Interventional pain management: when/what therapies are best for low back pain

Current Opinion in Anaesthesiology
Leonardo Kapural, Joshua Goldner

Abstract

The aim of this article is to inform an interested audience on novel minimally invasive and percutaneous interventional options for reduction of lower back pain. Numerous percutaneous and minimally invasive techniques for treatment of lower back pain were introduced recently. To accumulate sufficient clinical evidence in order to either dismiss or accept the new treatment modalities requires years of delay. Presented here are novel percutaneous procedures to treat discogenic pain, radiculopathies, lumbar facet syndrome, painful compressive vertebral fractures, myofascial pain and postlaminectomy syndrome. Data on efficacy of those procedures available from limited case series reports, retrospective studies and a few prospective trials are reviewed. There is a wide variety of techniques introduced recently in pain management of the lower back. Some of those procedures may serve as a definite treatment; others may significantly enhance or facilitate conservative management. Careful selection of the patients may significantly improve the success rates of these procedures.

References

Aug 1, 1981·Journal of Neurosurgery·H P SmithV R Challa
Nov 14, 1997·Spine·M H CoppesG J Groen
May 23, 1998·Radiologic Clinics of North America·H DeramondD Le Gars
Jun 10, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S L ObrzutM D Markel
Jan 1, 1997·Stereotactic and Functional Neurosurgery·J ChoS S Chung
Sep 2, 1999·Lancet·G B Andersson
Aug 16, 2000·Archives of Physical Medicine and Rehabilitation·K P BotwinW K Slaten
Sep 22, 2000·Current Review of Pain·S R Anderson
Sep 12, 2001·Archives of Physical Medicine and Rehabilitation·R V ShahS Rodeo
Sep 19, 2001·Current Pain and Headache Reports·C M Criscuolo
Nov 26, 2002·American Journal of Physical Medicine & Rehabilitation·Kenneth P BotwinSanjiv Rao
Mar 8, 2003·Physical Medicine and Rehabilitation Clinics of North America·Kenneth P Botwin, Robert D Gruber
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Georgi MikeladzeDan Martin
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Robert G KleinRichard R Derby
Jan 8, 2004·JAMA : the Journal of the American Medical Association·Peter S StaatsDavid Ellis
Jan 15, 2004·Anesthesiology Clinics of North America·P Prithvi Raj
Jan 21, 2004·Current Pain and Headache Reports·Farshad M Ahadian
Jan 30, 2004·The Spine Journal : Official Journal of the North American Spine Society·Kevin J PauzaNikolai Bogduk
Feb 3, 2005·Journal of Spinal Disorders & Techniques·P M FinchP D Drummond
Mar 8, 2005·The Spine Journal : Official Journal of the North American Spine Society·Robert F McLainNagy A Mekhail
Nov 30, 2006·Pain Practice : the Official Journal of World Institute of Pain·Kenneth M AlòScott A Brandt

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