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 journalArticlepeer-review

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.
Translated title of the contribution腰椎硬脊膜外神經整形手術用於治療椎間盤突出引起之疼痛治療後一年成效追蹤
Original languageEnglish
Pages (from-to)8-16
Number of pages9
Journal疼痛醫學雜誌
Volume19
Issue number1
Publication statusPublished - 2009

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

Fingerprint Dive into the research topics of 'Outcomes of Epidural Neuroplasty to Treat Lumbar Discogenic Pain-One-Year Follow-Up'. Together they form a unique fingerprint.

Cite this