Chronische Radikulopathie

Abstract

Treatment of chronic low back pain exhibiting radicular symptoms poses a clinical problem that has not yet been solved. The technique of percutaneous minimally invasive neurolysis described by Racz is being performed increasingly to treat chronic radiculopathy. A total of 61 patients with corresponding symptomatology after screening for inclusion and exclusion criteria in the region of the lumbar spinal nerve were treated with the Racz catheter technique. Distinct clinical improvement was observed at the 3- and 6-month follow-ups after percutaneous minimally invasive epidural neurolysis. Subjective pain perception, quantified by the McNab score, clearly improved after 3 as well as 6 months. With the exception of partial catheter shearing in two cases and one occurrence of infection, no relevant side effects were noted. The Racz catheter technique for treatment of chronic radiculopathy following disk surgery is suitable with minimal side effects.

Epidural Lysis of Adhesions

“…Both treatments were associated with good short-term relief with no differences noted between protocols, though only 13% reported significant benefit at 12-month follow-up. Prospective studies that included patients with spinal stenosis [45], post-lumbar surgery pain [46], and those with radiculopathy of any etiology [47] have also reported good, long-term benefit.…”

Therapeutic efficacy of selective nerve root blocks in the management of lumbar radicular pain

“…Many studies have reported similar findings which showed pain and disability scores are reduced by addition of hyper tonic saline [7][8][9][10][11] . The addition of hyper tonic saline during per cutaneous epidural adhesion lysis is consideration to add to the adhesion lysis of possible adhesions and fibrous tissues in the epidural and perineural space.…”