The Influence of Local Anesthesia Depth on Procedural Pain During Fluoroscopically Guided Lumbar Transforaminal Epidural Injections: A Randomized Clinical Trial

American Journal of Physical Medicine & Rehabilitation
In Chan BaekShin Hyung Kim

Abstract

The aim of the study was to evaluate the influence of the depth of local anesthesia application on procedural pain during lumbar transforaminal epidural steroid injection. Sixty-eight patients were enrolled who were scheduled for single-level, unilateral fluoroscopically guided lumbar transforaminal epidural steroid injection. Patients were randomly allocated to receive either subcutaneous local anesthesia (group S) or deep local anesthesia (group D) for transforaminal epidural steroid injection. The data related to pain and technical performance during the procedure was compared. In addition, the incidence of injection site soreness was assessed 2 wks after transforaminal epidural steroid injection. Sixty-seven patients completed all assessments (group S, n = 33; group D, n = 34). There was no significant difference in procedural pain and discomfort level between the groups (P = 0.151, P = 0.183, respectively). Patients in group D showed lower behavioral pain scores (P = 0.017). There was no significant difference in the numbers of needle manipulations, fluoroscopy time, and radiation dose during the procedure between the groups. Two patients in group S and three in group D complained of injection site soreness after transfora...Continue Reading

References

Apr 1, 1988·Anesthesiology·S N RajaJ N Campbell
Jan 24, 2013·The Korean Journal of Pain·Cheol Hee JungJae Hun Kim
Apr 20, 2013·Regional Anesthesia and Pain Medicine·Steven P CohenJames P Rathmell
Aug 12, 2014·Archives of Physical Medicine and Rehabilitation·Zachary McCormickChristopher Plastaras
Jun 13, 2015·The Spine Journal : Official Journal of the North American Spine Society·Christopher PlastarasDavid J Kennedy
May 3, 2016·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Suyoung KimJoong Mo Ahn

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Citations

Apr 10, 2020·The Cochrane Database of Systematic Reviews·Crystian B OliveiraRafael Zambelli Pinto

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