&lt;p&gt;The Efficacy of Therapeutic Selective Nerve Block in Treating Lumbar Radiculopathy and Avoiding Surgery&lt;/p&gt;

Kanaan, Tareq; Abusaleh, Rami; Abuasbeh, Jumanah; Jammal, Maryam Al; Al-Haded, Sara; Al-Rafaiah, Sara; Kanaan, Ali; Alnaimat, Fatima; Khreesha, Lubna; Hadidi, Fadi; Al-Sabbagh, Qussay

doi:10.2147/jpr.s276331

Cited by 26 publications

(31 citation statements)

References 17 publications

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“…Arun-Kumar et al [11] reported that among those graded mild had 4.3 months pain relief and that graded moderate had 2.5 months relief and severe disc prolapse had no pain relief except for the immediate post-procedural relief using SNRB. Tareq Kanaan et al [12] observed that, 69 (90.7%) of the 76 patients improved immediately after the procedure, where VAS dropped from 10 to 3 directly. Similar results were also seen in a study conducted by Kim S-B et al [13] in which the VAS dropped immediately from 7.8 to 2.9 after one SNRB.…”

Section: Discussionmentioning

confidence: 97%

Selective nerve root block in lumbar radiculopathy in lumbar disc prolapse

Meravanigi¹,

Bennur²

2021

Int. J. Orthop. Sci.

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Back ground: Use of SNRB in lumbar disc prolapse to relieve lumbar radicular pain has been in practice during recent times. We conducted this prospective study to evaluate the pain relief following SNRB using steroid injection. Materials and Methods: This was a prospective study conducted on 60 patients aged 25 to 60 years, of both gender with complaints of low backache with radiculopathy, unilateral, or bilateral, not relieved by analgesics or physiotherapy. We used 1 cc (40 mg) of methylprednisolone with 1 cc of 2% xylocaine for selective nerve root block. We assessed the pain using VAS score before and after the procedure and follow-up was done at 1, 3 and 6 months for pain relief evaluation. Results:The mean age of our patients was 38.1 years ranging from 25 to 60 years. Majority were females (55%) and middle aged (40-50 years) (33.3%). Most of the cases were right sided (46.7%) and had L4-L5 herniation (34%), was postero-central on disc-axial section (46%) and had extrusion on sagittal section (50%). The pre-injection VAS score was 7.25 and immediate post injection VAS score decreased to 1.71. With further follow up at 1, 3 and 6 months, there was a moderately decreasing trend of VAS score. Conclusions: SNRB is a reasonably safe procedure to provide short-term pain relief for lumbar radiculopathy in lumbar disc prolapse.

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Section: Discussionmentioning

confidence: 97%

Selective nerve root block in lumbar radiculopathy in lumbar disc prolapse

Meravanigi¹,

Bennur²

2021

Int. J. Orthop. Sci.

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“…The American Society of Interventional Pain Physicians (ASIPP) issued guidelines for epidural injections based on the nature of the back pain and the type of injection. It found strong evidence favoring fluoroscopically guided injections for lumbar stenosis and moderate evidence supporting lumbar transforaminal epidural injections for long-term improvements [51]; however, the effectiveness of these treatments is limited [52][53][54][55][56][57] (see Table 6).…”

Section: Interventional Procedures and Neuromodulationmentioning

confidence: 99%

What Is New in the Clinical Management of Low Back Pain: A Narrative Review

Orrillo¹,

Neira²,

Piedimonte³

et al. 2022

Cureus

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Low back pain (LBP) is a prevalent condition associated with disability. Treating patients with LBP becomes further complicated by the potential presence of underlying conditions, such as cancer or traumatic injury, or biopsychosocial aspects. LBP usually has a neuropathic component that must be assessed and treated appropriately. Pharmacological management of LBP requires a thorough knowledge of the available agents and the mechanisms of the LBP. Although there are effective pharmacological treatments for LBP, it is important to consider safety issues. Fixed-dose combination products may be helpful, as they can reduce opioid consumption without sacrificing analgesic benefits. Neuromodulation is an important and sometimes overlooked treatment option for LBP and may be appropriate for chronic LBP requiring long-term treatment. Imaging studies support neuroplastic changes in the brain as a result of neuromodulation. Interventional approaches to chronic LBP are numerous and must be appropriately selected based on the individual patient. Evidence in support of epidural injections for LBP is strong for short-term pain control but moderate to limited for long-term relief. Rehabilitation for LBP can be an important element of long-term care, and new forms of rehabilitation programs are being developed using telemedicine. A variety of new and established treatments are available for patients with LBP, and clinicians and patients may benefit from emerging new treatment modalities.

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“…For diagnostic evaluation using the NRB technique, 6,57,58 the exiting nerve root is targeted peripherally after exiting the neural foramen. Initially, a true AP view is obtained at the targeted level.…”

Section: Nerve Root Block Techniquementioning

confidence: 99%

Spinal Injections

Gimarc

Stratchko

2021

Semin Musculoskelet Radiol

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Spinal pain is a common complaint and cause of disability in the United States, affecting most individuals at some point in their lives. The complex anatomy of the spine leads to multiple potential and coexisting etiologies for pain, and the differentiation of these sources can present a diagnostic challenge. Image-guided spinal injections can provide both diagnostic information identifying pain location as well as prolonged therapeutic relief as an alternative to medical management. Anesthetic and corticosteroid medications can be administered within the epidural space through transforaminal or interlaminar approaches, blocking various sensory nerves, or directly within the facet joints. Proceduralists must be aware of associated patient considerations, techniques, and potential complications to perform the procedures safely. We discuss image-guided spinal injection techniques, based on best practices and our experiences.

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<p>The Efficacy of Therapeutic Selective Nerve Block in Treating Lumbar Radiculopathy and Avoiding Surgery</p>

Cited by 26 publications

References 17 publications

Selective nerve root block in lumbar radiculopathy in lumbar disc prolapse

Selective nerve root block in lumbar radiculopathy in lumbar disc prolapse

What Is New in the Clinical Management of Low Back Pain: A Narrative Review

Spinal Injections

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