Disk Entry: A Complication of Transforaminal Epidural Injection—A Case Report

Finn, Kenneth; Case, Jamie L.

doi:10.1016/j.apmr.2005.03.003

Cited by 32 publications

(26 citation statements)

References 9 publications

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“…21 Disc entry was noted in 2% patients, which was noticed by the spread of medications to structures outside of the intended epidural target. Finn and Case, et al (2005). 22 recounted a case of disc entry as a complication of transforaminal injection.…”

Section: Complicationsmentioning

confidence: 99%

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Efficacy of Transforaminal Epidural Steroid Injection in Lumbosacral Radiculopathy

Majid¹,

K²,

M³

et al. 2016

jemds

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BACKGROUNDLumbosacral radiculopathy is a common medical and socioeconomic problem with a lifetime prevalence estimated to be around 40%-60%. In 1930, Evans reported that sciatica could be treated by epidural injection. The use of epidural corticosteroid injection for the treatment of axial and radicular back pain was first reported in 1953. Lumbar Transforminal Epidural Steroid Injections (TFESIs) are performed to provide symptomatic relief in patients with radicular pain. A transforaminal epidural steroid injection (TFESI) using a small volume of local anaesthetic will anaesthetize the spinal nerve and also partially anaesthetize the dura, the posterior longitudinal ligament, the intervertebral disc and facet joint. For these reasons, fluoroscopy-guided TFESI has become the preferred approach to epidural space.

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Section: Complicationsmentioning

confidence: 99%

“…Finn and Case, et al (2005). 22 recounted a case of disc entry as a complication of transforaminal injection. Hong JH, et al (2013).…”

Section: Complicationsmentioning

confidence: 99%

Efficacy of Transforaminal Epidural Steroid Injection in Lumbosacral Radiculopathy

Majid¹,

K²,

M³

et al. 2016

jemds

View full text Add to dashboard Cite

show abstract

“…17,18 Disc Entry Disc entry was noted in 2 patients (2%), which was noticed by the spread of medication to structures outside of the intended epidural target. Finn and Case, et al (2005). 20 recounted a case of disc entry as a complication of transforaminal injection.…”

Section: Intravascular Injectionmentioning

confidence: 99%

“…Finn and Case, et al (2005). 20 recounted a case of disc entry as a complication of transforaminal injection. Hong JH et al (2013).…”

Section: Intravascular Injectionmentioning

confidence: 99%

“…14 Since TFESI has become the preferred method of treatment of back pain with radiculopathy, it has become important to recognize the complications if any associated with this procedure and the effect of these complications. 15,16,17,18,19,20,21,22 Arnold T Berman et al (1984) studied the effects of epidural injection and local anaesthetics and corticosteroids in patients with lumbosciatic pain. They observed some complications such as transient hypotension, difficulty in voiding, severe paraesthesias, cardiac angina, sinus arrhythmias, respiratory difficulty and headache.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Complications Associated With Transforaminal Epidural Steroid Injection Administered in Lumbosacral Radiculopathy

Majid¹,

M²,

Ali³

et al. 2016

jemds

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BACKGROUNDLumbosacral radiculopathy is a common medical and socio-economic problem with a lifetime prevalence estimated to be around40%-60%. Fluoroscopically guided transforaminal injection serve as an important tool in the nonsurgical management of lumbosacral radiculopathy secondary to herniated nucleus pulposus. This study was done in SKIMS Medical College, Srinagar, to evaluate the complications associated with the fluoroscopically-guided transforaminal epidural steroid injections.

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Lumbosacral Radicular Pain

Boxem¹,

Cheng

Patijn

et al. 2011

Evidence‐Based Interventional Pain Medicine

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Introduction: Patients suffering lumbosacral radicular pain report radiating pain in one or more lumbar or sacral dermatomes. In the general population, low back pain with leg pain extending below the knee has an annual prevalence that varies from 9.9% to 25%. Methods: The literature on the diagnosis and treatment of lumbosacral radicular pain was reviewed and summarized. Results: Although a patient's history, the pain distribution pattern, and clinical examination may yield a presumptive diagnosis of lumbosacral radicular pain, additional clinical tests may be required. Medical imaging studies can demonstrate or exclude specific underlying pathologies and identify nerve root irritation, while selective diagnostic nerve root blocks can be used to confirm the affected level(s). In subacute lumbosacral radicular pain, transforaminal corticosteroid administration provides short-term pain relief and improves mobility. In chronic lumbosacral radicular pain, pulsed radiofrequency (PRF) treatment adjacent to the spinal ganglion (DRG) can provide pain relief for a longer period in wellselected patients. In cases of refractory pain, epidural adhesiolysis and spinal cord stimulation can be considered in experienced centers. Conclusions: The diagnosis of lumbosacral radicular pain is based on a combination of history, clinical examination, and additional investigations. Epidural steroids can be considered for subacute lumbosacral radicular pain. In chronic lumbosacral radicular pain, PRF adjacent to the DRG is recommended. SCS and epidural adhesiolysis can be considered for cases of refractory pain in specialized centers.

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Disk Entry: A Complication of Transforaminal Epidural Injection—A Case Report

Cited by 32 publications

References 9 publications

Efficacy of Transforaminal Epidural Steroid Injection in Lumbosacral Radiculopathy

Efficacy of Transforaminal Epidural Steroid Injection in Lumbosacral Radiculopathy

Evaluation of Complications Associated With Transforaminal Epidural Steroid Injection Administered in Lumbosacral Radiculopathy

Lumbosacral Radicular Pain

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