Declining Utilization of Percutaneous Epidural Adhesiolysis in Medicare Population: Evidence-Based or Over-Regulated?
نویسندگان
چکیده
منابع مشابه
Percutaneous adhesiolysis procedures in the medicare population: analysis of utilization and growth patterns from 2000 to 2011.
BACKGROUND Multiple reviews have shown that interventional techniques for chronic pain have increased dramatically over the years. Of these interventional techniques, both sacroiliac joint injections and facet joint interventions showed explosive growth, followed by epidural procedures. Percutaneous adhesiolysis procedures have not been assessed for their utilization patterns separately from ep...
متن کاملepiDUral aDhesiolysis anD DeCompression : ZineU® Catheter
a considerable number of patients complaining of pain after spinal surgery reportedly have adhesions and fibrosis in the epidural space [1, 2]. Also, patients with chronic low back pain and/or radicular pain may have perineural adhesions due to perineural and neurogenic inflammation from mechanical or chemical irritation, while they don't have any history of surgery [3, 4]. Parke et al. [5] dis...
متن کاملFactors for Predicting Favorable Outcome of Percutaneous Epidural Adhesiolysis for Lumbar Disc Herniation
Background. Lower back pain is a common reason for disability and the most common cause is lumbar disc herniation. Percutaneous epidural adhesiolysis has been applied to relieve pain and increase the functional capacity of patients who present this condition. Objectives. In this study, we retrospectively evaluated the factors which predict the outcome of percutaneous epidural adhesiolysis in pa...
متن کاملA Novel Balloon-Inflatable Catheter for Percutaneous Epidural Adhesiolysis and Decompression
Epidural adhesions cause pain by interfering with the free movement of the spinal nerves and increasing neural sensitivity as a consequence of neural compression. To remove adhesions and deliver injected drugs to target sites, percutaneous epidural adhesiolysis (PEA) is performed in patients who are unresponsive to conservative treatments. We describe four patients who were treated with a newly...
متن کاملefficacy of percutaneous adhesiolysis in the treatment of lumbar post surgery syndrome
results the search criteria yielded 16 manuscripts on percutaneous adhesiolysis assessing post-surgery syndrome. of these, only 4 randomized trials met inclusion criteria for methodological quality assessment, 3 of them were of high quality; and the fourth manuscript was of low quality. based on these 3 randomized controlled trials, 2 of them with one-day procedure and one with a 3-day procedur...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Pain Management Case Reports
سال: 2018
ISSN: 2575-9841
DOI: 10.36076/pmcr.2018/2/9