Value of ultrasound-guided transforaminal nerve block in the treatment of lumbar disc herniation

Liu, Guanghui; Zhu, Guangyu; Liu, Yuzhang; Zhu, Ye; Zhang, Shimin; Jin, Jian

doi:10.1177/0300060520910910

Cited by 5 publications

(3 citation statements)

References 15 publications

(17 reference statements)

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“…The sonographically guided pararadicular injections are feasible and effective in treating lumbar unilateral radicular pain. Guang-Hui et al [ 10 ] investigated the efficacy of US-guided transforaminal nerve blocks in 60 patients with lumbar radicular pain. They found significant improvement in pain and function from baseline data to data obtained throughout the 3 months of the follow-up period.…”

Section: Discussionmentioning

confidence: 99%

Guidance of Nerve Stimulator and Ultrasound for Transforaminal Epidural Steroid Injection in Lumbosacral Radicular Pain : A Single Institution Experience in Vietnam

Le,

Nguyen,

et al. 2024

J Korean Neurosurg Soc

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Objective : This study aimed to evaluate the clinical feasibility of the combination of ultrasound and nerve stimulator guidance in transforaminal epidural steroid injections (TESIs) to manage lumbosacral chronic radicular pain.Methods : Using the combination of nerve stimulator and ultrasound guidance, TESIs were performed in 125 segments of 78 patients who presented with chronic lumbar radicular pain. Demographic characteristics and surgical outcomes were recorded on admission, pre-procedural and post-procedural for 1-week, 1-month, 3-month, and 6-month follow-ups. The result was measured using the Numeric rating scale (NRS) and Oswestry disability index (ODI).Results : Patients who received TESIs showed significant improvements on two evaluation tools (NRS, ODI), compared to that before procedure (<i>p</i><0.001). No significant complications were observed for 6 months’ follow-up.Conclusion : The result suggests that a combination of ultrasound and nerve stimulator guidance in transforaminal epidural injections is safe, reliable and effective for short-term management of lumbar disc herniation. It is a promising technique and has shown good results in providing intermediate pain relief.

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Section: Discussionmentioning

confidence: 99%

Guidance of Nerve Stimulator and Ultrasound for Transforaminal Epidural Steroid Injection in Lumbosacral Radicular Pain : A Single Institution Experience in Vietnam

Le,

Nguyen,

et al. 2024

J Korean Neurosurg Soc

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“…Disc herniation is widely known as the leading cause of lumbar and leg pain restraining one's mobility and, far worse, unable to care for themselves and perform the routine activities of daily living. [1] Moreover, lumbar disc herniation (LDH) and lumbar central spinal stenosis (LCSS) are two main factors responsible for lower back pain in older people, where LCSS can also be due to LDH. [2,3] Most LDH develop on the L4-5 or L5-S1 levels.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is important to evaluate its effectiveness and drawbacks. [1] To better illustrate this point, this study aimed to assess patients undergoing transforaminal nerve block for LDH and LCS management.…”

Section: Introductionmentioning

confidence: 99%

The role of transforaminal nerve block in the treatment of lumbar disc herniation and spinal canal stenosis

Sharaf

Taha²,

Alzaimoor

et al. 2023

JMSR

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Objectives: This study aimed to evaluate patients undergoing transforaminal nerve block treatment in lumbar disc herniation (LDH) and spinal canal stenosis. Methods: It is an observational descriptive cross-sectional study at a single tertiary care hospital. It is based on a review of electronic medical records of patients suffering from lower back pain from either LDH or spinal canal stenosis and who underwent transforaminal nerve blocks between January 2019 and December 2021. Results: A total of 440 patients were included in this study. Study findings reported that the etiology behind the treatment was mostly due to spinal canal stenosis with 223 cases (50.7%), followed by disc bulge with 208 cases (47.3%), two cases had both diagnoses, and the others had different etiologies such as degenerative disease with scoliosis, micro decompression. The visual analog scale pain score was highest on the pre-injection time point (7.1 ± 1.1) and decreased significantly with time after the injection to reach 2.7 ± 1.04 after 6 months. Similarly, the Oswestry Disability Index was high during pre-injection (64.9 ± 7.5) and decreased significantly to 19.3 ± 16.2 after 1-day post-injection and 13.2 ± 3.8 after 6 months. Conclusion: This study proves that transforaminal nerve block is an alternative treatment with proven efficacy and safety with quick pain relief in these patients, especially in the early phase, with immediate benefit.

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Ultrasound-guided transforaminal epidural injection with fluoroscopy confirmation for the treatment of unilateral lumbar radiculopathy: A randomized controlled non-inferiority study

Zhao

Guo

Wang

et al. 2023

Clinical Neurology and Neurosurgery

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Value of ultrasound-guided transforaminal nerve block in the treatment of lumbar disc herniation

Cited by 5 publications

References 15 publications

Guidance of Nerve Stimulator and Ultrasound for Transforaminal Epidural Steroid Injection in Lumbosacral Radicular Pain : A Single Institution Experience in Vietnam

Guidance of Nerve Stimulator and Ultrasound for Transforaminal Epidural Steroid Injection in Lumbosacral Radicular Pain : A Single Institution Experience in Vietnam

The role of transforaminal nerve block in the treatment of lumbar disc herniation and spinal canal stenosis

Ultrasound-guided transforaminal epidural injection with fluoroscopy confirmation for the treatment of unilateral lumbar radiculopathy: A randomized controlled non-inferiority study

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