A Double-blind, Randomized, Prospective Study of Epidural Steroid Injection vs. The mild® Procedure in Patients with Symptomatic Lumbar Spinal Stenosis
| Autor: | Lora L. Brown |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
business.industry Spinal stenosis Epidural steroid injection medicine.medical_treatment Lumbar spinal stenosis Neurogenic claudication medicine.disease Low back pain Surgery Oswestry Disability Index Anesthesiology and Pain Medicine Radicular pain Anesthesia medicine medicine.symptom business Claudication |
| Zdroj: | Pain Practice. 12:333-341 |
| ISSN: | 1530-7085 |
| DOI: | 10.1111/j.1533-2500.2011.00518.x |
| Popis: | Background: Epidural steroid injections (ESIs) are commonly used to treat low back pain, including symptomatic lumbar spinal stenosis (LSS). Reports on LSS treatment with ESIs have not differentiated between neurogenic claudication, which is believed to result from nerve root compression, and lumbar radicular pain, thought to be caused by inflammation. While there is overlap between these groups, the clinical relevance of ESI treatment cannot be generalized between these 2 distinct diseases with completely different pathophysiological causes. Methods: This was a double-blind, randomized, prospective study of ESI vs. the mild procedure in patients with symptomatic LSS, conducted at a single pain management center. Patient reported outcome measures included Visual Analog Scale, Oswestry Disability Index, and Zurich Claudication Questionnaire (ZCQ) patient satisfaction. Results: Thirty-eight patients were randomized into 2 treatment groups, 21 in mild and 17 in ESI. At 6- and 12-week follow-up, patients treated with mild reported significantly greater pain decrease over time (P |
| Databáze: | OpenAIRE |
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