Safe Injectate Choice, Visualization, and Delivery for Lumbar Transforaminal Epidural Steroid Injections: Evolving Literature and Considerations

Zheng, Patricia; Schneider, Byron J.; Kennedy, David J.; McCormick, Zachary L.

doi:10.1007/s40141-019-00244-5

Cited by 5 publications

(4 citation statements)

References 55 publications

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“…Zheng et al [79] пришли к выводу о том, что риски неблагоприятного исхода внутрисосудистого введения при эпидуральной стероидной блокаде могут быть снижены при использовании стероидов без частиц и при избегании смешивания гормонов и анестетиков, способных вызвать выпадение осадка. В частности, смесь дексаметазона и ропивакаина, исходно не обладающих твердыми частицами, может кристаллизоваться при определенных кислотно-щелочных условиях среды.…”

Section: растворы для проведения эпидуральных блокадunclassified

Therapeutic and diagnostic value of transforaminal epidural injections in patients with herniated disc and radicular pain: analytical literature review

et al. 2020

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The aim of the study is to analyze comprehensive information on the use of epidural injections in the treatment and diagnosis of patients with herniated intervertebral discs. Epidemiology and modern concepts of the pathogenesis of pain syndrome formation in patients with herniated intervertebral discs, algorithms and methods of conservative and surgical treatment of such patients are highlighted. Information on the methods and features of various routes of epidural injections used for these drugs is presented, as well as a comparative assessment of their effectiveness and safety. The diagnostic and prognostic significance of transforaminal epidural block is discussed separately.

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Section: растворы для проведения эпидуральных блокадunclassified

Therapeutic and diagnostic value of transforaminal epidural injections in patients with herniated disc and radicular pain: analytical literature review

et al. 2020

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“…It is not clear whether interlaminar to transforaminal epidural steroid injection (ESI) can make any difference as far as duration of pain relief is concerned. In transforaminal approach,[ 14 ] drug is deposited close to the site of inflammation of the targeted DRG and spinal nerve, thereby possibly providing the greatest potential for benefit with limited systemic impact. [ 15 ] Various studies[ 16 ] on interlaminar/transforaminal ESI for PHN are summarized in Table 3 .…”

Section: O Bservationsmentioning

confidence: 99%

Post-herpetic neuralgia: A systematic review of current interventional pain management strategies

Aggarwal

Suresh

Gupta

et al. 2020

J Cutan Aesthet Surg

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“…Corticosteroids suppress the inflammatory responses of the disc; however, they are some side effects, such as flushing, weight gain, hyperglycemia, Cushing syndrome, glaucoma, bone density reduction, mood changes, gastric ulcers, increased blood pressure, and increased risk of infection and psychosis [8]. Spinal cord infarction is another complication of corticosteroids when used epidurally, especially with particulate steroids; therefore, non-particulate steroids are used, which are less effective [8,9]. Due to the side effects of existing treatments, the need for a less complicated procedure is evident.…”

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confidence: 99%

Transforaminal Epidural Autologous Conditioned Serum Injection in the Treatment of Unilateral Lumbar Radicular Pain: A Randomized, Controlled, Double-Blind Clinical Trial

Hashemi

Moemenzadeh

Taheri

et al. 2022

GMJ

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Background: Low back pain could related to disc herniation and managed by surgery. Also, less invasive options, including epidural corticosteroid injection, are available; however, it is associated with side effects. This study aimed to evaluate the effectiveness of autologous conditioned serum (ACS) in treating unilateral lumbar radicular pain. Materials and Methods: In this randomized, controlled, double-blind clinical trial study, a total of 68 patients received the transforaminal epidural injection, 28 patients received ACS, and 30 patients received 40 mg triamcinolone. Under fluoroscopic guidance in anterior-posterior and lateral views, a single injection of ACS or triamcinolone was done via the transforaminal epidural technique. Pain intensity was assessed with a visual analogue scale (VAS) and Oswestry disability index (ODI) at three weeks, three months, and six months. Results: A significant reduction in pain intensity was observed in patients of two groups. There was no significant difference between the two groups during the three months of the study. At the final evaluation at six months, the ACS group showed superiority over the triamcinolone based on the VAS score (P<0.05) and ODI (P=0.007). Conclusions: ACS therapy is a new effective option in treating lumbar radicular pain due to herniated disc. Since no specific complication has been reported, it can be used as a substitute for corticosteroids in such cases.

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Safe Injectate Choice, Visualization, and Delivery for Lumbar Transforaminal Epidural Steroid Injections: Evolving Literature and Considerations

Cited by 5 publications

References 55 publications

Therapeutic and diagnostic value of transforaminal epidural injections in patients with herniated disc and radicular pain: analytical literature review

Therapeutic and diagnostic value of transforaminal epidural injections in patients with herniated disc and radicular pain: analytical literature review

Post-herpetic neuralgia: A systematic review of current interventional pain management strategies

Transforaminal Epidural Autologous Conditioned Serum Injection in the Treatment of Unilateral Lumbar Radicular Pain: A Randomized, Controlled, Double-Blind Clinical Trial

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