scholarly journals Role of paraspinal mapping before transforaminal epidural injections for lumbar radiculopathy

2021 ◽  
Vol 67 (2) ◽  
pp. 196-202
Author(s):  
Merve Akdeniz Leblebicier ◽  
Osman Hakan Gündüz ◽  
Başak Mansız Kaplan ◽  
Tülay Erçalık
Keyword(s):  
Steroid Injection ◽  
Clinical Findings ◽  
Lumbar Radiculopathy ◽  
Epidural Injections ◽  
Lumbar Mri ◽  
Transforaminal Epidural Steroid Injection ◽  
Predictive Role ◽  
Epidural Steroid ◽  
Paraspinal Mapping

Objectives: This study aims to investigate whether electromyography (EMG) including paraspinal mapping (PM) and specific clinical findings before the injection have a predictive role on the results in patients undergoing unilateral transforaminal epidural steroid injection (TFESI). Patients and methods: In this prospective study, a total of 46 patients (19 males, 17 females; mean age: 44.0±10.8 years; range, 23 to 60 years) with unilateral L5 root compression confirmed by physical examination, EMG and lumbar MRI between March 2013 and January 2014 were included. The patients underwent L5 TFESI. After the injection, they were examined at 1 h, three weeks, and three months. Results: The clinical findings and presence of acute involvement on EMG were not predictive for TFESI results; however, the patients with lower scores for the L5 segment in PM benefited more from the injection, compared to patients with higher scores for the L5 segment in PM. Conclusion: In patients with very clearly defined L5 radiculopathy, PM EMG can give us an idea about the effectiveness of L5 TFESI.

scholarly journals The Effect of Pre-Treatment Depression, Anxiety and Somatization Levels on Transforaminal Epidural Steroid Injection: A Prospective Observational Study

2020 ◽  
Vol 3;23 (6;3) ◽  
pp. E273-E279
Author(s):  
Savaş Şencan
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Lumbar Radiculopathy ◽  
Treatment Results ◽  
The Third ◽  
Transforaminal Epidural Steroid Injection ◽  
Psychiatric Conditions ◽  
Epidural Steroid

Background: Results of the lumbar transforaminal epidural steroid injection (L-TFESI) used in the treatment of lumbar radiculopathy may be affected by the current psychiatric condition of the patient. Objectives: The study aimed to assess the effects of pretreatment comorbid psychiatric conditions on patient outcomes in patients with lumbar disc herniation and radiculopathy. Study Design: The study used a prospective-observational study design. Setting: Research was conducted at a university hospital international pain management center. Methods: In this observational study, 103 patients were included. All patients were evaluated with the Hospital Anxiety and Depression scale (HADS) for depression and anxiety levels and the Somatosensory Amplification Scale (SSAS) for somatization levels before the L-TFESI. The treatment results were evaluated with the Numeric Rating Scale (NRS) and the Oswestry Disability Index (ODI) at baseline, the third week, and the third month. Relative to baseline, a 50% reduction in the NRS was accepted as a successful treatment. Results: HADS-depression, HADS-anxiety, and SSAS levels were similar between the patients with successful treatment outcome and the patients in whom treatment failed. However, there were negative correlations between percent reduction in the NRS and the HADS-depression levels at 3 weeks (r = -0.182, P = .022) and 3 months (r = -0.204, P = .037). Also, there were positive correlations between patients’ pre-injection ODI scores and both the HADS-anxiety (r = 0.271, P = .001) and SSAS (r = 0.201, P = .013) scores. Limitations: The study was limited by a relatively short-term follow-up period. Conclusions: Although psychiatric conditions affected the pain and disability of patients before and after the L-TFESI, and may have an impact on patient-related outcomes, they should not be a reason to not treat patients or expect a lower chance of success. Key words: Anxiety, depression, disc herniation, low-back pain, lumbar radiculopathy, patientrelated outcomes, somatization, transforaminal epidural steroid injection

scholarly journals Cervical Transforaminal Epidural Steroid Injection (TFESI): Role of MR Imaging and Epidurography

2011 ◽  
Vol 64 (1) ◽  
pp. 25 ◽  
Author(s):  
Soo-Jung Choi ◽  
Jae Hong Ahn ◽  
Chunghwan Kim ◽  
Jae Seok Song ◽  
Seung Moon Jung ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Transforaminal Epidural Steroid Injection ◽  
Epidural Steroid
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