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This study compared the functional efficacy of therapeutic transforaminal versus interlaminar epidural steroid injection. Adult patients were selected and randomized using an online research randomizer website and assigned into two groups and were given epidural injection either via transforaminal route or interlaminar route. The outcome was measured based on the Modified Japanese Orthopedic Association back index score (mJOA), Oswestry disability index (ODI), and visual analog scale (VAS) over a follow-up on 1, 3, and 6 month postinjection period. It was found that there was no significant difference seen in m JOA, ODI, and VAS score at 1 month, 3 months, and 6 months between transforaminal and interlaminar epidural steroid injection. Pain management in the epidural route was comparable to the interlaminar route. Even though the transforaminal epidural route has the advantage of being a selective nerve route block, it has similar results as the interlaminar route at 6 months follow-up.
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http://dx.doi.org/10.4103/jpbs.jpbs_658_23 | DOI Listing |
Agri
July 2025
Division of Pain Medicine, Department of Anesthesiology and Reanimation, Çukurova University Faculty of Medicine, Adana, Türkiye.
Objectives: Cervical epidural injections are frequently applied in the treatment of radicular pain caused by cervical disc herniation. This study aimed to investigate and compare the effectiveness of cervical epidural steroid injection and cervical epidural steroid + bupivacaine injection using Neck Disability Index (NDI) and Visual Analog Scale (VAS) scores.
Methods: A total of 91 patients were included in the study.
J Clin Neurosci
August 2025
Department of Neurosurgery, Upstate University Hospital, State University of New York, Syracuse, NY, United States of America.
In this video we overview the techniques and methods of performing a lumbar interlaminar uniportal endoscopic discectomy utilizing a case presentation. A 26-year-old male presented with one year of low back pain radiating down his right lower extremity with associated numbness. Magnetic resonance imaging revealed a paramedian disc herniation at L5-S1 eccentric to the right side.
View Article and Find Full Text PDFIntroduction: Interlaminar epidural steroid injections (ILESIs) using a parasagittal approach are frequently employed to manage lumbar radicular pain. The degree of contralateral symptom relief achieved with parasagittal ILESIs remains underexplored. This study aims to evaluate the short-term effectiveness of parasagittal ILESIs in providing ipsilateral and contralateral symptom relief in patients with bilateral lumbar radiculopathy and unilateral contrast spread.
View Article and Find Full Text PDFJBJS Essent Surg Tech
July 2025
Department of Orthopaedic Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland.
Background: Endoscopic decompression of lumbar spinal stenosis has been gaining popularity as the least invasive of several minimally invasive surgical treatment options. This procedure offers similar outcomes to those of conventional open procedures; however, endoscopic procedures are technically demanding and involve a substantial learning curve. The typical endoscopic approach is a "uni-portal" approach that utilizes a special spinal endoscope and endoscopic instruments.
View Article and Find Full Text PDFInterv Pain Med
September 2025
Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Background: Lumbar radiculopathy is estimated to affect approximately 3-5 % of the population. Among the leading causes of radiculopathy are degenerative or congenital spinal stenosis and lumbar disc herniations, which can contribute to compression and narrowing in various regions of the spine including the neural foramen, subarticular recess, or central canal. When patients do not respond to typical conservative treatment such as medications and physical therapy, epidural steroid injections can be considered as a next step in management.
View Article and Find Full Text PDF