Outcomes of Epidural Neuroplasty to Treat Lumbar Discogenic Pain-One-Year Follow-Up

Li Wei, Kung-Shing Lee, Man-Kit Siu, Yu-Ting Tai, Jia-Wei Lin, Kuo-Sheng Hung, Wen-Ta Chiu, I. Jen Wang, Tien Jen Lin

Research output: Contribution to journalArticle

Abstract

Background: Epidural neuroplasty have emerged as minimally invasive techniques for treatment of low back pain and lower extremity pain due to contained herniated discs when conservative management has failed. A few studies have examined their effects on functional activity and pain medication use. Outcomes of the procedure to treat the ailment were not analyzed over time.
Methods: The aim of our study was to evaluate the outcome of epidural neuroplasty in patients with chronic discogenic pain or sciatica due to nerve root compression by a single-level, contained herniated disc. Patients were assessed before and 3, 6, and 12 months after treatment by a blinded investigator. In our retrospective, non-randomized case series, 26 patients with therapy of epidural neuroplasty were included. Patients were evaluated at 3, 6, and 12 months postoperatively, and were asked to quantify their pain using a visual analog scale. Patients were also surveyed in regards to their pain medication use, and Oswestry Disability Index (ODI) was quantified by third-party observers. Data at 3, 6, and 12 months posttreatment were compared to baseline.
Results: There was a significant decrease in pain and medication use reported in first three months after the treatment. Functional status also improved at the first 3 months. There were no complications associated with the procedure.
Conclusion: Epidural neuroplasty appear to be safe and significantly effective in either early post-treatment periods. Randomized, controlled studies are now required to further evaluate long-term efficacy of the combination therapy.
Original languageEnglish
Pages (from-to)8-16
Number of pages9
Journal疼痛醫學雜誌
Volume19
Issue number1
Publication statusPublished - 2009

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Pain
Intervertebral Disc Displacement
Therapeutics
Sciatica
Radiculopathy
Low Back Pain
Visual Analog Scale
Chronic Pain
Lower Extremity
Research Personnel

Keywords

  • 椎間盤切除術
  • 椎間盤突出
  • 下背痛
  • 微創手術
  • 硬脊膜外神經整形手術
  • Discectomy
  • disc herniation
  • low back pain
  • minimally invasive
  • caudal neuroplasty and epidurolysis

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Outcomes of Epidural Neuroplasty to Treat Lumbar Discogenic Pain-One-Year Follow-Up. / Wei, Li; Lee, Kung-Shing; Siu, Man-Kit; Tai, Yu-Ting; Lin, Jia-Wei; Hung, Kuo-Sheng; Chiu, Wen-Ta; Wang, I. Jen; Lin, Tien Jen.

In: 疼痛醫學雜誌, Vol. 19, No. 1, 2009, p. 8-16.

Research output: Contribution to journalArticle

Wei, L, Lee, K-S, Siu, M-K, Tai, Y-T, Lin, J-W, Hung, K-S, Chiu, W-T, Wang, IJ & Lin, TJ 2009, 'Outcomes of Epidural Neuroplasty to Treat Lumbar Discogenic Pain-One-Year Follow-Up', 疼痛醫學雜誌, vol. 19, no. 1, pp. 8-16.
Wei, Li ; Lee, Kung-Shing ; Siu, Man-Kit ; Tai, Yu-Ting ; Lin, Jia-Wei ; Hung, Kuo-Sheng ; Chiu, Wen-Ta ; Wang, I. Jen ; Lin, Tien Jen. / Outcomes of Epidural Neuroplasty to Treat Lumbar Discogenic Pain-One-Year Follow-Up. In: 疼痛醫學雜誌. 2009 ; Vol. 19, No. 1. pp. 8-16.
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AU - Lee, Kung-Shing

AU - Siu, Man-Kit

AU - Tai, Yu-Ting

AU - Lin, Jia-Wei

AU - Hung, Kuo-Sheng

AU - Chiu, Wen-Ta

AU - Wang, I. Jen

AU - Lin, Tien Jen

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N2 - Background: Epidural neuroplasty have emerged as minimally invasive techniques for treatment of low back pain and lower extremity pain due to contained herniated discs when conservative management has failed. A few studies have examined their effects on functional activity and pain medication use. Outcomes of the procedure to treat the ailment were not analyzed over time.Methods: The aim of our study was to evaluate the outcome of epidural neuroplasty in patients with chronic discogenic pain or sciatica due to nerve root compression by a single-level, contained herniated disc. Patients were assessed before and 3, 6, and 12 months after treatment by a blinded investigator. In our retrospective, non-randomized case series, 26 patients with therapy of epidural neuroplasty were included. Patients were evaluated at 3, 6, and 12 months postoperatively, and were asked to quantify their pain using a visual analog scale. Patients were also surveyed in regards to their pain medication use, and Oswestry Disability Index (ODI) was quantified by third-party observers. Data at 3, 6, and 12 months posttreatment were compared to baseline.Results: There was a significant decrease in pain and medication use reported in first three months after the treatment. Functional status also improved at the first 3 months. There were no complications associated with the procedure.Conclusion: Epidural neuroplasty appear to be safe and significantly effective in either early post-treatment periods. Randomized, controlled studies are now required to further evaluate long-term efficacy of the combination therapy.

AB - Background: Epidural neuroplasty have emerged as minimally invasive techniques for treatment of low back pain and lower extremity pain due to contained herniated discs when conservative management has failed. A few studies have examined their effects on functional activity and pain medication use. Outcomes of the procedure to treat the ailment were not analyzed over time.Methods: The aim of our study was to evaluate the outcome of epidural neuroplasty in patients with chronic discogenic pain or sciatica due to nerve root compression by a single-level, contained herniated disc. Patients were assessed before and 3, 6, and 12 months after treatment by a blinded investigator. In our retrospective, non-randomized case series, 26 patients with therapy of epidural neuroplasty were included. Patients were evaluated at 3, 6, and 12 months postoperatively, and were asked to quantify their pain using a visual analog scale. Patients were also surveyed in regards to their pain medication use, and Oswestry Disability Index (ODI) was quantified by third-party observers. Data at 3, 6, and 12 months posttreatment were compared to baseline.Results: There was a significant decrease in pain and medication use reported in first three months after the treatment. Functional status also improved at the first 3 months. There were no complications associated with the procedure.Conclusion: Epidural neuroplasty appear to be safe and significantly effective in either early post-treatment periods. Randomized, controlled studies are now required to further evaluate long-term efficacy of the combination therapy.

KW - 椎間盤切除術

KW - 椎間盤突出

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KW - disc herniation

KW - low back pain

KW - minimally invasive

KW - caudal neuroplasty and epidurolysis

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JF - 疼痛醫學雜誌

SN - 1021-7959

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