Work and Physical Activity (FABQ-W and FABQ-P respectively) and the Mindfulness survey, both of which were administered before lumbar TFESI. Design: Prospective cohort study. Setting: Urban, academic physiatry practice. Participants: A total of 25 patients who received lumbar transforaminal epidural spinal injections (TFESI) for back pain. Interventions: Not applicable. Main Outcome Measures: In this study, success was defined by a reduction in pain score more than 30% at weeks 1, 2, 3, and 4. Results: Back pain was successfully treated in 13 of 25 patients at week 1 after TFESI, 11 of 25 at week 2, 12 of 24 at week 3, and 10 of 24 at week 4. Subjects with successful lumbar TFESI scored higher on preinjection FABQ-W, lower on FABQ-P, and lower on the mindfulness questionnaire. Those subjects who experienced a successful outcome at week 2 scored significantly lower on preinjection FABQ-W (21.6 versus 30.6; Pϭ.
03).Conclusions: There appears to be an association of fear avoidance behaviors and successful outcome of lumbar TFESI. The preinjection FABQ-W had the greatest association with successful outcome at week 2. Further work is needed to evaluate fear avoidance and mindfulness as prediction tools to identify patients who would benefit the most from interventions for pain.
Inappropriate UDS is a main factor for discharge due to violation of the opioid treatment agreement. Those with self-reported current or prior drug use were more likely to be discharged from the clinic.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.