ache which is mostly affecting adults in their fourth decade of life. We have selected a study group of 120 people with single and double level disc bulges and prolapses, who underwent MRI for their low backache and managed them with ESI by different approaches, among which 63 patients were given interlaminar approach, 21 transforaminal approach and 36 caudal approach at the end we got fair to good results in our study, by this the time interval for surgical intervention has been increased.