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                                       Details for article 7 of 9 found articles
 
 
  Pain reproduction during lumbosacral transforaminal epidural steroid injection does not affect outcome
 
 
Title: Pain reproduction during lumbosacral transforaminal epidural steroid injection does not affect outcome
Author: Plastaras, Christopher T.
Heller, Daniel S.
Sorosky, Brad S.
Houle, Timothy T.
Appeared in: Journal of back and musculoskeletal rehabilitation
Paging: Volume 19 (2006) nr. 2-3 pages 57-60
Year: 2006-12-01
Contents: Objective: Epidural steroid injections (ESIs) are widely used in clinical practice for the treatment of low back radicular pain. Anecdotally it has been conveyed that the reproduction of a patient's usual pain during ESI was of prognostic value as to which patients would show favorable results from the procedure, however, there is no data available to support this supposition. Design: Retrospective. Setting: Outpatient Spine and Sports Medicine Clinic. Patients: Patients with lumbosacral radicular pain treated with fluoroscopically guided contrast enhanced lumbosacral transforaminal ESI. Outcome Measures: 11-point pain intensity numeric rating scale (PI-NRS). Results: Overall the procedure provided statistically significant pain relief in both groups A (typical radicular pain reproduced) and B (typical radicular pain not reproduced) immediately and significant pain reduction was maintained until the time of the follow-up No reduction in pain was seen in group A vs. B, although in group B there was a strong trend toward having higher pain scores at all times. Conclusion: The reproduction of a patient's typical radicular pain during a fluoroscopically guided contrast enhanced lumbosacral transforaminal ESI does not predict a significant decrease in pain scores immediately after the procedure or at follow up.
Publisher: IOS Press
Source file: Elektronische Wetenschappelijke Tijdschriften
 
 

                             Details for article 7 of 9 found articles
 
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