Epidural neuroplasty versus physiotherapy to relieve pain in patients with sciatica: a prospective randomized blinded clinical trial

Veihelmann, A.; Devens, C.; Trouillier, Hans; Birkenmaier, Christof; Gerdesmeyer, Ludger; Refior, H. J.

doi:10.1007/s00776-006-1032-y

Cited by 91 publications

(153 citation statements)

References 28 publications

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“…174 The duration of follow-up ranged from 2 months 163,175 to 6 months. 151,155,160,170,174 Five RCTs 152,157,162,163,173 compared epidural injections with inactive control; the overall findings were in favour of epidural at 2-3 months, but the difference was not statistically significant. Two of these RCTs 152,173 were good quality and two 157, 162 were of moderate quality.…”

Section: Epidural/intradiscal Injections Results At Medium-term Follomentioning

confidence: 90%

“…One moderate-quality RCT 155 found epidural injections to be significantly better than passive PT in terms of the number for patients with Gerbershagen pain chronicity score I (vs II or III; pain staging system) at 6 months. However, the withdrawal rate was very high in the control group …”

Section: Epidural/intradiscal Injections Results At Medium-term Follomentioning

confidence: 99%

“…Epidural/intradiscal/nerve block injections were compared with inactive intervention, usual care, activity restriction, non-opioids, passive PT and chemonucleolysis. One study 145 included only patients with acute sciatica, whereas five studies 155,160,162,168,175 included only patients with chronic symptoms. The remaining studies included patients with either acute or chronic sciatica, or did not state the duration of symptoms.…”

Section: Epidural/intradiscal Injections Results At Medium-term Follomentioning

confidence: 99%

“…Epidural injections were compared with inactive control, usual care, passive PT, mixed treatments, disc surgery and biological agents. Three studies 150,155,162 included only patients with chronic sciatica, one study 174 did not report the duration of symptoms, and the remaining studies included patients with either acute or chronic sciatica. The duration of follow-up ranged from 60 days 159 to 6 months.…”

Section: Pain Intensity At Medium-term Follow-upmentioning

confidence: 99%

See 3 more Smart Citations

The clinical effectiveness and cost-effectiveness of management strategies for sciatica: systematic review and economic model

Lewis

Williams²,

Matar³

et al. 2011

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTAThe clinical effectiveness and costeffectiveness of management strategies for sciatica: systematic review and economic model NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA pro...

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Section: Epidural/intradiscal Injections Results At Medium-term Follomentioning

confidence: 90%

Section: Epidural/intradiscal Injections Results At Medium-term Follomentioning

confidence: 99%

Section: Epidural/intradiscal Injections Results At Medium-term Follomentioning

confidence: 99%

Section: Pain Intensity At Medium-term Follow-upmentioning

confidence: 99%

See 2 more Smart Citations

The clinical effectiveness and cost-effectiveness of management strategies for sciatica: systematic review and economic model

Lewis

Williams²,

Matar³

et al. 2011

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…In 2006 a study by Veihelmann et al [58] evaluated patients with a history of chronic low back pain and sciatica. Inclusion criteria were radicular pain with a corresponding nerve root compressing substrate found on MRI or CT. All patients were randomized to receive physiotherapy, analgesics, or lysis of adhesions.…”

Section: Discussionmentioning

confidence: 99%

Epidural Lysis of Adhesions and Percutaneous Neuroplasty

Racz

Heavner

Noe

et al. 2016

Techniques of Neurolysis

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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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Epidural neuroplasty versus physiotherapy to relieve pain in patients with sciatica: a prospective randomized blinded clinical trial

Cited by 91 publications

References 28 publications

The clinical effectiveness and cost-effectiveness of management strategies for sciatica: systematic review and economic model

The clinical effectiveness and cost-effectiveness of management strategies for sciatica: systematic review and economic model

Epidural Lysis of Adhesions and Percutaneous Neuroplasty

Lumbosacral Radicular Pain

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