conclusion lower back pain is a major healthcare issue and this review article will help educate the pain practitioners about the current evidence based treatment options. results this review article describes the most common modalities available to an interventional pain physician along with the most relevant current and past references for the treatment of lower back pain. all the graphics an...

Back pain is the second leading cause of disability among American adults and is currently treated either with conservative therapy or interventional pain procedures. However, the question that remains is whether we, as physicians, have adequate therapeutic options to offer to the patients who suffer from chronic low back pain but fail both conservative therapy and interventional pain procedure...

The intradiscal pressure has been essential for prevent the spinal complaints by forming a basis for clinical advice to promote the correct sitting postures. As a consequence, it is evident the need of an accurate method for measure the intradiscal pressure, to better understand the disc response to hydorstatic pressure fluctuations. Numerous reviews regarding disc mechanics are available, incl...

Intradiscal injections have been used for many years in the treatment of chronic pain. These injections consisted of many substances providing variable pain relief from discogenic pain. Following an intradiscal dextrose injection series, a physically active patient developed superior and inferior lumbar endplate fractures, producing a drastic increase in pain. The pathology of endplate fracture...

STUDY DESIGN Intradiscal pressure was measured after percutaneous disc decompression by nucleoplasty in human cadavers with different degrees of disc degeneration. OBJECTIVES To assess intradiscal pressure change after disc decompression, and to analyze the influence of degeneration on the intradiscal pressure change. SUMMARY OF BACKGROUND DATA Partial removal of the nucleus has been shown ...

Percutaneous methods for treating herniated lumbar discs are relatively new procedures and include chemonucleolysist, automated discectomy and laser disc decompression3,4. The advantages of these procedures are minimal invasion and complications. However, discitis, bowel nerve root and great vessel injuries have been reported. Although chymopapain injected into the intervertebral discs, employe...

BACKGROUND Low back pain is a common worldwide health problem and has a significant socioeconomic impact on public health. Internal disc disruption has been considered as the most common cause of low back pain. Various therapies, including interbody fusion, disc replacement, injection therapies, and thermal annular procedures have been utilized for the treatment of discogenic low back pain. Rec...

Study Design In vitro testing. Objective To determine whether long cervical and cervicothoracic fusions increase the intradiscal pressure at the adjacent caudal disk and to determine which thoracic end vertebra causes the least increase in the adjacent-level intradiscal pressure. Methods A bending moment was applied to six cadaveric cervicothoracic spine specimens with intact rib cages. Intradi...