Epidural steroid therapy is one of the useful conservative modalities of treatment of low back pain with sciatica. Epidural injection of a mixture of 80 mg (2 ml) of methylprednisolone, 25 ml of normal saline and 10 ml of 2% lignocaine hydrochloride through sacral route produced excellent to good results in 83% of patients of low back pain with sciatica with subacute symptoms of less than 3 months duration, when evaluated after 3 months of injection. When evaluated after one year of injection the success rate came down to 64.8%.