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...

Epiduroscopy is very useful in the treatment of not only low back pain caused by failed back surgery syndrome, epidural scar or herniated disc but also by chronic refractory low back pain which does not respond to interventional conservative treatment including fluoroscopically-directed epidural steroid injections and percutaneous adhesiolysis. Because cauterization using a laser fiber has beco...

BACKGROUND Percutaneous lysis of epidural adhesions is done worldwide. Over 1.7 million of these procedures were done in the U.S.A. by 2006. This interventional pain management technique is used to treat chronic low back pain (LBP) and/or radiculopathy. The primary object of the approach is to target drug delivery to areas of pathology in the spinal epidural space. The procedure involves removi...

BACKGROUND The literature is replete with evaluations of failed surgery, illustrating a 9.5%-25% reoperation rate. Speculated causes of post lumbar surgery syndrome include epidural fibrosis, acquired stenosis, recurrent disc herniation, sacroiliac joint pain, and facet joint pain among other causes. METHODS Patients (n = 120) were randomly assigned to two groups with a 2-year follow-up. Grou...

which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. There are various causes for back pain and the following pathophysiology has been widely reported. Recently, there has been a study that suggested epidural adhesion as a potential cause for back pain [1], and there have been new approaches for the treatment ...

Purpose. The aim of this study was to evaluate the effect of adhesiolysis followed by the injection of steroid and local anesthetic during epiduroscopy on sensory nerve function, pain and functional disability in patients with chronic sciatica. Methods. Epidural adhesiolysis using epiduroscopy followed by the injection of steroid and local anesthetic were scheduled in 19 patients with chronic s...

Purpose. The aim of this study was to evaluate the effect of adhesiolysis followed by the injection of steroid and local anesthetic during epiduroscopy on sensory nerve function, pain and functional disability in patients with chronic sciatica. Methods. Epidural adhesiolysis using epiduroscopy followed by the injection of steroid and local anesthetic were scheduled in 19 patients with chronic s...

BACKGROUND Lumbar foraminal spinal stenosis (LFSS) is a narrowing of the bony exit of a nerve root, which causes mechanical compression of spinal nerve roots. Low back pain and/or leg pain, and possibly neurogenic claudication, may result due to mechanical neural compression. Transforaminal epidural steroid injections (TFESIs) are commonly used for treating LFSS. Patients refractory to TFESIs m...