We read with deep interest the article by O’Neill et al aimed to examine whether synovitis changes following intra-articular steroid therapy. This open-label trial indicated that synovial tissue volume (STV) in knee osteoarthritis (OA) shrinks following steroid therapy and rebounds in those whose pain relapses. Thus, the authors thought that STV can be considered as a treatment target in sympto...

We read with deep interest the article by O’Neill et al aimed to examine whether synovitis changes following intra-articular steroid therapy. This open-label trial indicated that synovial tissue volume (STV) in knee osteoarthritis (OA) shrinks following steroid therapy and rebounds in those whose pain relapses. Thus, the authors thought that STV can be considered as a treatment target in sympto...

BACKGROUND Tarlov cysts (TC) are present in 4.6% of the population and represent a potential source of chronic pain. When present at lumbosacral levels, symptoms are classically described as perineal pain/pressure, radiculopathy, and headache. Treatment outlined to date primarily includes cyst drainage with fibrin glue sealant and surgical interventions. OBJECTIVES We present 2 cases in which...

BACKGROUND CONTEXT Lumbar facet joint synovial cysts are benign degenerative abnormalities of the lumbar spine. Previous reports have supported operative and nonoperative management. Facet joint steroid injection with cyst rupture is occasionally performed, but there has been no systematic evaluation of this treatment option. PURPOSE To profile the role of facet joint steroid injections with ...

Epidural adhesions cause pain by interfering with the free movement of the spinal nerves and increasing neural sensitivity as a consequence of neural compression. To remove adhesions and deliver injected drugs to target sites, percutaneous epidural adhesiolysis (PEA) is performed in patients who are unresponsive to conservative treatments. We describe four patients who were treated with a newly...

Epidural steroid injection (ESI) is one of the most commonly used treatments for radiculopathy. Previous studies have described the effectiveness of ESI in the management of radiculopathy. However, controversy exists regarding the route that is most beneficial and effective with respect to the administration of epidural steroids, as both transforaminal (TF) and caudal (C) routes are commonly us...

BACKGROUND Shoichi Kokubun introduced his successful experience with local anesthetic injection at the occipital insertion of the sternocleidomastoid muscle in K-point syndrome. The purpose of this study was to evaluate the short-term and long-term effectiveness of K-point injection and investigate factors affecting treatment results. METHODS K-point injection was performed in 58 patients wit...

OBJECTIVE To evaluate effects of subacromial bursa injection with steroid according to dosage and to investigate whether hyaluronidase can reduce steroid dosage. METHODS Thirty patients with periarticular shoulder disorder were assigned to receive subacromial bursa injection once a week for two consecutive weeks. Ten patients (group A) underwent subacromial bursa injection with triamcinolone ...