Protocol for Evaluation of the Comparative Effectiveness of Percutaneous Adhesiolysis and Caudal Epidural Steroid Injections in Low Back and/or Lower Extremity Pain without Post Surgery Syndrome or Spinal Stenosis

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Protocol for evaluation of the comparative effectiveness of percutaneous adhesiolysis and caudal epidural steroid injections in low back and/or lower extremity pain without post surgery syndrome or spinal stenosis.

BACKGROUND Treatment of chronic low back pain with or without lower extremity pain continues to be a challenge. Epidural steroids are commonly utilized in patients after the failure of conservative treatment. The results of epidural steroid injections have been variable based on the pathophysiology, the route of administration, injected drugs, and utilization of fluoroscopy. In patients resista...

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Comparison the effect of epidural steroid injection by Caudal and Lumbar methods for controlling the radicular pain of lower extremity

 Aims and background: Chronic low back pain is one of the common causes of patients referring to specialized and general medical clinics. The positive effect of Epidural Steroid injection has been proven in relieving pain in these patients. In this study, the epidural effects of methylprednisolone acetate in these two methods of Caudal and Lumbar were compared. Materials and Methods: In thi...

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Cost utility analysis of caudal epidural injections in the treatment of lumbar disc herniation, axial or discogenic low back pain, central spinal stenosis, and post lumbar surgery syndrome.

BACKGROUND In this era of escalating health care costs and the questionable effectiveness of multiple interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine, and has an influence coverage decisions. Even though multiple cost effectiveness analysis studies have been performed over the years, extensive literature is lacking for interventio...

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clinical evaluation of percutaneous caudal epidural adhesiolysis with the racz technique for low back pain due to contained disc herniation

results at three days, one month, three months, and six months after pea compared to pre-pea evaluations, the pain scores and medication intake were significantly decreased. significant pain relief declined from 95% at three days to 75% at six months. conclusions pea for low back pain due to contained disc herniation is a safe and effective procedure. therefore, it may be considered as an optio...

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A comparative effectiveness evaluation of percutaneous adhesiolysis and epidural steroid injections in managing lumbar post surgery syndrome: a randomized, equivalence controlled trial.

BACKGROUND Speculated causes of post lumbar surgery syndrome include epidural fibrosis, acquired stenosis, and facet joint pain among other causes. Even though fluoroscopically directed caudal epidural injections and facet joint interventions are effective in some patients, others continue to suffer with chronic persistent pain. Percutaneous adhesiolysis with target delivery of medications has ...

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ژورنال

عنوان ژورنال: March 2010

سال: 2010

ISSN: 2150-1149,1533-3159

DOI: 10.36076/ppj.2010/13/e91