Arachnoiditis and epidural fibrosis: the Relationship to chronic pain

Pawl, Ronald P.

doi:10.1007/s11916-998-0052-z

Cited by 31 publications

(34 citation statements)

References 59 publications

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“…While scar tissue may be a cause of back pain or leg pain, in and of itself the scar tissue is rarely painful since the tissue contains no nerve endings [43]. Epidural fibrosis is scar tissue around the nerve root and there could be and adhesive arachnoiditis most commonly occurs as a complication of spinal surgery and may be included in the diagnosis of "failed back surgery syndrome" [44].…”

Section: Discussionmentioning

confidence: 99%

A comparison of non-endoscopic and endoscopic adhesiolysis of epidural fibrosis

Bellini

Barbieri

2016

Anaesthesiol Intensive Ther

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Low back and leg pain may be due to many causes, one of which is scarring in the epidural space. Epidural scarring may provoke this pain for many reasons: nerves may be trapped by scars, while veins in the epidural space press down upon the nerves and become enlarged, putting pressure on the nerves. Endoscopic and percutaneous epidural adhesiolysis allows one to eliminate the deleterious effects of scar formation, which can both physically prevent the direct application of drugs to nerve and provide relief in patients who have not responded to epidurals, physical therapy or medication. A search of the MEDLINE and Embase databases was conducted for the period between 1970 and 2014 using the search terms "adhesiolysis", "lysis of adhesions", "epiduroscopy", "epidural neuroplasty", "epidural adhesions", "radiofrequency lysis adhesion" and "epidural scar tissue" in order to identify articles relevant for this review. The purpose of this review is to describe the effectiveness and complications present in a comparison of nonendoscopic, endoscopic and pulsed radiofrequency endoscopic procedures in lysis of adhesions in epidural fibrosis.

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Section: Discussionmentioning

confidence: 99%

A comparison of non-endoscopic and endoscopic adhesiolysis of epidural fibrosis

Bellini

Barbieri

2016

Anaesthesiol Intensive Ther

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“…The contribution of fibrosis to the etiology of low back pain has been debated [7][8][9]. There are many possible etiologies of epidural fibrosis, including surgical trauma, an annular tear, infection, hematoma, or intrathecal contrast material [10].…”

Section: Pathophysiology Of Epidural Fibrosis (Scar Tissue) As a Causmentioning

confidence: 99%

Epidural Lysis of Adhesions and Percutaneous Neuroplasty

Racz

Heavner

Noe

et al. 2016

Techniques of Neurolysis

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“…6 The contribution of fibrosis to the etiology of low back pain has been debated. [7][8][9] There are many possible etiologies of epidural fibrosis, including surgical trauma, an annular tear, infection, hematoma, or intrathecal contrast material. 10 These etiologies have been well documented in the literature.…”

Section: Pathophysiology Of Epidural Fibrosis (Scar Tissue) As a Causmentioning

confidence: 99%