Percutaneous Adhesiolysis Versus Transforaminal Epidural Steroid Injection for the Treatment of Chronic Radicular Pain Caused by Lumbar Foraminal Spinal Stenosis: A Retrospective Comparative Study

Annals of Rehabilitation Medicine
Yongbum ParkKi Hoon Lee

Abstract

To investigate the efficacy of percutaneous adhesiolysis (PA) compared to fluoroscopy (FL)-guided transforaminal epidural steroid injection (TFESI) in patients with radicular pain caused by lumbar foraminal spinal stenosis (LFSS) by assessing pain relief and functional improvement at 4 and 12 weeks post-procedure. This retrospective study included 45 patients who underwent PA or FL-guided TFSEI for radicular pain caused by LFSS of at least 3 months' duration. Outcomes were assessed with the Oswestry Disability Index (ODI) and Verbal Numeric Pain Scale (VNS) before the procedure and at 4 and 12 weeks post-procedure. A successful outcome was defined by >50% improvement in the VNS score and >40% improvement in the ODI score. ODI and VNS scores improved 4 and 12 weeks post-procedure in both groups. Statistically significant differences between groups were observed in ODI and VNS at 12 weeks (p<0.05). The proportion of patients with successful outcomes was significantly different between the two groups only at the 12-week time point. Our study suggests that PA is effective for pain reduction and functional improvement in patients with chronic radicular pain caused by LFSS. Therefore, PA can be considered for patients with previous i...Continue Reading

References

Jun 1, 1989·AJR. American Journal of Roentgenology·J R JinkinsW G Bradley
May 1, 1984·Spine·R W PorterC Evans
May 15, 1995·Spine·T AmundsenB Magnaes
Jul 1, 1998·The Clinical Journal of Pain·M FukusakiK Sumikawa
Oct 29, 1998·Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association·C RivestR N Jamison
Mar 7, 2000·Spine·L G Jenis, H S An
Nov 14, 2000·Spine·J C Fairbank, P B Pynsent
Dec 15, 2006·Pain Practice : the Official Journal of World Institute of Pain·Craig T HartrickSharon Shapiro
Jun 7, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Shigeru KobayashiHisatoshi Baba
Apr 29, 2009·The Spine Journal : Official Journal of the North American Spine Society·Deborah L RabinovitchAndrea D Furlan
Aug 26, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Clark C SmithP Weiss
Oct 1, 2003·Neuromodulation : Journal of the International Neuromodulation Society·Gul K Talu, Serdar Erdine
Apr 17, 2012·Annals of Rehabilitation Medicine·Sang Beom KimByung Hee Kim
Sep 15, 2012·Annals of Rehabilitation Medicine·Sang Beom KimByoung Woo An
Jun 28, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jung Hwan Lee, Sang-Ho Lee
Jan 31, 2014·The Korean Journal of Pain·Frank LeeSteven P Cohen

❮ Previous
Next ❯

Citations

Jul 26, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Clark C SmithMilan P Stojanovic
Jul 2, 2019·The Korean Journal of Pain·Young Kook Choi
Apr 4, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Sang Chul LeeJee Youn Moon
Apr 22, 2020·Pain Practice : the Official Journal of World Institute of Pain·Seung Hwa Jang, Min Cheol Chang
Nov 28, 2021·Pain Practice : the Official Journal of World Institute of Pain·Ki-Han YouMin-Seok Kang

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray
lavage

Software Mentioned

SAS Enterprise Guide

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.