One day lumbar epidural adhesiolysis and hypertonic saline neurolysis in treatment of chronic low back pain: A randomized, double-blind trial

Pain Physician

Volumn 7, Issue 2, 2004, Pages 177-186

  Manchikanti, Laxmaiah ^a   Rivera, Jose J ^a   Pampati, Vidyasagar ^a   Damron, Kim S ^a   McManus, Carla D ^b   Brandon, Doris E ^b   Wilson, Sue R ^b  

^a PAIN MANAGEMENT CENTER OF PADUCAH   (United States)

^b Ambulatory Surgery Center   (United States)

Author keywords

Adhesiolysis; Chronic low back pain; Epidural fibrosis; Hypertonic saline neurolysis

Indexed keywords

BETAMETHASONE ACETATE PLUS BETAMETHASONE SODIUM PHOSPHATE; CORTICOSTEROID; DEXTROPROPOXYPHENE NAPSILATE; FENTANYL; HYDROCODONE; LIDOCAINE; LOCAL ANESTHETIC AGENT; METHADONE; METHYLPREDNISOLONE; MORPHINE; OXYCODONE; PENTAZOCINE; PETHIDINE; SODIUM CHLORIDE; TRAMADOL;

ADULT; ARTICLE; CATHETERIZATION; CHRONIC PAIN; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; FEMALE; FOLLOW UP; FUNCTIONAL ASSESSMENT; HEALTH STATUS; HUMAN; JOINT FUNCTION; LOW BACK PAIN; MAJOR CLINICAL STUDY; MALE; NEUROLYSIS; PAIN ASSESSMENT; PSYCHOLOGIC ASSESSMENT; RANDOMIZED CONTROLLED TRIAL; SCORING SYSTEM; SIDE EFFECT; STATISTICAL ANALYSIS; TREATMENT OUTCOME; VISUAL ANALOG SCALE; WORK;

EID: 2442716281     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (59)

1. Hellsing A, Bryngelsson I. Predictors of musculoskeletal pain in men. A twenty-year follow-up from examination at enlistment. Spine 2000; 25:3080-3086.
2. Lawrence RC, Helmick CG, Arnett FC. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum 1998; 41: 778-799.
3. Walker BF. The prevalence of low back pain in Australian adults. A systematic review of the literature from 1966-1998. Asia Pac J Public Health 1999; 11:45-51.
4. Leboeuf-Yde C, Lauritsen JM. The prevalence of low back pain in the literature. A structured review of 26 Nordic studies from 1954 to 1993. Spine 1995; 20:2112-2118.
5. Manchikanti L. Epidemiology of low back pain. Pain Physician 2000; 3:167-192.
6. Bressler HB, Keyes WJ, Rochon PA et al. The prevalence of low back pain in the elderly. A systemic review of the literature. Spine 1999; 24:1813-1819.
7. Cassidy D, Carroll L, Cotê R. The Saskatchewan Health and Back Pain Survey. The prevalence of low back pain and related disability in Saskatchewan Adults. Spine 1998; 23:1860-1867.
8. Elliott AM, Smith BH, Hannaford PC et al. The course of chronic pain in the community: Results of a 4-year follow-up study. Pain 2002; 99:299-307.
9. Waxman R, Tennant A, Helliwell P. A prospective follow up study of low back pain in the community. Spine 2000; 25:2085-2090.
10. van den Hoogen HJM, Koes BW, Deville W et al. The prognosis of low back pain in general practice. Spine 1997; 22:1515-1521.
11. Croft PR, Papageorgiou AC, Thomas E et al. Short-term physical risk factors for new episodes of low back pain. Prospective evidence from the South Manchester Back Pain Study. Spine 1999; 24:1556-1561.
12. Carey TS, Garrett JM, Jackman A et al. Recurrence and care seeking after acute back pain. Results of a long-term follow-up study. Medical Care 1999; 37:157-164.
13. Miedema HS, Chorus AM, Wevers CW et al. Chronicity of back problems during working life. Spine 1998; 23:2021-2029.
14. Thomas E, Silman AJ, Croft PR, et al. Predicting who develops chronic low back pain in primary care. A prospective study. Brit Med J 1999; 318:1662-1667.
15. Wahlgren DR, Atkinson JH, Epping-Jordan JE et al. One-year follow up of first onset low back pain. Pain 1997; 73:213-221.
16. Schiottz-Christensen B, Nielsen GL, Hansen VK et al. Long-term prognosis of acute low back pain in patients seen in general practice: A 1-year prospective follow-up study. Fam Pract 1999; 16:223-232.
17. Ferguson SA, Marras WS, Gupta P. Longitudinal quantitative measures of the natural course of low back pain recovery. Spine 2000; 25:1950-1956.
18. Vingård E, Mortimer M, Wiktorin C et al. Seeking care for low back pain in the general population: A two-year follow-up study: Results from the MUSIC-Norrtalje Study. Spine 2002; 27:2159-2165.
19. Kuslich SD, Ulstrom CL, Michael CJ. The tissue origin of low back pain and sciatica: A report of pain response to tissue stimulation during operation on the lumbar spine using local anesthesia. Orthop Clin North Am 1991; 22:181-187.
20. Wheeler AH, Murrey DB. Chronic lumbar spine and radicular pain: Pathophysiology and treatment. Curr Pain Headache Rep 2002; 6:97-105.
21. Nachemson AL. Failed back surgery syndrome is syndrome of failed back surgeons. Pain Clinic 1999; 11:271-284.
22. Phillips FM, Cunningham B. Managing chronic pain of spinal origin after lumbar surgery. Spine 2002; 27:2547-2553.
23. Anderson SR. A rationale for the treatment algorithm of failed back surgery syndrome. Curr Rev Pain 2000; 4:395-406.
24. Slosar PJ. Indications and outcomes of reconstructive surgery in chronic pain of spinal origin. Spine 2002; 27:2555-2562.
25. Manchikanti L, Bakhit CE. Percutaneous lysis of epidural adhesions. Pain Physician 2000; 3:46-64.
26. Fritsch EW, Heisel J, Rupp S. The failed back surgery syndrome. Reasons, intraoperative findings, and long-term results: A report of 182 operative treatments. Spine 1996; 21:626-633.
27. McCarron RF. Epidural fibrosis: Experimental model and therapeutic alternatives. In: Racz GB (ed). Techniques of Neurolysis. Kluwer Academic Publishers, Boston: 1989:87-94.
28. Cooper RG, Freemont AJ, Hoyland JA, et al. Herniated intervertebral disc-associated periradicular fibrosis and vascular abnormalities occur without inflammatory cell infiltration. Spine 1995; 20:591-598.
29. Hoyland JA, Freemont AJ, Jayson MI. Intervertebral foramen venous obstruction. A cause of periradicu[ar fibrosis? Spine 1989; 14:558-568.
30. Parke WW, Watanable R. Adhesions of the ventral lumbar dura. Adjunct source of discogenic pain? Spine 1990; 15:300-303.
31. Rydevik BL. The effects of compression on the physiology of nerve roots. J Manipulative Physiol Ther 1992; 1:62-66.
32. Olmarker K, Rydevik B. Pathophysiology of spinal nerve roots as related to sciatica and disc herniation. In: Herkowitz HN, Garfin SR, et al (eds). Rothman-Simeone Studies, The Spine. WB Saunders, Philadelphia, 1999:159-172.
33. Songer M, Ghosh L, Spencer D. Effects of sodium hyaluronate on peridural fibrosis after lumbar laminectomy and discectomy. Spine 1990; 15:550-554.
34. Pawl RP. Arachnoiditis and epidural fibrosis: The relationship to chronic pain. Curr Rev Pain 1998; 2:93-99.
35. Van Goethem JW, Van de Kelft E, Biltjes IG et al. MRI after successful lumbar discectomy. Neuroradiology 1996; 38:S90-S96.
36. Grane P, Tullberg T, Rydberg J et al. Postoperative lumbar magnetic resonance imaging with contrast enhancement: Compression between symptomatic and asymptomatic patients. Acta Radiol 1996; 37:366-372.
37. Annertz M, Jönsson B, Stromqvist B et al. No relationship between epidural fibrosis and sciatica in the lumbar postdiscectomy syndrome: A study with contrast-enhancement magnetic resonance imagery in symptomatic and asymptomatic patients. Spine 1995; 20:449-453.
38. Cervellini P, Curri D, Volpin L et al. Computed tomography of epidural fibrosis after discectomy. A comparison between symptomatic and asymptomatic patients. Neurosurgery 1988; 6:710-713.
39. Ross JS, Robertson JT, Frederickson RC et al. Association between peridural scar and recurrent radicular pain after lumbar discectomy: Magnetic resonance evaluation. Neurosurgery 1996; 38:855-863.
40. Boswell MV, Hansen HC, Trescot AM et al. Epidural steroids in the management of chronic spinal pain and radiculopathy: A systematic review. Pain Physician 2003; 6:319-334.
41. Revel M, Auleley GR, Alaoui S et al. Forceful epidural injections for the treatment of lumbosciatic pain with post-operative lumbar spinal fibrosis. Rev Rhum Engl Ed 1996; 63:270-277.
42. Meadeb J, Rozenberg S, Duquesnoy B et al. Forceful sacrococcygeal injections in the treatment of postdiscectomy sciatica. A controlled study versus glucocorticoid injections. Joint Bone Spine 2001; 68:43-49.
43. Ciocon JO, Galindo-Ciocon D, Amaranath L et al. Caudal epidural blocks for elderly patients with lumbar canal stenosis. J Am Geriatr Soc 1994; 42:593-596.
44. Fukusaki M, Kobayashi I, Hara T, et al. Symptoms of spinal stenosis do not improve after epidural steroid injection. Clin J Pain 1998; 14:148-151.
45. Heavner JE, Racz GB, Raj P. Percutaneous epidural neuroplasty. Prospective evaluation of 0.9% NaCl versus 10% NaCl with or without hyaluronidase. Reg Anesth Pain Med 1999; 24:202-207.
46. Manchikanti L, Pampati V, Fellows B et al. Role of one day epidural adhesiolysis in management of chronic low back pain: A randomized clinical trial. Pain Physician 2001; 4:153-166.
47. Racz GB, Holubec JT. Lysis of adhesions in the epidural space. In Racz GB (ed). Techniques of Neurolysis. Kluwer Academic, Boston, 1989:57-72.
48. Manchikanti L, Pampati V, Rivera J et al. Effectiveness of percutaneous adhesiolysis and hypertonic saline neurolysis in refractory spinal stenosis. Pain Physician 2001; 4:366-373.
49. Manchikanti L, Pakanati R, Bakhit CE et al. Role of adhesiolysis and hypertonic saline neurolysis in management of low back pain. Evaluation of modification of Racz protocol. Pain Digest 1999; 9:91-96.
50. Manchikanti L, Pampati V, Bakhit CE et al. Non-endoscopic and endoscopic adhesiolysis in post lumbar laminectomy syndrome. A one-year outcome study and cost effective analysis. Pain Physician 1999; 2:52-58.
51. Hodgkin AL, Katz B. The effect of sodium ions on the electrical activity of the giant axon of the squid. J Physiol (London) 1949; 108: 37-77.
52. Hubbard JL, Jones SF, Landau EM. An examination of the effects of osmotic pressure changes upon transmitter release from mammalian motor nerve terminals. J Physiol (London) 1968; 197:639-657.
53. Hitchcock E. Osmolytic neurolysis for intractable facial pain. Lancet 1969; i:434-436.
54. King LS, Jewett DL, Sundberg HR. Differential blockade of cat dorsal root C-fibers by various chloride solutions. J Neurosurg 1972; 36:569-583.
55. Rojiani AM, Prineas JW, Cho ES. Electrolyte-induced demyelination in rats. Ultrastructural evolution. Acta Neuropathol (Berl) 1994; 884:293-299.
56. Kukita F, Yamagishi H. Excitation of squid giant axons in hypotonic and hypertonic solutions. JPN J Physiol 1979; 20:669-681.
57. Racz GB, Heavner JE, Singleton W et al. Hypertonic saline and corticosteroid injected epidurally for pain control. In Raj P (ed). Techniques of Neurolysis. Kluwer Academic Publishers, Boston, 1989:73-86.
58. Bogduk N, McGuirk B. Monotherapy. In Bogduk N, McGuirk B (eds). Medical Management of Acute and Chronic Low Back pain. An Evidence-Based Approach: Pain Research and Clinical Management, Vol. 13, Elsevier Science BV, Amsterdam, 2002: 143-161.
59. Fibuch EE. Percutaneous epidural neuroplasty: Cutting edge or potentially harmful pain management? Reg Anesth Pain Med 1999; 24:198-201.