Lumbar Transforaminal Anterior Epidural Steroid Injections in Discogenic Low Back Pain

Inclusion Criteria: * Being between the ages of 18-65 * Non-radicular, axial back pain * Lack of response to conservative treatments * Detection of Modic type 1 changes in contrast-enhanced Lumbar MRI or intervertebral disc findings that may be associated with discogenic pain (nuclear signal intensity change in the disc \[black disc\], height loss, or high-intensity zone) Exclusion Criteria: * Patients younger than 18 and older than 65 * Describing pain radiating to the lower extremity (those with radicular pain) * Nerve root compression due to disc herniation or other reasons * Modic changes in more than one level * Positive facet loading test * Spinal stenosis or spondylolisthesis * Diagnosed with spondylodiscitis * Pregnancy * Patients with inflammatory rheumatic diseases * Patients whose use of non-steroidal anti-inflammatory drugs is contraindicated (renal failure, bleeding disorders, etc.) * Patients with exercise intolerance