BACKGROUND Management of low back pain after spinal surgeries is one of the most challenging problems in pain medicine. Transforaminal lumbar epidural steroid injection has been used with inconsistent response. Most patients require multiple and frequent injections due to high recurrence of back pain. OBJECTIVE To find out whether the addition of hyaluronidase to the epidural injectate affect...

OBJECTIVE To evaluate the effect of hyaluronidase in patients with failed back surgery syndrome (FBSS) treated with interlaminar lumbar epidural injection (ILEI). METHOD Sixty patients suffering from severe low back pain and sciatica were randomly allocated into three groups. Group T received ILEI with 2 ml triamcinolone 40 mg/ml and 5 ml bupivacaine 0.25%. Group H received ILEI with 1500 IU ...

Background: Failed back surgery syndrome (FBSS) is a common and incapacitating condition affecting patients with previous spine in whom treatment approach can be challenging. This study aimed to summarize existing secondary studies up-to-date randomized clinical trials (RCTs) that assess the effectiveness of available options for FBSS.

OBJECTIVES Transforaminal anterior steroid injections are frequently used for low back pain. In the current study, It was aimed to investigate the effects of transforaminal anterior epidural steroid injection (TAESI) in patients with low back pain in regards to quality of life and sleep, and neuropathic pain. METHODS Ethics committee approval and patient consent were obtained. Patients with l...

INTRODUCTION: Failed Back Surgery Syndrome (FBSS) is a relatively common complication of lumbar spine surgery, occurring in between 5-10% of cases, and resulting in severe, chronic, and debilitating pain. MRI is often of limited value in these patients due to the significant metal artifact occurring around orthopedic hardware, particularly at higher field strengths (Fig. 1). Slice Encoding for ...

symptoms such as headache or hypoacusia related to injection of saline boluses to be ‘serious complications from the procedure’. The mean duration of such ‘serious complications’ was 10 s, and in no case, these lasted for more than 30 s. These are well-known transient symptoms in patients during epiduroscopy or epidurolysis, especially in patients who are not under sedation, and are directly re...