The Impact of Lumbosacral Transitional Vertebrae on Therapeutic Outcomes of Transforaminal Epidural Injection in Patients with Lumbar Disc Herniation

Abstract

Sacralization can reduce the improvement after TFEI among LDH patients, while lumbarization appears to have no direct effect on TFEI outcomes. The presence of sacralization should be identified before TFEI, and if present, patients should be informed that the outcomes of TFEI may not be as good as they would be if sacralization was not present.

Efficacy and Safety of Modified Duhuo Jisheng Decoction in the Treatment of Lumbar Disc Herniation: A Systematic Review and Meta‐Analysis

“…LDH is a common clinical disease, which is easy to recur and difficult to cure thoroughly and effectively [1]. LDH is a symptom of lumbar pain, nerve numbness, and weakness caused by degeneration of intervertebral disc, protrusion of nucleus pulposus, rupture of fibrous ring, and compression of nerve root and cauda equina nerve [14,16].…”

“…LDH is a symptom of lumbar pain, nerve numbness, and weakness caused by degeneration of intervertebral disc, protrusion of nucleus pulposus, rupture of fibrous ring, and compression of nerve root and cauda equina nerve [14,16]. Usually, most patients with LDH can be treated conservatively [1]. Drug treatment is a widely used conservative treatment, including Western medicine and Chinese medicine.…”

“…Lumbar disc herniation (LDH) can lead to physical deterioration, long-term back and leg pain, neurological deficits, and socioeconomic problems due to the large medical costs associated with treatment [1]. LDH belongs to the category of "low back pain" and "Bizheng" (pain caused by wind, cold, and dampness) in traditional Chinese medicine (TCM) theory [2].…”

“…Bizheng refers to symptoms such as joint and muscle soreness, numbness, and poor flexion and extension caused by body surface and meridian due to feelings of wind, cold, dampness, and heat [2]. Most LDH cases can achieve good results through conservative treatment, including medication, physical therapy, and steroid injection [1]. Medical treatment includes Western medicine and TCM.…”

Modified technique for thermal radiofrequency ablation of Thoracic dorsal root ganglia under combined fluoroscopy and CT guidance: a randomized clinical trial

“…adjacent to DRG), which allows a lower risk of inadvertent dural puncture [14]. It also demonstrated therapeutic values in managing radicular pain in many clinical trials [15]. Lastly, the selected dermatomal segment is only addressed in cases of TRF-DRG without the need to cover the segments above and below as performed in intercostal nerve blocks (the overlap phenomenon).…”