Clinical Effectiveness and Prognostic Indicators of Parasagittal Interlaminar Epidural Injection

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Clinical Effectiveness and Prognostic Indicators of Parasagittal Interlaminar Epidural Injection.

BACKGROUND Interlaminar epidural steroid injection (ESI) is a well-established intervention to improve radicular leg pain. However, few studies have demonstrated the prognostic factors for interlaminar ESI. OBJECTIVE To investigate the clinical effectiveness and prognostic indicators of parasagittal interlaminar ESI during a 2-week follow-up. STUDY DESIGN Prospective evaluation. SETTING A...

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The Additional Effect of Hyaluronidase in Lumbar Interlaminar Epidural Injection

OBJECTIVE To evaluate the effect of hyaluronidase in lumbar interlaminar epidural injection (LIEI) for low back pain and sciatica. METHOD Sixty-one patients suffering from severe low back pain and sciatica were randomly allocated into three groups. Group T (n=18, mean duration of illness: 2.12±1.16 months) received lumbar interlaminar epidural injection (LIEI) with 2 ml triamcinolone (40 mg/m...

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Adding Particulate or Non-Particulate Steroids to the Local Anesthetics When Performing Parasagittal Interlaminar Epidural Injections.

We read with great interest a recent study by Ghai et al (1) wherein they followed 56 out of 69 randomized patients for 12 months following parasagittal interlaminar (PIL) injection with local anesthetics (LA) alone or LA with steroid (LS). We agree with author’s choice of technique to achieve adequate and consistent ventral epidural spread of injectate. Parasagittal interlaminar epidural stero...

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Flushing following interlaminar lumbar epidural steroid injection with dexamethasone.

BACKGROUND Epidural steroid injections are commonly used in managing radicular pain. Most complications related to epidural injections are minor and self-limited. Flushing is considered as one such minor side effect. Flushing has been studied using various steroid preparations including methylprednisone, triamcinolone, and betamethasone but its frequency has never been studied using dexamethaso...

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Effectiveness of Parasagittal Interlaminar Epidural Local Anesthetic with or without Steroid in Chronic Lumbosacral Pain: A Randomized, Double-Blind Clinical Trial.

BACKGROUND Epidural injections (EI) are the most commonly performed minimally invasive intervention to manage chronic low back pain (CLBP) with lumbosacral radicular pain (LRP). Local anesthetic (LA) and/or steroids are frequently used injectates for EI and are reported with variable effectiveness. The majority of earlier studies have used either caudal, transforaminal (TF), or undefined interl...

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ژورنال

عنوان ژورنال: Pain Physician

سال: 2016

ISSN: 2150-1149,1533-3159

DOI: 10.36076/ppj/2016.19.e877