Management of failed back surgery syndrome with transforaminal epidural steroid and epidural saline adhesiolysis

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Cervical transforaminal epidural steroid injections

(TFESIs) play an important role in the conservative treatment of the symptoms of neck pain with a radicular component secondary to cervical herniated intervertebral disc (HIVD) or spinal stenosis (1-3). Although some investigators have reported no serious complications resulting from the use of cervical TFESIs, recent reports emphasize the risks of this procedure, including a high incidence of ...

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Transforaminal lumbar epidural steroid injections.

Low back pain is an important medical, social, and economic problem involving approximately 15% to 39% of the population. Of the numerous therapeutic interventions available for treatment of chronic low back pain, including surgery, epidural administration of corticosteroids is one such intervention commonly used. Several approaches available to access the lumbar epidural space are the caudal, ...

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comparison of transforaminal and parasagittal epidural steroid injections in patients with radicular low back pain

conclusions the pil epidural injection is as effective as tf epidural injection in improving pain and functional status, in patients with chronic lumbosacral low back pain, due to disc degeneration. results effective pain relief [numeric rating scale (nrs) < 3] was observed in 77.3% (95% ci: 67‒90.5%) of patients in pil group and 74.2% (95% ci: 62.4 - 89.4%) of patients in the tf group (p = 0.3...

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Failed epidural: causes and management.

Failed epidural anaesthesia or analgesia is more frequent than generally recognized. We review the factors known to influence the success rate of epidural anaesthesia. Reasons for an inadequate epidural block include incorrect primary placement, secondary migration of a catheter after correct placement, and suboptimal dosing of local anaesthetic drugs. For catheter placement, the loss of resist...

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the comparsion between steroid and hypertonic saline 10% with steroid in transforaminal epidural injection in patients with unilateral foraminal stenosis

introduction: chronic radicular low back pain is a common disease that limits patient’s daily activity. epidural steroid injection (esi) is becoming the mainstay of therapies for radicular low back pain due to contained bulged disc. aim: to determine the effect of adding hypertonic saline to epidural steroid injections to provide pain relief for chronic radiculopathy back pain secondary to fora...

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ژورنال

عنوان ژورنال: Indian Journal of Pain

سال: 2014

ISSN: 0970-5333

DOI: 10.4103/0970-5333.132853