Interlaminar caudal epidural steroid injection

In a retrospective study, Narozny and associates (2001) investigated the clinical effectiveness of nerve root blocks (., peri-radicular injection of bupivacaine and triamcinolone) for lumbar mono-radiculopathy in patients with a mild neurological deficit.  These researchers analyzed 30 patients (aged 29 to 82 years) with a minor sensory/motor deficit and an unequivocal MRI finding (20 disc herniations, 10 foraminal stenoses) treated with a SNRB.  Based on the clinical and imaging findings, surgery (decompression of the nerve root) was justifiable in all cases.  Twenty-six patients (87 %) had rapid (1 to 4 days) and substantial regression of pain, 5 required a repeat injection.  Furthermore, 60 % of the patients with disc herniation or foraminal stenosis had permanent resolution of pain, so that an operation was avoided over an average of 16 months (6 to 23 months) follow-up.  The authors concluded that SNRBs are very effective in the non-operative treatment of minor mono-radiculopathy and should be recommended as the initial treatment of choice for this condition.

In many cases, vertebral fractures can be treated through conservative methods such as bed rest, a back brace or pain medication. However, patients with osteoporosis or whose fractures have caused severe, long-term pain may benefit from a minimally invasive procedure such as vertebroplasty to relieve symptoms. This procedure is also recommended for patients who are too weak to undergo spinal surgery, or have a malignant tumor within the spine that has caused vertebral damage. Vertebroplasty is most effective when performed on fractures that are less than six months old.

Cervical C0-1 Injection
Trigger Point Injection
Thoracic RFA
Thoracic Medial Branch Block
Thoracic Facet Injection
Thoracic ESI Transforaminal
Thoracic ESI SNRB
Thoracic ESI Interlaminar
Stellate Ganglion Block for Shingles
Stellate Ganglion Block for CRPS
SIJ Injection
Occipital Nerve Block
Lumbar Sympathetic Block for CRPS
Lumbar RFA
Lumbar Medial Branch Block
Lumbar Facet Injection
Lumbar ESI TF
Lumbar ESI Lyssis of Adhesions
Lumbar ESI Interlaminar
Lumbar ESI Caudal
Discography Lumbar
Discography General
Cervical RFA
Cervical Medical Branch Block
Cervical Facet Injection
Cervical ESI TF
Cervical ESI SNRB
Cervical ESI Interlaminar
Cervical C1-2 Injection

Interlaminar caudal epidural steroid injection

interlaminar caudal epidural steroid injection


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