Can quantitative sensory testing predict the outcome of epidural steroid injections in sciatica? A preliminary study

Anesthesia and Analgesia

Volumn 97, Issue 3, 2003, Pages 828-832

  Schiff, Elad ^a,b   Eisenberg, Elon ^a  

^a TECHNION ISRAEL INSTITUTE OF TECHNOLOGY   (Israel)

^b BNAI ZION MEDICAL CENTER   (Israel)

Author keywords

[No Author keywords available]

Indexed keywords

STEROID;

ADULT; ARTICLE; CLINICAL ARTICLE; COLD SENSATION; DERMATOME; DIAGNOSTIC TEST; FEMALE; HEAT SENSATION; HUMAN; INTERVERTEBRAL DISK HERNIA; ISCHIALGIA; MALE; MCGILL PAIN QUESTIONNAIRE; NERVE FIBER C; PAIN ASSESSMENT; PERCEPTIVE THRESHOLD; PRIORITY JOURNAL; QUANTITATIVE SENSORY TESTING; TREATMENT OUTCOME;

EID: 0042830438     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000078583.47735.69     Document Type: Article

References (24)

1. Mixter WJ, Barr JS. Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med 1934;211:210-5.
2. Thelander U, Fagerlund M, Friberg S, Larsson F. Straight leg raising test versus radiologic size, shape, and position of lumbar disc herniations. Spine 1992;17:395-9.
3. Goupille P, Jayson MIV, Valt J-P, Freemont AJ. The role of inflammation in disk herniation-associated radiculopathy. Semin Arthritis Rheum 1998;28:60-71.
4. Koes BW, Scholten RJ, Mens JM, Bouter LM. Efficacy of epidural steroid injections for low-back pain and sciatica: a systematic review of randomized clinical trials. Pain 1995;63:279-88.
5. Watts RW, Silagy CA. A meta-analysis on the efficacy of epidural corticosteroids in the treatment of sciatica. Anaesth Intensive Care 1995;23:564-9.
6. Carrete S, Leclaire R, Marcoux S, et al. Epidural corticosteroid injections for sciatica due to herniated nucleus pulposus. N Engl J Med 1997;337:1634-40.
7. Quantitative sensory testing: a consensus report from the Peripheral Neuropathy Association. Neurology 1993;43:1050-2.
8. Collins WF, Nulsen FE, Randt CT. Relation of peripheral nerve fiber size and sensation in man. Arch Neurol 1960;3:381-5.
9. Zwart JA, Sand T, Unsgaard G. Warm and cold thresholds in patients with unilateral sciatica: C-fibers are more severely affected than A-delta fibers. Acta Neurol Scand 1998;97:41-5.
10. Nygaard OP, Mellgren SI. The function of sensory nerve fibers in lumbar radiculopathy: use of quantitative sensory testing in the exploration of different populations of nerve fibers and dermatomes. Spine 1998;23:348-52.
11. Mosek A, Yarnitsky D, Korczyn AD, Niv D. The assessment of radiating low back pain by thermal sensory testing. Eur J Pain 2001;5:347-51.
12. Nygaard OP, Kloster R, Mellgren SI. Recovery of sensory nerve fibers after surgical decompression in lumbar radiculopathy: use of quantitative sensory testing in the exploration of different populations of nerve fibers. J Neurol Neurosurg Psychiatry 1998;64:120-3.
13. Yarnitsky D, Fowler C. Quantitative thermal testing. In: Osselton JW, ed. Neurophysiology. 1st ed. Oxford: Butterworth-Heinemann Publishers, 1995:253-70.
14. Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R, eds. Handbook of pain assessment. 2nd ed. New York: The Guilford Press, 1992:135-51.
15. Melzack R. The McGill Pain Questionnaire. Pain 1975;1:272-99.
16. Lindahl O, Rexed B. Histological changes in spinal nerve roots of operated cases of sciatica. Acta Orthop Scand 1951;20:215-25.
17. Oiski Y, Ohnishio A, Susuki K, Hojo T. Lower number and thinner myelin of large myelinated fibers in human cervical compression radiculopathy. J Neurosurg 1995;83:342-7.
18. Lundborg G, Dahlin L. The pathophysiology of nerve compression. Hand Clin 1992;8:215-27.
19. Yoshizawa H, Kobayashi S, Morita T. Chronic nerve root compression. Spine 1995;20:379-407.
20. Stojanovic MP, Vu TN, Caneris O, et al. The role of fluoroscopy in cervical epidural steroid injections: an analysis of contrast dispersal patterns. Spine 2002;27:509-14.
21. Liu SS, Melmed AP, Klos JW, Innis CA. Prospective experience with a 20-gauge Tuohy needle for lumbar epidural steroid injections: is confirmation with fluoroscopy necessary? Reg Anesth Pain Med 2001;26:143-6.
22. Silbergleit R, Mehta BA, Sanders WP, Talati SJ. Imaging-guided injection techniques with fluoroscopy and CT for spinal pain management. Radiographics 2001;21:927-39.
23. Vad VB, Bhat AL, Lutz GE, Cammisa F. Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study. Spine 2002;27:11-6.
24. Garfin SR, Rydevik BL, Brown RA, Sartoria DJ. Compressive neuropathy of spinal nerve roots a mechanical or biological problem? Spine 1991;16:162-6.