scholarly journals Treatment of Chronic Back Pain with Radiculopathy by Selective Nerve Root Block or Pulsed Radiofrequency - Randomised, Open Label, Clinical Trial

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ali A ◽  
Osman AM ◽  
Rada M ◽  
Bakr MA
Keyword(s):  
Clinical Trial ◽  
Back Pain ◽  
Nerve Root ◽  
Chronic Back Pain ◽  
Pulsed Radiofrequency ◽  
Open Label ◽  
Nerve Root Block ◽  
Selective Nerve Root Block

scholarly journals A comparative study of efficacy between transforaminal epidural injection and selective nerve root block in disc prolapse of L4-L5 and L5-S1

2020 ◽  
Vol 9 (1) ◽  
pp. 155
Author(s):  
Arindam Ghosh ◽  
Debayan Ghorai ◽  
Dibyendu Dutta
Keyword(s):  
Nerve Root ◽  
Epidural Injection ◽  
Secondary Outcome ◽  
Secondary Outcome Measure ◽  
Open Label ◽  
Post Intervention ◽  
Nerve Root Block ◽  
Vas Score ◽  
Transforaminal Epidural Injection ◽  
Selective Nerve Root Block

Background: To compare efficacy between transforaminal epidural injection (TFEI) and selective nerve root block (SNRB) in prolapsed L4-L5 and L5-S1 disc.Methods: This study was a randomized parallel group open label interventional study. Patients suffering from low back pain (LBP) with radiation due to prolapsed inter-vertebral disc (PIVD) were selected for intervention (n=78). After computer generated randomization, they were allocated into two groups (TFEI group and SNRB group) consisting 39 patients in each group. Each patient received combination of 2 ml of depot methylprednisolone acetate (40 mg/ml) and 1 ml of 0.25% preservative free bupivacaine under fluoroscopy guidance.                                                                                                            Primary outcome measures were visual analogue scale (VAS) score of LBP and VAS score of radiation pain. Secondary outcome measure was Oswestry LBP disability questionnaire (ODQ) score.Results: At 1-day post-intervention TFEI group showed statistically significant improvement in VAS score of LBP (p=0.000) as compared to SNRB group. At 1-month post-intervention TFEI group showed statistically significant improvement in VAS score of LBP (p=0.000) and VAS score of radiation pain (p=0.000) as compared to SNRB group. At 3-month post-intervention TFEI group again showed statistically significant improvement in VAS score of LBP (p=0.000), VAS score of radiation pain (p=0.000), and ODQ score (p=0.000) as compared to SNRB group.Conclusions: TFEI is better than SNRB in terms of improvement in LBP, radiation pain, and functional activity up to 3-month post-intervention.  

Prospective and Observation Study of Selective Nerve Root Block on Patients with PIVD

2021 ◽  
pp. 25
Author(s):  
Vikas Singh
Keyword(s):  
Back Pain ◽  
Prospective Study ◽  
Lower Back Pain ◽  
Nerve Root ◽  
Common Site ◽  
Observation Study ◽  
Common Cause ◽  
Nerve Root Block ◽  
Lower Back ◽  
Selective Nerve Root Block

Introduction: PIVD is the most common cause of lower back pain in old age. The most common site is L4 L5 to L5 S1 in about 95% cases, and about 90% cases are associated with radiculopathy. Methodology: This prospective study was conducted on 150 patients at the Jawahar Lal Nehru Hospital and Research Center between 2019 and 2021. We used 2–3 ml xylocaine and methylprednisolone. Results were assessed through clinical examination. Result: Of the 150 patients, 130 experienced excellent results with no pain for more than six months. Conclusion: We conclude that for mild cases, patients with PIVD have an alternative option of selective nerve root block other than surgery.

scholarly journals Human assumed central sensitisation (HACS) in patients with chronic low back pain radiating to the leg (CLaSSICO study)

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e052703
Author(s):  
Ingrid Schuttert ◽  
Hans Timmerman ◽  
Gerbrand J Groen ◽  
Kristian Kjær Petersen ◽  
Lars Arendt-Nielsen ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Healthy Volunteers ◽  
Chronic Low Back Pain ◽  
Nerve Root ◽  
Pain Clinic ◽  
Low Back ◽  
Central Sensitisation ◽  
Nerve Root Block ◽  
Selective Nerve Root Block

IntroductionPatients with chronic low back pain radiating to the leg (CLBPr) are sometimes referred to a specialised pain clinic for a precise diagnosis based, for example, on a diagnostic selective nerve root block. Possible interventions are therapeutic selective nerve root block or pulsed radiofrequency. Central pain sensitisation is not directly assessable in humans and therefore the term ‘human assumed central sensitisation’ (HACS) is proposed. The possible existence and degree of sensitisation associated with pain mechanisms assumed present in the human central nervous system, its role in the chronification of pain and its interaction with diagnostic and therapeutic interventions are largely unknown in patients with CLBPr. The aim of quantitative sensory testing (QST) is to estimate quantitatively the presence of HACS and accumulating evidence suggest that a subset of patients with CLBPr have facilitated responses to a range of QST tests.The aims of this study are to identify HACS in patients with CLBPr, to determine associations with the effect of selective nerve root blocks and compare outcomes of HACS in patients to healthy volunteers.Methods and analysisA prospective observational study including 50 patients with CLBPr. Measurements are performed before diagnostic and therapeutic nerve root block interventions and at 4 weeks follow-up. Data from patients will be compared with those of 50 sex-matched and age-matched healthy volunteers. The primary study parameters are the outcomes of QST and the Central Sensitisation Inventory. Statistical analyses to be performed will be analysis of variance.Ethics and disseminationThe Medical Research Ethics Committee of the University Medical Center Groningen, Groningen, the Netherlands, approved this study (dossier NL60439.042.17). The results will be disseminated via publications in peer-reviewed journals and at conferences.Trial registration numberNTR NL6765.

The Short Term Results of Selective Nerve Root Block in Spinal Stenosis by Contrast Pattern

2013 ◽  
Vol 20 (3) ◽  
pp. 92
Author(s):  
Young Joon Ahn ◽  
Bo Kyu Yang ◽  
Seung Rim Yi ◽  
Seong Wan Kim ◽  
Hong Jun Jung ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Nerve Root ◽  
Short Term ◽  
Nerve Root Block ◽  
Contrast Pattern ◽  
Selective Nerve Root Block
Sign in / Sign up

Export Citation Format

Share Document