Nerve Root Blocks in the Treatment of Lumbar Radicular PainA Minimum Five-Year Follow-Up (original) (raw)
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A study on effectiveness of selective nerve root blocks in lumbar radiculopathies
International Journal of Orthopaedics Sciences, 2019
Background: Low back pain is one of the most common reason for visit to a doctor & young age morbidity, disability, work absenteeism constitutes almost 40% of all occupational risk factors. Lumbar radiculopathy with or without neurological deficits are managed with variety of conservative or operative measures, and generally recovers well. Selective nerve root blocks (SNRBs) having diagnostic or therapeutic use, are popular and advantageous to avoid uncertain potential surgical complications. Aim of this study is to establish therapeutic efficacy and evaluate complications following selective nerve root blocks. Materials and Methods: The present study was a randomized, prospective study carried out from August 2016 to March 2018, on 50 cases satisfying the inclusion criteria following complete assessment, received selective nerve root blocks. Patients were assessed for pain relief and disability reduction. Result: Evaluated with VAS and ODI score. In study, immediate improvement of VAS score was 33.04%, 45.3% at 1week, 59.8% at 4weeks and 66.9% after 3months. Reduction in ODI score was 37.7% till 1week, 54.8% till 4weeks and 66.8% till 3months follow up periods. Conclusion: SNRB is an important, effective, less expensive and less invasive treatment modality to provide lasting therapeutic benefit, allowing the patient to participate in life style modifications, physiotherapies and early resumption of routine activities.
Retrospective study of effectiveness in transforminal nerve root block in lumbar disc disease
2021
Introduction: Among chronic conditions, back problems are the most frequent cause of limitations of activity in persons less than 45 years of age. Sciatic neuralgia is a nerve root oedema because of the inflammatory, immunological, and mechanical factors. The lifetime prevalence of lumbar radiculopathy has been reported to be 5.3% in men and 3.7% in women. Steroid injections play an important role in the management of sciatic radiculopathy. Steroids act by reducing the oedema around the nerve roots and decreasing pain having the advantage of reduced dosage and targeted delivery around the nerve roots forming the basis of transforaminal nerve root block injections. In this study we want to study the effectiveness of transforaminal nerve root block in 30 patients post block and 3 months later. Aims and objectives: Aims and objectives of the study are as follows: 1. To study the effectiveness in relief of symptoms in transforaminal nerve root block in lumbar disc disease. Materials and...
Pain physician, 2013
Lumbosacral selective nerve root blocks and/ or transforaminal epidural injections are used for diagnosis and treatment of different disorders causing low back and lower extremity pain. A clear consensus on the use of selective nerve root injections as a diagnostic tool does not currently exist. Additionally, the validity of this procedure as a diagnostic tool is not clear. To evaluate and update the accuracy of selective nerve root injections in diagnosing lumbar spinal disorders. A systematic review of selective nerve root blocks for the diagnosis of low back and lower extremity pain. Methodological quality assessment of included studies was performed using the Quality Appraisal of Reliability Studies (QAREL) checklist. Only diagnostic accuracy studies meeting at least 50% of the designated inclusion criteria were utilized for analysis. Studies scoring less than 50% are presented descriptively and analyzed critically. The level of evidence was classified as good, fair, or limite...