Common Lumbar and Sacral Interventional Pain Procedures

/in /by

Volume 2 | Issue 1 | April-September 2021 | page: 33-42 | Milan Mehta, Bharat J Shah, Palak Chudasama

Authors: Milan Mehta [1], Bharat J Shah [1], Palak Chudasama [1]

[1] Department of Pain Management, Zydus Hospital, Ahmedabad, Gujarat, India.

Address of Correspondence
Dr. Milan Mehta,
Interventional Pain Specialist, Zydus Hospital, Ahmedabad, Gujarat, India.
E-mail: milan.aaryen@gmail.com

Abstract

Interventional pain specialists perform all pain procedures under live fluoroscopic guidance and with use of a contrast agent to deliver cortisone as close to the disc herniation or nerve root impingement, as determined by MRI or at the pain generators. Image-guided technique reduces morbidity. Dye spread in AP, lateral and oblique view is to be documented in real-time to reduce catastrophic complications. It outlines the area surrounding exiting and traversing nerve roots along with epidural space and also delineates the perimeter of the joint.
All these procedures help in identifying pain generators by means of diagnostic techniques which helps in conservative management as well as it’s very useful before radio-frequency ablative procedures and before surgery.
Keywords: Lumbar and sacral pain; Non operative treatment; Intervention pain speciality.

References

1. Bartleson JD, Maus TP. Diagnostic and therapeutic spinal interventions. NeurolClinPract. 2014 Aug; 4(4): 347–352.
2. Buy X, Gangi A. Percutaneous Treatment of Intervertebral Disc Herniation. SeminInterventRadiol. 2010 Jun; 27(2): 148–159.
3. Diwan S, Sayed D, Deer T, Salomons A, Liang K. An Algorithmic Approach to Treating Lumbar Spinal Stenosis: An Evidenced-Based Approach. Pain Med. 2019 Dec; 20(Suppl 2): S23–S31.
4. Schoenfeld AJ, Swiner BK. Treatment of lumbar disc herniation: Evidence-based practice. Int J Gen Med. 2010; 3: 209–214.
5. Parikh KS, Seetharamaiah S. Approach to failed spinal anaesthesia for caesarean section. Indian J Anaesth. 2018 Sep; 62(9): 691–697.
6. NikolalBogduk. ISIS Practice Guidelines for Spinal Diagnostic and Treatment Procedures: 2nd Edition, International Spine Intervention Society, 2014.
7. Kim DH, Kim KH, Kim YC. Minimally Invasive Percutaneous Spinal Techniques: 1st edition, Elsevier B.V publication 2011.

How to Cite this Article:  Mehta M, Shah BJ, Chudasama P | Common Lumbar and Sacral Interventional Pain Procedures | Back Bone: The Spine Journal | April-September 2021; 2(1): 33-42.

 

(Abstract) (Full Text HTML)      (Download PDF)

.