BACKGROUND Management of low back pain after spinal surgeries is one of the most challenging problems in pain medicine. Transforaminal lumbar epidural steroid injection has been used with inconsistent response. Most patients require multiple and frequent injections due to high recurrence of back pain. OBJECTIVE To find out whether the addition of hyaluronidase to the epidural injectate affect...

OBJECTIVE To evaluate the effect of hyaluronidase in patients with failed back surgery syndrome (FBSS) treated with interlaminar lumbar epidural injection (ILEI). METHOD Sixty patients suffering from severe low back pain and sciatica were randomly allocated into three groups. Group T received ILEI with 2 ml triamcinolone 40 mg/ml and 5 ml bupivacaine 0.25%. Group H received ILEI with 1500 IU ...

Surgical treatment is generally regarded to have a low success rate. Many patients fall into the category Failed Back Surgery Syndrome (FBSS). Burton et al ( [1] ) pointed out, "Nerve compression can be relieved surgically but pain due to nerve injury or scar tissue can only be reduced in extent by therapy ...physical and emotional reactivation in chronic pain programmes..." "The...

BACKGROUND Continuous intrathecal drug delivery has been shown in open studies to improve pain and quality of life in those with intractable back pain who have had spinal surgery. There is limited data on long term effects and and even less for patients with mechanical back pain without prior spinal surgery. METHODS We have investigated spinal drug administration systems for patients with fai...

OBJECTIVES Transforaminal anterior steroid injections are frequently used for low back pain. In the current study, It was aimed to investigate the effects of transforaminal anterior epidural steroid injection (TAESI) in patients with low back pain in regards to quality of life and sleep, and neuropathic pain. METHODS Ethics committee approval and patient consent were obtained. Patients with l...

Given the prevalence of low back pain, surgical interventions on the lumbar spine are becoming more common. Among the many surgical procedures available for these interventions, the most common are laminectomy and discectomy. In 10 to 40% of patients who undergo surgical interventions on the lumbar spine, low back pain is not completely alleviated or it recurs, and these cases fall into the cat...

INTRODUCTION: Failed Back Surgery Syndrome (FBSS) is a relatively common complication of lumbar spine surgery, occurring in between 5-10% of cases, and resulting in severe, chronic, and debilitating pain. MRI is often of limited value in these patients due to the significant metal artifact occurring around orthopedic hardware, particularly at higher field strengths (Fig. 1). Slice Encoding for ...

symptoms such as headache or hypoacusia related to injection of saline boluses to be ‘serious complications from the procedure’. The mean duration of such ‘serious complications’ was 10 s, and in no case, these lasted for more than 30 s. These are well-known transient symptoms in patients during epiduroscopy or epidurolysis, especially in patients who are not under sedation, and are directly re...

AIM To assess the influence of depression on patients' satisfaction with lumbar discectomy performed by two different surgical techniques. METHODS A prospective matched-cohort analysis of classical lumbar discectomy following static imaging (n = 45) and microlumbar "key-hole" discectomy after dynamic CT/myelography (n = 55) was performed. The outcome was independently assessed using Prolo eco...